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/41969/2019   (ii). Name of Project for which Forest Land is required : Widening and Strengthening of Chikasi-Hamirpur Road(Bilyaya-Panwari Road SH-21) from Ch.430.00 to 442.100 in Hamirpur District and From Ch.442.100 to 448.680 in Mahoba District   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Protected Forest required to diverted for Widening and Strengthening of Chikasi-Hamirpur Road(Bilyaya-Panwari Road SH-21) from Ch.430.00 to 442.100 in Hamirpur District and From Ch.442.100 to 448.680 in Mahoba 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) : 9998.14   (viii). Area of forest land proposed for diversion(in ha.): 41.724   (ix). Non-forest land required for this project(in ha.): 0   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : EXECUTIVE ENGINEER CONSTRUCTION DIVISION TWO PWD HAMIRPUR   (ii). Address1 : CD TWO PWD HAMIRPUR   (iii). Address2 : CD TWO PWD HAMIRPUR   (iv). State : Uttar Pradesh   (v). District : Hamirpur   (vi). Pin : 210301   (vii). Landmark : BUS STAND   (viii). Email address : cd2pwdhamirpur1@gmail.com   (ix). Landline Telephone No. : 5282-224852   (x). Fax No. : 5282-224852   (xi). Mobile No. : 6394337121   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: AMIT   (ii). Middle Name: NIL   (iii). Last Name: KUMAR   (iv). Gender: Male   (v). Designation: JE   (vi). Address 1: CD TWO PWD HAMIRPUR   (vii). Address 2: CD TWO PWD HAMIRPUR   (viii). State: Uttar Pradesh   (ix). District: Hamirpur   (x). Tehsil: Hamirpur   (xi). Pin: 210301   (xii). Landmark: BUS STAND   (xiii). Email Address: cd2pwdhamirpur1@gmail.com   (xiv). Landline Telephone No.: 5282-224852   (xv). Fax No.: 05282224852   (xvi). Mobile No.: 9454680214   (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 Hamirpur29.880
2.Forest Division Mahoba11.8440
Total41.7240
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Hamirpur29.880
1.Mahoba11.8440
Total41.7240
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Barha Khamba2.70
2Rath7.20
3Alipur2.70
4Diha1.80
5Saidpur2.70
6Basela2.70
7Pahari Garhi2.70
8Giriwar3.780
9Nakra4.320
10Khagri3.60
11Jakha2.70
12Panwari1.2240
13Rath Dakhin3.60
Total 41.724 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road Widening and Strengthening41.7240
Total 41.724 0
C. Maps of forest land proposed to be diverted
Division 1. : Forest Division Hamirpur
  (i). Area of forest land proposed to be diverted(in ha.) : 29.88   (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).
1.29.88    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:
Division 2. : Forest Division Mahoba
  (i). Area of forest land proposed to be diverted(in ha.) : 11.844   (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).
1.11.844    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 because of widening 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): 2   (iii). Temporary Employment(Number of person-days): 10000
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?: No   (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: Linear or 'strip' plantation declared as protected forest along with road/rail/canal sides for widening or expansion of road/rail/canal
Additional information Details
Documents
S.No Documents
Remarks
1PROJECT SANCTION LETTER
2AREA CALCULATION SHEET HAMIRPUR DISTRICT
3AREA CALCULATION SHEET MAHOBA DISTRICT
4X-SECTION OF PROPOSED ROAD IN HAMIRPUR
5X-SECTION OF PROPOSED ROAD IN MAHOBA DISTRICT
6UNDERTAKING FOR COMPENSATORY AFFORESTATION DEPOSIT
7UNDERTAKING FOR NET PRESENT VALUE (NPV) DEPOSIT
8MUCK DISPOSAL PLAN
9ACCEPTED STANDARD CONDITIONS
10IRRIGATION DEPARTMENT NOC
11OBJECTION REPLY LETTER
12FOREST NOTIFICATION HAMIRPUR
13FOREST NOTIFICATION MAHOBA
14Objection Reply