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/30569/2017
(ii). Name of Project for which Forest Land is required :
Four Lane with paved shoulder from Varanasi to Hanumanha section of NH-7 passing through Varanasi, Chandauli and Mirzapur district in the state of Uttar Pradesh
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Up gradation of NH-7 (Varanasi to Hanumanha Section) to Four Lane from Km 49.500 to Km 140.200 in Mirzapur 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) :
281533
(viii). Area of forest land proposed for diversion(in ha.):
131.0175
(ix). Non-forest land required for this project(in ha.):
280.5349
(x). Total period for which the forest land is proposed to be diverted(in years):
99
A-2.
Details of User Agency
(i). Name :
National Highways Authority of India
(ii). Address1 :
G-5&6, Sector-10, Dwarka, New Delhi
(iii). Address2 :
NIL
(iv). State :
Delhi
(v). District :
New Delhi
(vi). Pin :
110075
(vii). Landmark :
NHAI
(viii). Email address :
jai_nhai@rediffmail.com
(ix). Landline Telephone No. :
11-25074100
(x). Fax No. :
11-25074200
(xi). Mobile No. :
9672348069
(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:
KAMLESH
(ii). Middle Name:
CHANDRA
(iii). Last Name:
VERMA
(iv). Gender:
Male
(v). Designation:
MANAGER TECHNICAL
(vi). Address 1:
PIU-Varanasi, S-8, F-4, DIG Colony, Maqbool Alam Road, Varanasi
(vii). Address 2:
NIL
(viii). State:
Uttar Pradesh
(ix). District:
Varanasi
(x). Tehsil:
Varanasi
(xi). Pin:
221002
(xii). Landmark:
Opp. Income Tax of India Office
(xiii). Email Address:
nhaivns@gmail.com
(xiv). Landline Telephone No.:
542-2501002
(xv). Fax No.:
05422501002
(xvi). Mobile No.:
9402477278
(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.
Forest Division Mirzapur
131.0175
280.5349
Total
131.0175
280.5349
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Mirzapur
131.0175
280.5349
Total
131.0175
280.5349
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Newadhiya (Shivgarh)
0
2.468
2
Pasya Dagmagpur
0
1.9728
3
Hinauti
0
3.3305
4
Pathartal
0
2.3902
5
Gurkhuli
0
2.527
6
Belvan
0
0.4212
7
Tedha
0
6.605
8
Padri
0
6.2115
9
Kapsaur
0
13.4948
10
Bharpura
0
5.9836
11
Umariya
0.5924
2.1491
12
Mohanpur (Bhavrakh)
0.4155
5.6473
13
Kotwa
0
5.482
14
Kamhari
0
2.6509
15
Newadhiya Kotwa
0
5.7746
16
Devpura Pathkhauli
0
3.9384
17
Karanpur (R.N. Devari)
0
4.7128
18
Baundri
0
3.6674
19
Pureindi
0
1.393
20
Halka
0
3.2519
21
Varji Mukundpur
0
6.8978
22
Varkachha Kalan
0.132
19.3635
23
Bhiskuri
0
1.5944
24
Barkachha Khurd
0
7.7794
25
Vishesharpur
0
5.0445
26
Chhit pur
0
5.8689
27
Sirsi Baghel
0
2.3306
28
Sirsi Gaharwar
0
7.4828
29
Tedhwa
0
4.2621
30
Amoi R.N. Sahar
0
6.5426
31
Bhodsar
0
6.8099
32
Ahmalpur
0.22
0.169
33
Samogra
2.816
4.2926
34
Tand
4.4167
0.9811
35
Karanpur (R.N. Shahar)
15.3004
2.8788
36
Pagar
1.364
0.0724
37
Pandeypur Kala
3.1218
0.3462
38
Rajapur
3.718
3.0074
39
Gangahra Khurd
0.6116
0.494
40
Lahangpur
0.6864
0.9123
41
Bami
4.378
2.8051
42
Tulsi
3.388
2.5479
43
Nadani
2.5216
1.1429
44
Semra Pratap Singh
1.2672
0.3971
45
Semra Aaraji
1.1748
0.789
46
Mishrapur
1.507
0.7799
47
Chhahur Majhgawan
1.8674
2.1578
48
Patulaki
1.2184
2.5776
49
Basahi Kalan
0
6.8178
50
Basahi Khurd
0.0252
4.871
51
Khajuri
0
9.185
52
Bharroh
0
2.474
53
Bastra Raja
1.254
6.3532
54
Bastra Panday
0.66
0.344
55
Patehra Raja
0.6072
0.3638
56
Patehra Pandey
1.672
0.6164
57
Khairahi
1.5928
0.927
58
Cheruiramjailal
2.4904
1.228
59
Tendui
0.924
1.1274
60
Rechkari
1.2628
1.039
61
Semari Khurd
0.836
0.741
62
GambhiraPur Raja
0.1496
0.1654
63
Babura Bhairo Dayal
2.904
1.7855
64
Atrailashivgulam No. 2
0.4928
1.0564
65
Atraila Raja
1.1352
8.4485
66
Atrailashivgulam No. 3
0.2728
2.558
67
Khairabhabhuta Prasad
0.3344
0.275
68
Parsiya Gokul
3.4804
1.4183
69
Baraundha
3.8566
2.5476
70
Mahuat
7.0576
3.5664
71
Naidi Kathari
7.3928
2.8893
72
Maheshpur
6.512
3.7612
73
Durjanipur
1.716
8.9138
74
Devhat
11.3011
13.9148
75
Mahugadhi
1.5329
0
76
Babura Raghunath Singh
3.9023
0
77
Katra
6.974
2.1536
78
Vasari
0
1.3055
79
Bhaisorvalaypahad
9.9614
5.2884
Total
131.0175
280.5349
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Main carraigeway including service road and Toll P
128.3879
125.2304
2
Road Work (Bypasses)
2.6296
155.3045
Total
131.0175
280.5349
C.
Maps of forest land proposed to be diverted
Division 1. : Forest Division Mirzapur
(i). Area of forest land proposed to be diverted(in ha.) :
131.0175
(ii). Nature of the Project:
Linear
(b). No. of Segments :
Seven
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.
1.0079
View File
2.
0.132
View File
3.
48.7109
View File
4.
0.8664
View File
5.
0.0252
View File
6.
46.6034
View File
7.
33.6717
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:
Improvement will be done on existing road
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):
120000
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
1
Sanction letter
2
Notification
3
Linear Diagram
4
EDS Reply as the query raised by Nodal Officer dated 05-01-2018
5
Land Schedule
6
NOC
7
CA Undertaking
8
Muck Disposal
9
EDS Reply as the query raised by DFO (Forest Division Mirzapur) on 15-02-2018
10
Standard Conditions
11
NPV Undertaking
12
NPV Certificate
13
Cost Benefit Analysis
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