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/150514/2021
(ii). Name of Project for which Forest Land is required :
Proposed Forest Land to be Diverted for Laying of Water Distribution Line along different roads, under Gulara, Tilaitha, Bachawali and Budpura Village Group Drinking Water Scheme of Jal Jeevan Mission of Govt Of India, in District:- Jhansi (UP).
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Laying of Water Distribution Line along different roads, under Gulara, Tilaitha, Bachawali and Budpura Village Group Drinking Water Scheme of Jal Jeevan Mission of Govt Of India, in District:- Jhansi (UP).
(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) :
51441.53
(viii). Area of forest land proposed for diversion(in ha.):
6.6873
(ix). Non-forest land required for this project(in ha.):
4.0551
(x). Total period for which the forest land is proposed to be diverted(in years):
30
A-2.
Details of User Agency
(i). Name :
UTTAR PRADESH WATER SUPPLY AND SANITATION MISSION
(ii). Address1 :
U.P. JAL NIGAM COMPOUND, 6- RANA PRATAP ROAD LUCKNOW U.P.
(iii). Address2 :
NIL
(iv). State :
Uttar Pradesh
(v). District :
Lucknow
(vi). Pin :
226001
(vii). Landmark :
NIL
(viii). Email address :
ed.swsmup@rediffmail.com
(ix). Landline Telephone No. :
91-0522-2239428
(x). Fax No. :
91-
(xi). Mobile No. :
9454502163
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
Nitesh
(ii). Middle Name:
Pratap
(iii). Last Name:
Singh
(iv). Gender:
Male
(v). Designation:
EE
(vi). Address 1:
OFFICE OF THE EXECUTIVE ENGINEER CONSTRUCTION DIVISION, U.P. JAL NIGAM (RURAL) JEEVANSHAH, GWALIOR ROAD JHANSI U.P.
(vii). Address 2:
NIL
(viii). State:
Uttar Pradesh
(ix). District:
Jhansi
(x). Tehsil:
NIL
(xi). Pin:
284001
(xii). Landmark:
NIL
(xiii). Email Address:
sengar.nitesh232@gmail.com
(xiv). Landline Telephone No.:
0-
(xv). Fax No.:
NIL
(xvi). Mobile No.:
9473942725
(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 Jhansi
6.6873
4.0551
Total
6.6873
4.0551
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Jhansi
6.6873
4.0551
Total
6.6873
4.0551
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Parichha
0.37
0
2
Gulara
0.2225
0
3
Palhari
0.1
0
4
Pahari Buzurg
0
0.193
5
Baral
0.2
0
6
Chakarpur
0.064
0.062
7
kargawan
0.3
0
8
Simrawari
0.056
0
9
Semri
0.4
0
10
Girari
0
0.062
11
Amargarh
0.163
0
12
Digara
0.5
0
13
Dhawani
0
0.181
14
Karguwan
0.3
0.086
15
Tilak Nagar
0.104
0
16
Gharmau
0
0.5013
17
Gormachhiya
0.4
0.116
18
Baragaon
0.64
0.2375
19
Bachaoli Buzurg
0.08
0
20
Kolwan
0
0.3332
21
Banguwan
0.4
0
22
Barua Sagar
0.325
0.102
23
Ghughuwa
0.161
0
24
Khailar
0.837
0.1229
25
Raksa
0.09
0.055
26
Dhikoli
0.126
0
27
Khari
0
0.0483
28
Dagarwaha
0.024
0.111
29
Neguwan
0
0.2
30
Baruapura
0.07825
0.093
31
Dongri
0.075
0.0528
32
Math
0.01525
0.1071
33
Bajna
0.0785
0.0785
34
Baijpur
0.021
0.0361
35
Ullu Gaon
0
0.1534
36
Baghaura
0.021
0.1859
37
Manpur
0.056
0.086
38
Babina
0.063
0.1177
39
Chirgaon
0.4168
0.4265
40
Rasina
0
0.3069
Total
6.6873
4.0551
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
6.6873
4.0551
Total
6.6873
4.0551
C.
Maps of forest land proposed to be diverted
Division 1. : Forest Division Jhansi
(i). Area of forest land proposed to be diverted(in ha.) :
6.6873
(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.
2.0523
View File
2.
0.886
View File
3.
2.04
View File
4.
0.119
View File
5.
0.021
View File
6.
0.021
View File
7.
1.301
View File
8.
0.247
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 Alternative
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? :
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 ?:
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.):
NIL
(c). Area of non-forest or Revenue forest land required to be provided by User Agency for raising Compensatory Afforestation(in ha.):
0.408
(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
1
FOREST NOTIFICATION
2
PROJECT SANCTION LETTER
3
UNDERTAKING FOR FRA
4
UNDERTAKING FOR CA DEPOSIT
5
UNDERTAKING FOR ETT
6
UNDERTAKING FOR MINIMUM TREE FELLING
7
STANDARD CONDITIONS
8
UNDERTAKING FOR VANYA JEEV VIHAR
9
UNDERTAKING FOR NOT START WORK BEFORE APPROVAL
10
MUCK DISPOSAL PLAN
11
UNDERTAKING FOR LEASE RENT
12
VAIKALPIK VAN BHOOMI CERTIFICATE
13
UNDERTAKING FOR NPV DEPOSIT
14
AREA CALCULATION SHEET
15
LAYOUT PLAN
16
UNDERTAKING FOR NO SUBSQUENT PROPOSAL INITIATION FOR SAME AREA
17
NHAI NOC
18
RAILWAY NOC
19
UNDERTAKING FOR NHAI AND IRRIGATION NOC
Print