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/49626/2020   (ii). Name of Project for which Forest Land is required : Rehabilitation and Upgradation to 2-lane with paved shoulders configuration of Radhaita to Pilibhit Section of NH-731K ( Km 137.250 to Km 183.380) (Package-IV) in the State of Uttar Pradesh under Green National Highways Corridor Project (GNHCP) with the loan assistance of world Bank on EPC mode   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : In order to widening and up gradation will be performed on adjoining to the existing two laning road only .the road side plantation along the project road which is declared as PF Land will be impacted due to the proposed widening work. No other alternative exist for proposed widening   (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) : 19939   (viii). Area of forest land proposed for diversion(in ha.): 44.376   (ix). Non-forest land required for this project(in ha.): 5.97   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : MINISTRY OF ROAD TRANSPORT AND HIGHWAYS GOVT OF INDIA   (ii). Address1 : Office of Chief Engineer -Reginal Officer,N.H Bhawan,Biotech Chowk,Lucknow ring Road ,Vikas Nagar,Lucknow   (iii). Address2 : NIL   (iv). State : Uttar Pradesh   (v). District : Lucknow   (vi). Pin : 226022   (vii). Landmark : Biotech Chowk   (viii). Email address : piumorthshahjahanpur@gmail.com   (ix). Landline Telephone No. : 522-2967112   (x). Fax No. : 522-2738226   (xi). Mobile No. : 8800309948   (xii). Website (if any) : www.morth.nic.in   (xiii). Legal status of User Agency : Central Government
A-3. Details of Person Making Application
  (i). First Name: Aman Kumar Trigun   (ii). Middle Name: NIL   (iii). Last Name: NIL   (iv). Gender: Male   (v). Designation: Project Director PIU MoRTH Sha   (vi). Address 1: Office of Chief Engineer-Reginal Officer,N.H Bhawan,Biotech Chowk,Lucknow ring road,Vikas Nagar,Lucknow   (vii). Address 2: NIL   (viii). State: Uttar Pradesh   (ix). District: Lucknow   (x). Tehsil: Lucknow   (xi). Pin: 226022   (xii). Landmark: Biotech Chowk   (xiii). Email Address: piumorthshahjahanpur@gmail.com   (xiv). Landline Telephone No.: 0-   (xv). Fax No.: NIL   (xvi). Mobile No.: 8002347486   (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.Social Forestry Division Pilibhit44.3765.97
Total44.3765.97
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Pilibhit44.3765.97
Total44.3765.97
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Gyaspur1.62250
2Durgipur Bargava0.240
3Kasimpur2.970
4Jasoli Dewari0.9455.22
5Pakdiya Mangli0.240
6Akbarganj Simra0.880
7Bichpuri Ta Jogither0.240
8Narayanpur0.7350
9Patarsa Kunwarpur3.0450
10Patarsiya1.5050
11Navada Mahesh3.850
12Mohammad Ganj Aakharia2.220
13Barkheda Kala4.0850
14Muradabad urf Nakta1.430
15Gulda Machwapur0.590
16Bighouliya0.550
17Jyohra Kalyanpur2.350
18Simriya Tarachand0.240
19Gazipur Mugal0.440
20Raipur Mustqil0.240
21Sarthapur Ehatmali0.330
22Sarthapur Mustqil0.240
23Pauta Kala2.090
24Jinoniya0.240
25Jangroli Pul1.430
26Mathu Dandi Mustqil3.120
27Sandiya Mustqil3.0450
28Rooppur Kamalu1.120
29Rooppur Kirpa0.9550
30Khamriya Navidia0.4680
31Parasi Urf Parsia0.1930.75
32Jogither0.1380
33Tikri Mafi1.0680
34Pakardiya Nogava Chak Mu Bahar Chungi1.5210
Total 44.3755 5.97
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Widenening and Upgradation of Existing road42.9060
2Truck Lay Bye0.5250.75
3Toll Plaza0.9455.22
4Service lane00
Total 44.376 5.97
C. Maps of forest land proposed to be diverted
Division 1. : Social Forestry Division Pilibhit
  (i). Area of forest land proposed to be diverted(in ha.) : 44.376   (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).
1.44.376    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: Widenening 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): 15   (iii). Temporary Employment(Number of person-days): 200
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
1Location Map
2Project Sanction letter by MoRTH
3NH731K Project road Gazette Notification
4FRA undertaking
5Undertaking for Environment Clearance not Required
6Forest General Conditions
7Muck Disposal Plan
8Required Undertakings CA,NPV,FRA,Land Ownership,Document verification certificate,Non starting of any activity without sanction competent authority,No Muck Generation and Disposal and NOC of Owner Department
9PF Forest Notification duly signed by DFO Pilibhit
10Typical Cross Section
11Forest Land Area and Non Forest Land area Calculation Sheet
12Forest Linear Plan showing Forest Land , Non Forest Land and Balance Forest Land
13EDS Reply by User agency letter no 180 dated 17 12 2020
14EDS Reply Letter No 470 dated 28 09 2021
15EDS Reply by user agency Letter No 541 dated 22 10 2021