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/37286/2018   (ii). Name of Project for which Forest Land is required : Four laning of Bijnor ( Part of NH-119) -Kotwali ( End of NH-74) of NH- 709AD in the State of Uttar Pradesh Package-IV (km 111.680 to km 133.300)   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The road traverses through the district of Bijnor of Uttar Pradesh State.The proposed project section road Package-IV starting from Design Chainage Km 11+680 (Km 86+500 of NH 119) near Bijnor to Design Chainage 133+300 (Km 71+000 of NH 74) near Kotawali in the state of Uttar Pradesh.Total length 21   (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) : 25817   (viii). Area of forest land proposed for diversion(in ha.): 21.286   (ix). Non-forest land required for this project(in ha.): 17.1775   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : NHAI BAGHPAT   (ii). Address1 : Friends Colony Baraut Road, Near PWD Guest House, Baghpat   (iii). Address2 : NIL   (iv). State : Uttar Pradesh   (v). District : Bagpat   (vi). Pin : 250609   (vii). Landmark : Near PWD Guest House   (viii). Email address : piubaghpat@nhai.org   (ix). Landline Telephone No. : 121-2222971   (x). Fax No. : 121-   (xi). Mobile No. : 9560977771   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Central Government
A-3. Details of Person Making Application
  (i). First Name: Sanjay   (ii). Middle Name: Kumar   (iii). Last Name: Mishra   (iv). Gender: Male   (v). Designation: PD   (vi). Address 1: Friends Colony Baraut Road, Near PWD Guest House, Baghpat   (vii). Address 2: NIL   (viii). State: Uttar Pradesh   (ix). District: Bagpat   (x). Tehsil: NIL   (xi). Pin: 250609   (xii). Landmark: Near PWD Guest House   (xiii). Email Address: piubaghpat@nhai.org   (xiv). Landline Telephone No.: 121-2222971   (xv). Fax No.: NIL   (xvi). Mobile No.: 9560977771   (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
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
1ApprovedFP/UP/ROAD/36441/20188B/UP/06/81/2019/FC46.290846.290801 Jan 202028 Oct 2020
2ApprovedFP/UP/ROAD/37458/20188B/UP/06/79/2019/FC7.44957.449530 Jan 202022 Dec 2020
3ApprovedFP/UP/ROAD/37343/20188B/UP/06/78/2019/FC19.8077519.8077530 Jan 202018 Feb 2021
4ApprovedFP/UP/ROAD/37344/20188B/UP/06/77/2019/FC41.468541.468530 Jan 202018 Feb 2021
Total 115.01655 115.01655
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 Bijnor21.28617.1775
Total21.28617.1775
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Bijnor21.28617.1775
Total21.28617.1775
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Murtajapur Bulaki01.215
2Nasiri06.75
3Jahangirpuri Lalu02.7
4Alampur Dhapi0.364.725
5Iftekharpur Dargo1.550
6Firozpur Hafiz1.1350
7Abdulpur Munna0.7420
8Baheda1.6610
9Rajdeo Nangli0.3780
10Hardaspur0.6490
11Ilaichipur Khadgu0.3240
12Baruki2.2960.32
13Gangu Nangli0.870
14Taharpur Tappaumri0.870
15Nooralipur Bhagwant2.073750.3255
16Maheshwari Jatt1.088750
17Islampur Vishnoi1.088750
18Garabpur1.088750
19Mozampur Harvanshi0.9520.3995
20Banwaripur1.16550
21Raghurampur1.16550
22Kotwali1.8280.7425
Total 21.286 17.1775
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Up gradation of existing Road21.28617.1775
Total 21.286 17.1775
C. Maps of forest land proposed to be diverted
Division 1. : Social Forestry Division Bijnor
  (i). Area of forest land proposed to be diverted(in ha.) : 21.286   (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).
1.21.286    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: Widening and upgradation of 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): 250   (iii). Temporary Employment(Number of person-days): 15
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
1Forest Land Gazette notification duly signed by DFOs
2Muck Disposal Plan
3Project Sanction Letter
4New NH-709AD decaration MoRTH Letter
5New NH-709AD Gazette Notification
6Linear Plan of Forest Land
7TCS
8Location Map
9NH-709AD Morth Letter
10NH-709AD Gazette Notification
11General Condition
12PIU Baghpat Reply Letter 14-12-2018 along with enclosed attachments
13Bijnor Forest Land and Non Forest Land details
14EDS reply PIU Baghpat letter dated 4-01-2019
15In Compliance to your letter no 6655/14-1 dated 14-3/2019, We have forwarded the letter from CF Moradabad to Nodal officer,Lucknow vide his letter no 2521 dated 18-3-2019 for further necessary action
16DFO Bijnor EDS Reply by PIU Baghpat letter dated 10-7-2019
17Undertakings
18PIU Baghpat EDS Reply dated 23-8-2019
19PIU Baghpat EDS Reply letter no 2804 dated 15 Nov 2019 Package 4
20EDS reply for Hard copies receiving letter
21PIU Baghpat EDS Reply letter no 2924 dated 9-12-2019 Pkg 4