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/150368/2021
(ii). Name of Project for which Forest Land is required :
Proposed Laying of Water Distribution Pipeline along different roads, under Salaiyya-Nathupura, Lahchoora-Kashipura, Dhawarra Sijwaha, Shivhar and Kabrai Group of Villages Drinking Water Supply Scheme of Jal Jeevan Mission of Govt Of India, in District:- Mahoba (UP).
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Proposed Forest Land to be Diverted for Laying of Water Distribution Pipeline along different roads, under Salaiyya-Nathupura, Lahchoora-Kashipura, Dhawarra Sijwaha, Shivhar and Kabrai Group of Villages Drinking Water Supply Scheme of Jal Jeevan Mission of Govt Of India, in District:- Mahoba.
(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) :
88238.28
(viii). Area of forest land proposed for diversion(in ha.):
14.4534
(ix). Non-forest land required for this project(in ha.):
25.8
(x). Total period for which the forest land is proposed to be diverted(in years):
30
A-2.
Details of User Agency
(i). Name :
STATE WATER AND SANITATION MISSION
(ii). Address1 :
OFFICE OF THE EXECUTIVE ENGINEER, CONSTRUCTION DIVISION CIVIL, JAL NIGAM RURAL, MAHOBA UTTAR PRADESH.
(iii). Address2 :
NIL
(iv). State :
Uttar Pradesh
(v). District :
Mahoba
(vi). Pin :
210427
(vii). Landmark :
NIL
(viii). Email address :
eecivilmahoba.upjn.rural@gmail.com
(ix). Landline Telephone No. :
0-000
(x). Fax No. :
0-000
(xi). Mobile No. :
9450270479
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
Arvind
(ii). Middle Name:
Kumar
(iii). Last Name:
Awasthi
(iv). Gender:
Male
(v). Designation:
AE
(vi). Address 1:
OFFICE OF THE EXECUTIVE ENGINEER, CONSTRUCTION DIVISION CIVIL, JAL NIGAM RURAL, MAHOBA UTTAR PRADESH.
(vii). Address 2:
NIL
(viii). State:
Uttar Pradesh
(ix). District:
Mahoba
(x). Tehsil:
Mahoba
(xi). Pin:
210427
(xii). Landmark:
NIL
(xiii). Email Address:
eecivilmahoba.upjn.rural@gmail.com
(xiv). Landline Telephone No.:
0-000
(xv). Fax No.:
0000
(xvi). Mobile No.:
9450270479
(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 Mahoba
14.4534
25.8
Total
14.4534
25.8
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Mahoba
14.4534
25.8
Total
14.4534
25.8
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Jardin Ganj
0.4
0
2
Karhara Kalan
0.32
0
3
Supa
0.27
0.421
4
Rampura kadim
0
0.1053
5
Chamarra
0
0.2054
6
Charkhari
0.27
0.566
7
Dhawar
0
0.385
8
Sugira
1.6
0.074
9
Pathari Kadim
0
0.326
10
Kulpahar
0.36
0.3113
11
Bodi
0
0.5062
12
Panwari
0.65
0
13
Gado
0
0.3235
14
Bharwara
1.15
0
15
Raipur Kalan
0
0.198
16
Telipahari
0
0.7825
17
Kalhara Kalan
0.2
0
18
Saura
0
0.4213
19
Harpalpur
0.15
0
20
Garrauli
0
0.4653
21
Taiya
0.12
0.816
22
Naipura
0
0.2482
23
Umrai
0.96
0
24
Diwalo Pura
0
0.115
25
Bamhauri Kurmin
0.55
0.592
26
Bihar
0
0.109
27
Bahadarpur Kalan
0.16
0
28
Satari
0
0.387
29
Murehra
0.6
0
30
Rurikala
0
0.2916
31
Srinagar
0.8
0.5873
32
Chandpura
0
0.1335
33
Kaimaha
0.4
0.5189
34
Pachpehra
0.1
0.2532
35
Churari
0
0.239
36
Chand Pura
0.1369
0
37
Banguwan
1.5
0
38
Kharela
0.075
0.5165
39
Chittarwara
0
0.57
40
Bhindawar
0.41
0
41
Kankua
0
0.5206
42
Dhikwaha
0
0.7215
43
Ratauli
0.15
0.602
44
Mirtala
0
0.4353
