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/24640/2017   (ii). Name of Project for which Forest Land is required : PROPOSAL FOR THE DIVERSION OF ROAD SIDE PROTECTED FOREST STRIP FOR THE WIDENING AND STRENGTHENING OF SHIKOHABD -BHOGAON ROAD(SH-84) FROM CH.0.000 TO 19.5185 FROM SHIKOHABD TO VILLAGE BHARAUL , AND CONSTRUCTION ARAON BYPASS (2.500 KM) ,BHARAUL BYPASS (1.700 KM) TOTAL LENGHTH 19.5185 IN FIROZABAD DISTRI   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : PROPOSAL FOR THE DIVERSION OF ROAD SIDE PROTECTED FOREST STRIP FOR THE WIDENING AND STRENGTHENING OF SHIKOHABD -BHOGAON ROAD(SH-84) FROM CH.0.000 TO 19.5185 FROM SHIKOHABD TO VILLAGE BHARAUL , AND CONSTRUCTION ARAON BYPASS (2.500 KM) ,BHARAUL BYPASS (1.700 KM) TOTAL LENGHTH 19.5185 IN FIROZABAD DIST   (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) : 19297.65   (viii). Area of forest land proposed for diversion(in ha.): 26.143158   (ix). Non-forest land required for this project(in ha.): 30.29213   (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   (ii). Address1 : EXECUTIVE ENGINEER OFFICE PROVINCIAL DIVISION RASOOLPUR ,DISTRICT FIROZABAD   (iii). Address2 : NIL   (iv). State : Uttar Pradesh   (v). District : Firozabad   (vi). Pin : 283203   (vii). Landmark : OLD DAAK BANGLOW   (viii). Email address : pwdfrzpd@gmail.com   (ix). Landline Telephone No. : 5612-242992   (x). Fax No. : 5612-   (xi). Mobile No. : 9997242909   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: AJAY   (ii). Middle Name: NIL   (iii). Last Name: KUMAR   (iv). Gender: Male   (v). Designation: EXECUTIVE ENGINEER   (vi). Address 1: EXECUTIVE ENGINEER OFFICE PROVINCIAL DIVISION RASOOLPUR, DISTRICT FIROZABAD   (vii). Address 2: NIL   (viii). State: Uttar Pradesh   (ix). District: Firozabad   (x). Tehsil: Firozabad   (xi). Pin: 283203   (xii). Landmark: OLD DAAK BANGLOW   (xiii). Email Address: pwdfrzpd@gmail.com   (xiv). Landline Telephone No.: 5612-242992   (xv). Fax No.: NIL   (xvi). Mobile No.: 7505489318   (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 Firozabad26.14315830.29213
Total26.14315830.29213
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Firozabad26.14315830.29213
Total26.14315830.29213
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1CHITHOLI2.1752351.46795
2KANTHARI6.2318984.20558
3MANDAI2.063581.3926
4BANIPUR0.5794650.39105
5MOHAMMADPUR MANDAI1.9079151.28755
6RAMNAGAR1.616961.0912
7ARAON3.32859.7462
8BAMAI2.5224251.70225
9BHARAUL3.008987.1306
10MOHMMADABAD/SHIKOHABAD2.70821.87715
Total 26.143158 30.29213
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1NEW CONSTRUCTED SH-84 ROAD PASSAGE THROUGH SHIKOHA2.70821.87715
2NEW CONSTRUCTED SH-84 ROAD PASSAGE THROUGH CHITHOL2.1752351.46795
3NEW CONSTRUCTED SH-84 ROAD PASSAGE THROUGH KANTHAR6.2318984.20558
4NEW CONSTRUCTED SH-84 ROAD PASSAGE THROUGH MANDAI2.063581.3926
5NEW CONSTRUCTED SH-84 ROAD PASSAGE THROUGH BANIPUR0.5794650.39105
6NEW CONSTRUCTED SH-84 ROAD PASSAGE THROUGH MH MAND1.9079151.28755
7NEW CONSTRUCTED SH-84 ROAD PASSAGE THROUGH RAMNAGA1.616961.0912
8NEW CONSTRUCTED SH-84 ROAD PASSAGE THROUGH ARAON3.32852.2462
9NEW PROPOSED ARAON BYPASS07.5
10NEW CONSTRUCTED SH-84 ROAD PASSAGE THROUGH BAMAI2.5224251.70225
11NEW CONSTRUCTED SH-84 ROAD PASSAGE THROUGH BHARAUL3.008982.0306
12NEW PROPOSED BHARAUL BYPASS05.1
Total 26.143158 30.29213
C. Maps of forest land proposed to be diverted
Division 1. : Social Forestry Division Firozabad
  (i). Area of forest land proposed to be diverted(in ha.) : 26.143158   (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).
1.26.143158    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: NA
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 0   (iii). Temporary Employment(Number of person-days): 1500000
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? : No
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
1GAZETTE NOTIFICATION
2CROSS SECTION OF SH-84
3AREA CALCULATION OF BYPASS ROAD
4PROJECT SECTION LETTER
5area calculation sheet (Forest land and non forest land area calculation)