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/155391/2022   (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 Haraulipur Group of Villages Drinking Water Scheme of Jal Jeevan Mission of Govt. of India, in District:-Hamirpur.   (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 Haraulipur Group of Villages Drinking Water Scheme of Jal Jeevan Mission of Govt. of India, in District:-Hamirpur.   (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) : 28982.7   (viii). Area of forest land proposed for diversion(in ha.): 2.4886   (ix). Non-forest land required for this project(in ha.): 8.8432   (x). Total period for which the forest land is proposed to be diverted(in years): 30
A-2. Details of User Agency
  (i). Name : CONSTRUCTION DIVISION JAL NIGAM MAHOBA   (ii). Address1 : OFFICE OF THE CONSTRUCTION DIVISION (CIVIL) U.P. JAL NIGAM (RURAL) MAHOBA.   (iii). Address2 : NIL   (iv). State : Uttar Pradesh   (v). District : Mahoba   (vi). Pin : 210427   (vii). Landmark : NIL   (viii). Email address : arvindawasthicdcivil@gmail.com   (ix). Landline Telephone No. : 91-05281-244558   (x). Fax No. : 91-   (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: Shanku   (ii). Middle Name: NIL   (iii). Last Name: Kumar   (iv). Gender: Male   (v). Designation: JE   (vi). Address 1: OFFICE OF THE CONSTRUCTION DIVISION (CIVIL) U.P. JAL NIGAM (RURAL) MAHOBA.   (vii). Address 2: NIL   (viii). State: Uttar Pradesh   (ix). District: Mahoba   (x). Tehsil: NIL   (xi). Pin: 210427   (xii). Landmark: NIL   (xiii). Email Address: arvindawasthicdcivil@gmail.com   (xiv). Landline Telephone No.: 0-   (xv). Fax No.: NIL   (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 Hamirpur2.48868.8432
Total2.48868.8432
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Hamirpur2.48868.8432
Total2.48868.8432
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Para0.1150.192
2Rani Ganj00.1008
3Bindpuri0.2490.3469
4Dandipur00.0541
5Mamrejpur Danda00.0668
6Dhanouri0.16760.238
7Umaria0.2210.0728
8Nadna00.2028
9Bahpur00.0939
10Kasba Khera00.184
11Igui00.1234
12Jakheri00.201
13Kharehata Khurd00.0874
14Chak Amarpura00.4785
15Jalalpur00.3793
16Baukhar00.1792
17Jitkri Danda0.09620.162
18Ratauli00.0761
19Jamauri Dariya00.0391
20Islampur0.06750.1827
21Aurakhera0.0220
22Maniyapar0.0420
23Bahdeena0.10.062
24Tola Khagaran0.04750.2484
25Kandaur0.070
26Indrapuri0.130
27Basariya0.02850
28Jamaudi Danda0.04520
29Umrahat0.04680.0865
30Haraulipur0.40.2
31Misripur0.15030.025
32Nirni00.0648
33Siwni00.6953
34Kutubpur00.7272
35Sikrohi Danda0.0450.1225
36Shekhoopur00.3776
37Raghwa00.3525
38Kurara00.2273
39Badanpur00.6052
40Kanauta Danda0.4450.5564
41Jhalokhar00.1255
42Rithari00.1026
43Chakothi00.0612
44Jalla00.1726
45Kariapur00.1681
46Beri00.1489
47Magredi00.2528
Total 2.4886 8.8432
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Laying Of Drinking Water Pipeline2.48868.8432
Total 2.4886 8.8432
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.) : 2.4886   (ii). Nature of the Project: Linear   (b). No. of Segments : Eleven
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).
1.1.6511    View File
2.0.1    View File
3.0.1676    View File
4.0.221    View File
5.0.042    View File
6.0.022    View File
7.0.0475    View File
8.0.0285    View File
9.0.0962    View File
10.0.04520
11.0.06751
  (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): 8000
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.): NIL   (c). Area of non-forest or Revenue forest land required to be provided by User Agency for raising Compensatory Afforestation(in ha.): 1.67   (iii). No. of districts involved for raising Compensatory Afforestation: 1   (iv). No. of patches: One
District 1. : Hamirpur
  (a). Village: Para   (b). Area(in ha.): 1.67   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 177/2   (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
1UNDERTAKING FOR CA DEPOSIT
2UNDERTAKING FOR ETT
3FOREST NOTIFICATION
4UNDERTAKING FOR FRA
5UNDERTAKING FOR LEASE RENT
6UNDERTAKING FOR MINIMUM TREE FELLING
7MUCK DISPOSAL PLAN
8UNDERTAKING FOR NPV DEPOSIT
9PROJECT SANCTION LETTER
10PWD LETTER
11STANDARD CONDITIONS
12VAIKALPIK VAN BHOOMI CERTIFICATE
13UNDERTAKING FOR VANYA JEEV VIHAR
14UNDERTAKING FOR NOT START WORK BEFORE FOREST APPROVAL
15EDS REPLY LETTER
16AREA CALCULATION SHEET
17LAYOUT PLAN
18EDS Reply 04/11/2022