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/WATER/145479/2021   (ii). Name of Project for which Forest Land is required : Proposed Laying of Water Distribution Line Along Banda-Baberu Road, Banda-Chilla Road, Banda-Atarra Road, Banda-Naraini Road, Banda-Oran Road, Palara-Pailani Road, Banda-Tindwari Road, Piparhi Mode to Amlore Mode, Under Amlikaur Village ,in Banda District   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Proposed protected forest land to be diverted for Laying of Water Distribution Line Along Banda-Baberu Road, Banda-Chilla Road, Banda-Atarra Road, Banda-Naraini Road, Banda-Oran Road, Palara-Pailani Road, Banda-Tindwari Road, Piparhi Mode to Amlore Mode, Under Amlikaur Village Group Drinking Water S   (iv). State : Uttar Pradesh   (v). Category of the Proposal : Drinking Water   (vi). Shape of forest land proposed to be diverted : Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 84764   (viii). Area of forest land proposed for diversion(in ha.): 10.555675   (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): 50
A-2. Details of User Agency
  (i). Name : STATE WATER & SANITATION MISSION LUCKNOW (UP)   (ii). Address1 : U.P JAL NIGAM PERMISSES, 6 RANA PRATAP MARG,LUCKNOW   (iii). Address2 : NIL   (iv). State : Uttar Pradesh   (v). District : Lucknow   (vi). Pin : 226001   (vii). Landmark : NIL   (viii). Email address : ed.jjmup@rediffmail.com   (ix). Landline Telephone No. : 522-2239428   (x). Fax No. : 522-   (xi). Mobile No. : 9473942754   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: MANOJ   (ii). Middle Name: NIL   (iii). Last Name: KUMAR   (iv). Gender: Male   (v). Designation: AE   (vi). Address 1: OFFICE OF THE EXECUTIVE ENGINEER, 16 DIVISION,UP JAL NIGAM, BANDA   (vii). Address 2: NIL   (viii). State: Uttar Pradesh   (ix). District: Banda   (x). Tehsil: Banda   (xi). Pin: 210001   (xii). Landmark: NIL   (xiii). Email Address: ee_16cd_banda@yahoo.in   (xiv). Landline Telephone No.: 5192-224701   (xv). Fax No.: NIL   (xvi). Mobile No.: 9473942754   (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 Banda10.5556750
Total10.5556750
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Banda10.5556750
Total10.5556750
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Palhari0.523750
2Jaurahi1.5960
3Aliha1.30
4Bisanda0.360
5Hardauli0.580
6Mawai0.35340
7Chilla0.34850
8Patel Nagar0.35010
9Palara1.29560
10Atrahat0.13650
11Paprenda0.2580
12Lama0.72750
13Barokhar Khurd0.0630
14Revna0.22650
15Digbai0.1935750
16Tindwara0.24820
17Pandui0.120250
18Bharkari0.293250
19Pailani0.320
20Pachnehi0.29970
21Gokhrahi0.16150
22Semri0.620
23Tindwari0.112350
24Piparhi0.021250
25Amlore0.046750
Total 10.555675 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Laying of Drinking Water Pipeline10.5556750
Total 10.555675 0
C. Maps of forest land proposed to be diverted
Division 1. : Forest Division Banda
  (i). Area of forest land proposed to be diverted(in ha.) : 10.555675   (ii). Nature of the Project: Linear   (b). No. of Segments : Eight
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).
1.4.04975    View File
2.3.1496    View File
3.0.483075    View File
4.0.36845    View File
5.0.60325    View File
6.0.64    View File
7.1.19355    View File
8.0.068    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
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 5   (iii). Temporary Employment(Number of person-days): 12000
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? : No
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
1AREA CALCULATION SHEET
2FOREST NOTIFICATION
3PROJECT SANCTION LETTER
4MUCK DISPOSAL PLAN
5UNDERTAKING FOR CA DEPOSIT
6UNDERTAKING FOR NPV DEPOSIT
7OWNER DEPARTMENT NOC
8VAIKALPIK VAN BHOOMI CERTIFICATE
9UNDERTAKING FOR VANYA JEEV VIHAR
10UNDERTAKING FOR NOT START WORK BEFORE APPROVAL
11STANDARD CONDITIONS