FORM - A
Form for seeking prior approval of Central Government under section 2 of the Forest(Conservation) Act,1980 for Diversion of fresh forest area
PART - I
(To be filled up by User Agency)
A. General Details
A-1. Project Details
  (i). Proposal No. : FP/UP/ROAD/23576/2017   (ii). Name of Project for which Forest Land is required : Forest Land Proposed to be diverted for Meerut-Badaun Road Widening and Strengthening from Ch.142.600 to 162.00 in Sambhal District   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Forest Land Proposed to be diverted for Meerut-Badaun (SH-18)Road Widening and Strengthening from Ch.142.600 to 162.00 in Sambhal District   (iv). State : Uttar Pradesh   (v). Category of the Proposal : Road   (vi). Shape of forest land proposed to be diverted : Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 10266.16   (viii). Area of forest land proposed for diversion(in ha.): 23.28   (ix). Non-forest land required for this project(in ha.): 0   (x). Total period for which the forest land is proposed to be diverted(in years): 30
A-2. Details of User Agency
  (i). Name : PWD SAMBHAL   (ii). Address1 : Provisional Division, PWD, Chandausi Road, Sambhal   (iii). Address2 : NIL   (iv). State : Uttar Pradesh   (v). District : Sambhal   (vi). Pin : 244302   (vii). Landmark : Chandausi Choraha Sambhal   (viii). Email address : karamveer2149@gmail.com   (ix). Landline Telephone No. : 5923-32577   (x). Fax No. : 5923-   (xi). Mobile No. : 9412114400   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Karamveer   (ii). Middle Name: NIL   (iii). Last Name: Singh   (iv). Gender: Male   (v). Designation: Assistant Engineer, PDW, PD, S   (vi). Address 1: Campus in Office Assistant Engineer, PDW, PD, Chandausi Road, Sambhal   (vii). Address 2: NIL   (viii). State: Uttar Pradesh   (ix). District: Sambhal   (x). Tehsil: NIL   (xi). Pin: 244302   (xii). Landmark: Chandausi Choraha, Sambhal   (xiii). Email Address: karamveer2149@gmail.com   (xiv). Landline Telephone No.: 5923-32577   (xv). Fax No.: NIL   (xvi). Mobile No.: 9412144004   (xvii). Copy of documents in support of the competence/authority of the person making this application to make application on behalf of the User Agency:
B. Details of land required for the Project
B-1. Details of proposal seeking prior approval of Central Government under the Act for diversion of forest land for the Project already submitted in the past
List of proposal submitted in Past
S.no Proposal Status. Proposal No. Moef File No. Area Proposed for Diversion(Ha.) Area Diverted(Ha.) Date of In-Principle Approval Date of Final Approval
NIL
B-2. Details of forest land proposed to be diverted
B-2.1 Details of Divisions involved
Details of Divisions involved
S.no Division Name Forest Land(ha.) Non-Forest Land(ha.)
1.Social Forestry Division Sambhal23.280
Total23.280
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Sambhal23.280
Total23.280
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Gunnaur Jahagir0.3310
2Gunnaur Arif0.5690
3Kazi0.390
4Mansoor0.360
5Gunnaur Chhita0.720
6Gunnaur Abdul Hai0.720
7Jagannathpur2.670
8Humaunpur0.3960
9Sahjana2.2560
10Bijua Nagla0.2640
11Sarai Brahman1.3320
12Junabai2.8320
13Dhanipur1.560
14Dwari Kala2.880
15Berampur Maharaji1.440
16Chabutara1.440
17Dhausli Mohkam0.6530
18Dhausli Ramsahay0.360
19Ganeshpur0.4750
20Kadrabad1.6320
Total 23.28 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road Widening &Strengthening23.280
Total 23.28 0
C. Maps of forest land proposed to be diverted
Division 1. : Social Forestry Division Sambhal
  (i). Area of forest land proposed to be diverted(in ha.) : 23.28   (ii). Nature of the Project: Linear   (b). No. of Segments : One
Segment wise details
Segments Segment Area(in ha.) Kml File of Segments
(To view KML file on google the same may be downloaded and then open if in google earth install in your computer).
1.23.28    View File
  (iii). Copy of Survey of India Toposheet indicating boundary of forest land proposed to be diverted:   (iv). Scanned copy of the Geo-referenced map of the forest land proposed to be diverted prepared by using GPS or Total Station:
D. Justification for locating the Project in forest land and details of alternatives examined:
  (i). Copy of note containing justification for locating the Project in forest land:   (ii). Whether a copy of map indicating location of alternative examine is required to be provided: No   (a). Reason for not providing such map: No Alternative
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 50   (iii). Temporary Employment(Number of person-days): 80000
F. Displacement of People due to the Project, if any
  (i). Whether Project involves displacement?: No
G. Details of Cost-Benefit analysis for the Project
  (i). Whether the Project requires Cost-Benefit analysis?: Yes   (a). Copy of Cost-Benefit analysis:
H. Status of Environmental Clearance
  (i). Whether the Project requires Clearance under the Environment (Protection) Act 1986 ? : No
I. Status of Wildelife Clearance
  (i). Whether the Project or a part thereof is located in any Protected Area or their Eco sensitive zone? : No
J. Applicability of special provisions governing Scheduled Areas
  (i).Whether the Project or a part thereof is located in a Scheduled Area? : No
K. Status of settlement of rights under the Forest Rights Act,2006 on the forest land proposed to be diverted
  (i). Whether the process for settlement of Rights under the Forest Rights Acts 2006 on the forest land proposed to be diverted has been completed? : Yes   (a). Copy of documentry evidence in support of settlement of rights under the Forest Rights Act,2006 on the forest land proposed to be diverted:
L. Details of land identified for Compensatory Afforestation
  (i). Whether non-forest or Revenue forest land is required to be provided by User Agency?: No   (ii). Whether the area of non-forest land or Revenue forest land required to be provided by User Agency for raising Compensatory Afforestation is less than area of forest land proposed to be diverted ?: No   (iii) . Reason for not providing Non-Forest Land: Linear or 'strip' plantation declared as protected forest along with road/rail/canal sides for widening or expansion of road/rail/canal
Additional information Details
Documents
S.No Documents
Remarks
1Project Sanction Letter
2Area Calculation
3Existing Cross Section
4Proposed Cross Section
5Linear Strip Plan
6Forest Notification