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/HR/ROAD/137993/2021   (ii). Name of Project for which Forest Land is required : 4 lanning of Pinjore Byepass to HP HR Boarder NH21A   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Diversion of 10.64 Ha of forest Land for widening Four Laning from End of Pinjore Bypass to Haryana / Himachal Border (NH-21A) from Km 4.200 to 17.500 in Haryana state, under forest Division Morni -Pinjore , District – Panchkula, State Haryana   (iv). State : Haryana   (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) : 156540   (viii). Area of forest land proposed for diversion(in ha.): 10.64   (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 : NATIONAL HIGHWAY AUTHORITY OF INDIA PIU SHIMLA   (ii). Address1 : Kamna View Bhawan Phase III New Shimla   (iii). Address2 : NIL   (iv). State : Himachal Pradesh   (v). District : Shimla   (vi). Pin : 171009   (vii). Landmark : Near BCS School   (viii). Email address : pdpiushimla@nhai.org   (ix). Landline Telephone No. : 177-2673819   (x). Fax No. : 177-2673819   (xi). Mobile No. : 9418030067   (xii). Website (if any) : www.nhai.org   (xiii). Legal status of User Agency : Central PSU
A-3. Details of Person Making Application
  (i). First Name: Ram   (ii). Middle Name: Asra   (iii). Last Name: Khural   (iv). Gender: Male   (v). Designation: Project Director   (vi). Address 1: House No- 1, Rishikesh Sadan, Shanti Kutia, Chakkar   (vii). Address 2: NIL   (viii). State: Himachal Pradesh   (ix). District: Shimla   (x). Tehsil: NIL   (xi). Pin: 171005   (xii). Landmark: Near Upper Chakkar Busstop   (xiii). Email Address: pdpiushimla@gmail.com   (xiv). Landline Telephone No.: 177-2633318   (xv). Fax No.: NIL   (xvi). Mobile No.: 9401171001   (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
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
1ApprovedFP/HP/ROAD/2531/20138-25/2013-FC(Vol-I)15.579915.579923 Aug 201316 Dec 2013
2ApprovedFP/HP/ROAD/2531/20138-25/2013-FC (Vol-I)15.579915.579923 Aug 201316 Dec 2013
3InprincipleFP/HP/ROAD/35837/20188B/HP/06/63/2018/FC15.152615.152613 Nov 2018
Total 46.3124 46.3124
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.Panchkula10.640
Total10.640
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Panchkula10.640
Total10.640
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Pinjore to baddi10.640
Total 10.64 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1diversion of forest land for road widening10.640
Total 10.64 0
C. Maps of forest land proposed to be diverted
Division 1. : Panchkula
  (i). Area of forest land proposed to be diverted(in ha.) : 10.64   (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).
1.10.64    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: there is no other land avail for widening of road
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): 1
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?: 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
1Admin Approval
2Checklists
3Covering letter
4Undertaking for FRA certificate
5Layout Plan