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/35290/2018
(ii). Name of Project for which Forest Land is required :
WIDENING & STRENGTHENING OF NAUGARH TO BANDH ROAD FROM KM 0.00 TO 12.000 UNDER ROAD CONNECTIVITY PROJECT ON LEFT WING EXTREMISM AREA (RCPLWEA) IN TAH.-NAUGARH, DISTT.-CHANDAULI BY TEMPORARY-DIVISION (P.P.), P.W.D., CHANDAULI (U.P.)
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
PROJECT ENVISAGES USING THE 9.90 HA. FOREST LAND (UNDER FCA-1980) TO WIDENING & STRENGTHENING OF NAUGARH TO BANDH ROAD FROM KM 0.00 TO 12.000 UNDER ROAD CONNECTIVITY PROJECT ON LEFT WING EXTREMISM AREA (RCPLWEA) IN TAH.-NAUGARH, DISTT.-CHANDAULI BY TEMPORARY-DIVISION (P.P.), P.W.D., CHANDAULI (U.P.)
(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) :
731.68
(viii). Area of forest land proposed for diversion(in ha.):
9.9
(ix). Non-forest land required for this project(in ha.):
0.9
(x). Total period for which the forest land is proposed to be diverted(in years):
99
A-2.
Details of User Agency
(i). Name :
EE PMGSY PWD CHANDAULI
(ii). Address1 :
Temporary Division (P.P.),PWD Chandauli
(iii). Address2 :
Mughalsarai Naisatti
(iv). State :
Uttar Pradesh
(v). District :
Chandauli
(vi). Pin :
232101
(vii). Landmark :
Front of Arya Samaj Madir
(viii). Email address :
up-cha@pmgsy.nic.in
(ix). Landline Telephone No. :
5412-251501
(x). Fax No. :
5412-
(xi). Mobile No. :
7417605311
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
MITHILESH
(ii). Middle Name:
NIL
(iii). Last Name:
KUMAR
(iv). Gender:
Male
(v). Designation:
Executive Engineer
(vi). Address 1:
Temporary Division (P.P.),PWD Chandauli
(vii). Address 2:
Mughalsarai, Nai satti
(viii). State:
Uttar Pradesh
(ix). District:
Chandauli
(x). Tehsil:
Chandauli
(xi). Pin:
232101
(xii). Landmark:
Front of Arya Samaj Temple
(xiii). Email Address:
up-cha@pmgsy.nic.in
(xiv). Landline Telephone No.:
5412-251501
(xv). Fax No.:
NIL
(xvi). Mobile No.:
8318286648
(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.
Kashi Wild Life Division, at Ram Nagar (Varanasi)
9.9
0.9
Total
9.9
0.9
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Chandauli
9.9
0.9
Total
9.9
0.9
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Chakia
0.54
0
2
Deori Kalan
0.18
0
3
Searsa Dhopur
0.45
0
4
Jaimohini
8.055
0.675
5
Sehuwanar
0.675
0.225
Total
9.9
0.9
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
WIDENING & STRENGTHENING OF NAUGARH TO BANDH ROAD
9.9
0.9
Total
9.9
0.9
C.
Maps of forest land proposed to be diverted
Division 1. : Kashi Wild Life Division, at Ram Nagar (Varanasi)
(i). Area of forest land proposed to be diverted(in ha.) :
9.9
(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.
9.9
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 Alternate option exists.
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):
8250
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?:
No
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?:
Yes
(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). No. of districts involved for raising Compensatory Afforestation:
1
(iv). No. of patches:
Five
District 1. : Chandauli
(a). Village:
TIKURIYA
(b). Area(in ha.):
2.2
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
197 GHA
(e). Present owner:
Others
(f). Copy of ownership proof:
(g). Copy of Mou/agreement executed between the Present owner and the User Agency:
(h). Copy of non encumberence certificate for the forest land:
District 2. : Chandauli
(a). Village:
TIKURIYA
(b). Area(in ha.):
2.3
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
197 GHA
(e). Present owner:
Others
(f). Copy of ownership proof:
(g). Copy of Mou/agreement executed between the Present owner and the User Agency:
(h). Copy of non encumberence certificate for the forest land:
District 3. : Chandauli
(a). Village:
TIKURIYA
(b). Area(in ha.):
0.499
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
198
(e). Present owner:
Others
(f). Copy of ownership proof:
(g). Copy of Mou/agreement executed between the Present owner and the User Agency:
(h). Copy of non encumberence certificate for the forest land:
District 4. : Chandauli
(a). Village:
TIKURIYA
(b). Area(in ha.):
1.594
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
197 GHA
(e). Present owner:
Others
(f). Copy of ownership proof:
(g). Copy of Mou/agreement executed between the Present owner and the User Agency:
(h). Copy of non encumberence certificate for the forest land:
District 5. : Chandauli
(a). Village:
TIKURIYA
(b). Area(in ha.):
3.307
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
234 GA
(e). Present owner:
Others
(f). Copy of ownership proof:
(g). Copy of Mou/agreement executed between the Present owner and the User Agency:
(h). Copy of non encumberence certificate for the forest land:
(v). Scanned copy of the map of the land identified for creation of Compensatory Afforestation prepared by using GPS ot Total Station:
(vi). Copy of Survey of India Toposheet in 1:50,000 scale indicating location of the land identified for creation of Compensatory Afforestation:
Additional information Details
Documents
S.No
Documents
Remarks
1
Strip Chart of Forest & Non Forest land of Projected Road.
2
Project Sanction Letter of Projected Road.
3
Forest Notification of the Forest Land of Projected Road.
4
Standard Condition to use the Forest Land of Projected Road.
5
Undertaking to pay the entire amount for Compensatory Afforestation of Forest land of Projected Road.
6
Undertaking to pay the entire amount for Net Present Value of Forest land of Projected Road.
7
Mak Management Plan of Projected Road.
8
No Work Start Certificate.
9
Land Schedule of Forest & Non Forest land of Projected Road.
10
CERTIFICATE FOR CA LAND.
11
REVENUE MAP OF PROPOSED NON-FOREST LAND FOR CA.
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