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/26890/2017   (ii). Name of Project for which Forest Land is required : Diversion of Protected Forest Land for Rehabilitation and Up-gradation to 4-lane with paved shoulders configuration from Mitrasen to Kanpur (Km 356.000 to Km 414.000) section of National Highway-91 in Kanpur District in the State of Uttar Pradesh   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The Project involves capacity augmentation to 4 lane with paved Shoulders configuration from Mitrasen to Kanpur section of NH-91.Road side Plantation Mitrasen(km 356.000)to Kanpur (Km 414.000)except Bypasses & Realignment in Kanpur District is notified as Protected forest   (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) : 314119   (viii). Area of forest land proposed for diversion(in ha.): 93.975   (ix). Non-forest land required for this project(in ha.): 199.533   (x). Total period for which the forest land is proposed to be diverted(in years): 20
A-2. Details of User Agency
  (i). Name : NHAI   (ii). Address1 : Project Director, National Highway Authority of India, 47, Dream City Colony, Opp. Bal Jivan Ghutti,Sarsol, G.T. Road, Aligarh   (iii). Address2 : 47 & 48, Dream City Colony, Opp. Bal Jivan Ghutti,Sarsol, G.T. Road, Aligarh   (iv). State : Uttar Pradesh   (v). District : Aligarh   (vi). Pin : 202001   (vii). Landmark : Near Bal Jivan Gutti   (viii). Email address : nhaipiubsr001@gmail.com   (ix). Landline Telephone No. : 571-2900697   (x). Fax No. : 571-2900697   (xi). Mobile No. : 9412159580   (xii). Website (if any) : www.nhai.org   (xiii). Legal status of User Agency : Central Government
A-3. Details of Person Making Application
  (i). First Name: Sunil   (ii). Middle Name: NIL   (iii). Last Name: Jindal   (iv). Gender: Male   (v). Designation: General Manager (T) cum Projec   (vi). Address 1: Village- Bhikampur, Post- Jirolidor,   (vii). Address 2: Infront of Reliance Petrol Pump, G.T. Road, Aligarh   (viii). State: Uttar Pradesh   (ix). District: Aligarh   (x). Tehsil: NIL   (xi). Pin: 202001   (xii). Landmark: Infront of Reliance Petrol Pump   (xiii). Email Address: aligarh@nhai.org   (xiv). Landline Telephone No.: 2571-2900697   (xv). Fax No.: 05712900697   (xvi). Mobile No.: 9412159580   (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 Kanpur Nagar93.975199.533
Total93.975199.533
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Kanpur Nagar93.975199.533
Total93.975199.533
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Gangupur1.3171.404
2Hasauli Qaziganj3.6030.815
3Dhaurhara1.790.503
4Aunkin2.6010.728
5Kishwapur0.7020.205
6Shekhpur Dharmshala0.8050.556
7Araul4.9622.874
8Medua4.570.746
9Bakothi6.7458.892
10Nasrapur2.2297.616
11Bilhaur Khas0.63527.59
12Subhan Pur Murad Nagar09.823
13Bibipur2.2855.702
14Rajepur2.0741.739
15Daryapur Bilhaur2.7171.01
16Resulpur Bilhaur2.6173.563
17Lalpur0.1948.485
18Uttari05.755
19Radha01.125
20Debipur Saray04.685
21Madara Rai Guman00.33
22Pura016.055
23Arjunpur01.998
24Newada Udhau0.6091.385
25Dukapur1.0451.315
26Dhamni Newada0.3310.364
27Newada Dariya1.3283.335
28Newada Sena1.3033.859
29Kanthi Newada06.457
30Munderi04.215
31Thathi Newada0.5430.708
32Chak Banka0.6535.081
33Mahipalpur1.5560.375
34Chhatarpur00.263
35Rajpur010.251
36Bhatpura Shivrajpur06.85
37Pathakpur Shivrajpur0.1844.069
38Bahrampur2.5594.93
39Shahpur Kama3.3844.138
40Manpur0.9070.498
41Shahpur Malha2.6770.075
42Shambharpur Mishram1.440.235
43Dedupur1.8840
44Mariyani3.1870
45Bhinduri2.4931.946
46Chaubeypur Pakkhan0.7132.803
47Nonaha Narsingh00.958
48Nonaha Kaliyan03.481
49Nathupur08.158
50Chaubeypur Kalan02.336
51Malaun2.473.523
52Amiliha2.4990.503
53Maharajapur2.4180.571
54Hardaspur0.2680
55Bhawanipur1.310
56Shadipur0.4680.017
57Bagdaudhi Bangar5.0340.376
58Bahlolpur1.0370.244
59Bagdaudhi Kachhar4.251.632
60Hora Kachhar0.9640
61Naramau Kachhar0.3730.4
62Naramau Bangar6.2411.982
Total 93.974 199.532
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Toll Plaza0.94311.311
2Truck Lay bye1.4934.178
3Bus Bay00
4Road91.539184.043
Total 93.975 199.532
C. Maps of forest land proposed to be diverted
Division 1. : Social Forestry Division Kanpur Nagar
  (i). Area of forest land proposed to be diverted(in ha.) : 93.975   (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).
1.93.975    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: NIL
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): 146000
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?: Not Applicable   (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 ?: Not Applicable   (iii) . Reason for not providing Non-Forest Land: Not Applicable
Additional information Details
Documents
S.No Documents
Remarks
1Letter for Nodal officer for why we are applying online package wise proposals
2Typical Cross section
3Standard condition
4muck Disposal Plan
5Protected forest Gazette notification (attested)
6undertaken for NPV
7Linear plan
8Undertaken for Compensatory afforestation land
9Detail calculation of non forest land
10undertaken for balance protected forest land
11District wise Proposed forest land detail with correction of Forest area apply for diversion in Etah forest division
12Notification for Environment Clearance for Highways
13Acknowledgement Signed by DFO and DM Kanpur
14Observation 9 complaince
15Undertaken for access of OFC & outlet after project development
16Brief Note of 2 lane & 4 Lane project
17Observation no 2 compliance
18Revised Undertaken NPV compliance of Observation of 9
19Undertaken for Access of OFC & outlet after widening
20Undertaken for NewNo balance PF land
21Package wise project section letter
22Update forest area detail