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/149539/2021
(ii). Name of Project for which Forest Land is required :
Construction of 6 lane Greenfield connectivity from DND-Faridabad-Ballabhgarh bypass (from km 32+600) to Jewar International Airport under Bharatmala Pariyojna (Lot-4/Pkg-1) in the State of Haryana un
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Diversion of 0.8886 forest land for construction of 6 lane Greenfield connectivity from DND-Faridabad-Ballabhgarh bypass (from km 32+600) to Jewar International Airport under Bharatmala Pariyojna (Lot-4/Pkg-1) in the State of Haryana un
(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) :
151858
(viii). Area of forest land proposed for diversion(in ha.):
0.8886
(ix). Non-forest land required for this project(in ha.):
156.0578
(x). Total period for which the forest land is proposed to be diverted(in years):
99
A-2.
Details of User Agency
(i). Name :
CMU, MATHURA, NHAI
(ii). Address1 :
Plot No. 8, Toll Plaza Building, Near Sarai Toll Plaza Faridabad
(iii). Address2 :
NIL
(iv). State :
Haryana
(v). District :
Faridabad
(vi). Pin :
121003
(vii). Landmark :
Near Sarai Metro Station
(viii). Email address :
mat@nhai.org
(ix). Landline Telephone No. :
129-2279538
(x). Fax No. :
129-
(xi). Mobile No. :
9999319538
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
Central PSU
A-3.
Details of Person Making Application
(i). First Name:
V K
(ii). Middle Name:
NIL
(iii). Last Name:
Joshi
(iv). Gender:
Male
(v). Designation:
Project Director
(vi). Address 1:
Plot No. 8, Toll Plaza Building, Near Sarai Toll Palaza Faridabad
(vii). Address 2:
NIL
(viii). State:
Haryana
(ix). District:
Faridabad
(x). Tehsil:
Faridabad
(xi). Pin:
121003
(xii). Landmark:
NIL
(xiii). Email Address:
mat@nhai.org
(xiv). Landline Telephone No.:
129-2279538
(xv). Fax No.:
NIL
(xvi). Mobile No.:
8826936944
(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.
Faridabad
0.8886
156.0578
Total
0.8886
156.0578
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Faridabad
0.8886
156.0578
Total
0.8886
156.0578
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Chandawali
0
0.9621
2
Shahpura
0
12.5699
3
Sotai
0.0975
19.6796
4
Behbalpur
0
0.9836
5
Phophunda
0.3814
14.4954
6
Panehra Khurd
0
9.2934
7
Narhawali
0.18225
11.3765
8
Magmadpur
0.094
5.0875
9
Hirapur
0
11.3196
10
Mohna
0.13345
64.2168
11
Mohiyapur
0
0.6848
12
Chhainsa
0
5.3886
Total
0.8886
156.0578
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Road Construction
0.8886
156.0578
Total
0.8886
156.0578
C.
Maps of forest land proposed to be diverted
Division 1. : Faridabad
(i). Area of forest land proposed to be diverted(in ha.) :
0.8886
(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.
0.8886
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:
NIL
E.
Employment likely to be generated
(i). Whether the Project is likely to generate employment ?:
Yes
(ii). Permanent/Regular Employment(Number of persons):
500
(iii). Temporary Employment(Number of person-days):
300000
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 ? :
Yes
(a). Status of the Environmental Clearance to the Project:
EC under process
(ii). Environmental Clearance File No.:
10/46/2021-IA.III
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
1
Authorization letter
2
Area Calculation sheet
3
Detail Note on project
4
Justification of project site location
5
Project sanction letter
6
Undertaking Certificate for No Muck Generation and Disposal
7
UNDERTAKING FOR FRA CERTIFICATE
8
Undertaking for minimum use of forest land
9
Undertaking For No Other Feasible Alternative of Alignment and Diversion of Barest Minimum Forest Land
10
Undertaking for No Wildlife Area
11
Undertaking for Non-starting of any activity without sanction from Competent Authority
12
Undertaking FOR PAYMENT OF ADDITIONAL NET PRESENT VALUE OF FOREST AREA
13
UNDERTAKING FOR PAYMENT OF COST OF COMPENSATORY AFFORESTATION
14
Undertaking FOR PAYMENT OF NET PRESENT VALUE OF FOREST AREA
15
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