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/37341/2018   (ii). Name of Project for which Forest Land is required : Four laning of Muzaffarnagar ( Start from existing Km 5+140 of SH 12A)) -to Miranpur (End on existing Km of 60+000 of NH-34) of NH-709AD in the State of Uttar Pradesh Pkg-3-III (km 82.840 to km 110.001)   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Project Highway comprises to section of Muzaffarnagar to Miranpur Pkg-III of km 82.840 to km 110.001 divided into two sections and the ,Section -! Starts from Muzaffarnagar from Design Chainage 82+840 (Existing Km 5+080 of SH 12A) near Muzaffarnagar to End at Design Chainage 109.00 ( Existing km   (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) : 108059   (viii). Area of forest land proposed for diversion(in ha.): 31.5323   (ix). Non-forest land required for this project(in ha.): 91.3876   (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 Muzaffarnagar31.532391.3876
Total31.532391.3876
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Muzaffarnagar31.532391.3876
Total31.532391.3876
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Humayupura0.82650.2235
2Nirana4.0896.3116
3Sikhada2.4319.319
4Naglakabir2.13511.8085
5Nagla Mubarik4.39955.1375
6Kawal3.64966.0304
7Wajidpur0.167135.1329
8Talra0.13430.3657
9Salarpur3.50938.7907
10Sambheleda1.17864.8359
11Shernagar2.99318.6479
12Miranpur6.01924.784
Total 31.5323 91.3876
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Widening and upgradation of existing road31.532391.3876
Total 31.5323 91.3876
C. Maps of forest land proposed to be diverted
Division 1. : Social Forestry Division Muzaffarnagar
  (i). Area of forest land proposed to be diverted(in ha.) : 31.5323   (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).
1.31.5323    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 in the existing
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): 20
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 DFO
2Undertaking
3Muck Disposal plan
4Project Sanction Letter
5location Map
6TCS AND LINEAR PLAN
7General Conditions
8NH-709AD Morth Letter
9NH-709AD Gazette Notification
10PIU Baghpat Reply Letter 14-12-2018 along with enclosed attachments
11Muzaffarnagar Forest Land and Non Forest Land details
12Undertaking NOC of Owners Department
13EDS Reply PIU Baghpat letter dated 4-1-2019
14PIU Baghpat EDS Reply to DFO Muzaffarnagar dated 1 7 2019 Pkg3
15PIU Baghpat EDS Reply letter no 2803 dated 15 Nov 2019 Package 3
16EDS REPLY of DFO Muzaffarnagar dated 21 Nov 2019
17PIU Baghpat EDS Reply letter no 2923 dated 8-12-2019 pkg 3