45
Rahelia
0
0.2984
46
Baghwa
0.713
0.3268
47
Kabrai
0
0.1993
48
Pahra
0
0.5867
49
Sukaora
0.502
0.1625
50
Amilahi
0
0.7815
51
Barbai
0
0.7011
52
Gorkha
0.5181
1.0925
53
Dhawari
0
0.4086
54
Indaura
0.132
0.1315
55
Belatal
0.0901
0
56
Bagaul
0
0.4437
57
Basoth
0
0.3623
58
Daharra
0
0.1875
59
Balchaur
0.02
0.7229
60
Mudhari
0
0.1403
61
Rurikalan
0.24
0.2916
62
Pahretha
0
0.2785
63
Punniyan
0
0.5532
64
Tolapantar
0.05
0
65
Kahra
0
0.4113
66
Mawai Khurd
0
0.4056
67
Chauka
0.037
0.2943
68
Ratwa
0
0.3688
69
Manki
0.05
0.4201
70
Rawatpura Khurd
0
0.5574
71
Charkhariya
0.15
0
72
Swasa Maf
0.3
0
73
Makarbai
0
0.073
74
Mochipura
0
0.64
75
Tikariya
0.07
0.194
76
Bhadarwara
0.01
0.2072
77
Rikhawaha
0.024
0
78
Naigawan
0
0.5562
79
Rewai Sunecha
0
0.2312
80
Thathewra
0.11
0.2011
81
Karhara Dang
0.1053
0.25
82
Tindaoli
0
0.2
83
Tamora
0
0.3735
Total
14.4534
25.8
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Laying of Drinking Water Pipeline
14.4534
25.8
Total
14.4534
25.8
C.
Maps of forest land proposed to be diverted
Division 1. : Forest Division Mahoba
(i). Area of forest land proposed to be diverted(in ha.) :
14.4534
(ii). Nature of the Project:
Linear
(b). No. of Segments :
Five
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.
5.8652
View File
2.
2.4271
View File
3.
2.8111
View File
4.
1.985
View File
5.
1.365
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):
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?:
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? :
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?:
Yes
(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 ?:
Yes
(a). Reason Category:
CA Will be raised on degraded forest land as well as on land provided by User Agency
(b). Degraded forest area on which CA has to be raised by forest department(in ha.):
12.0
(c). Area of non-forest or Revenue forest land required to be provided by User Agency for raising Compensatory Afforestation(in ha.):
4.126
(iii). No. of districts involved for raising Compensatory Afforestation:
1
(iv). No. of patches:
One
District 1. : Mahoba
(a). Village:
SALAT
(b). Area(in ha.):
4.126
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
845D
(e). Present owner:
User Agency
(f). Copy of Ownership proof:
(v). Scanned copy of the map of the land identified for creation of Compensatory Afforestation prepared by using GPS ot Total Station:
(vi). Copy of Survey of India Toposheet in 1:50,000 scale indicating location of the land identified for creation of Compensatory Afforestation:
Additional information Details
Documents
S.No
Documents
Remarks
1
PROJECT SANCTION LETTER
2
UNDERTAKING FOR CA DEPOSIT
3
UNDERTAKING FOR ETT
4
UNDERTAKING FOR FRA
5
UNDERTAKING FOR MINIMUM TREE FELLING
6
MUCK DISPOSAL PLAN
7
STANDARD CONDITIONS
8
VAIKALPIK VAN BHOOMI CERTIFICATE
9
UNDERTAKING FOR VANYA JEEV VIHAR
10
UNDERTAKING FOR NOT START WORK BEFORE FOREST APPROVAL
11
UNDERTAKING FOR LEASE RENT
12
RESERVE AND PROTECTED FOREST NOTIFICATION
13
UNDERTAKING FOR NPV DEPOSIT
14
AREA CALCULATION SHEET
15
LAYOUT PLAN
16
PWD NOC
17
IRRIGATION NOC
18
UNDERTAKING FOR OWNER DEPARTMENT NOC
19
NHAI NOC
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