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/151950/2022   (ii). Name of Project for which Forest Land is required : Construction of New Road from Village- Joshi Chauhan to Village - Nangal Kalan (RD 0 to 10360M) along with Irrigation Channel/Minor in Rai Constituency in Distt. - Sonipat   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Diversion of 7.4166 ha forest land for Construction of New Road from Village- Joshi Chauhan to Village - Nangal Kalan (RD 0 to 10360M) along with Irrigation Channel/Minor in Rai Constituency in Distt. - Sonipat (HR)   (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) : 987.7   (viii). Area of forest land proposed for diversion(in ha.): 7.4166   (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): 99
A-2. Details of User Agency
  (i). Name : PROVINCIAL DIVISION PWD B&R BR., SONIPAT   (ii). Address1 : Provincial Division PWD B and R Br. Sonipat   (iii). Address2 : NIL   (iv). State : Haryana   (v). District : Sonipat   (vi). Pin : 131001   (vii). Landmark : NIL   (viii). Email address : pwdsonipat22@gmail.com   (ix). Landline Telephone No. : 0--   (x). Fax No. : 0-   (xi). Mobile No. : 9466584227   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Parveen   (ii). Middle Name: NIL   (iii). Last Name: Chhikara   (iv). Gender: NIL   (v). Designation: Sub Divisional Engineer   (vi). Address 1: Provincial Division PWD B and R Br. Sonipat   (vii). Address 2: NIL   (viii). State: Haryana   (ix). District: Sonipat   (x). Tehsil: NIL   (xi). Pin: 131001   (xii). Landmark: NIL   (xiii). Email Address: pwdsonipat22@gmail.com   (xiv). Landline Telephone No.: 0-   (xv). Fax No.: NIL   (xvi). Mobile No.: 9466584227   (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.Sonipat7.41660
Total7.41660
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Sonipat7.41660
Total7.41660
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Village - Joshi Chauhan to Village Khera1.4369160
2Village - Khera Road to Ashwarpur-Seoli Road1.950780
3Ashwarpur - Seoli Road to Rai- Seoli Road0.373320
4Rai- Seoli Road to Sector-38 - Expressway Road0.5541240
5Sector-38 - Expressway Road to KMP Express Way RD1.1170320
6KMP Express Way Road to towards Nangal Kalan Road0.4194360
7Towards Nangal Kalan Road to Nangal Kalan - Atrena1.5649920
Total 7.4166 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Construction of New Road from Village- Joshi Chauh7.41660
Total 7.4166 0
C. Maps of forest land proposed to be diverted
Division 1. : Sonipat
  (i). Area of forest land proposed to be diverted(in ha.) : 7.4166   (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).
1.7.4166    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: NA
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 10   (iii). Temporary Employment(Number of person-days): 140
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?: 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 ?: No   (iii). No. of districts involved for raising Compensatory Afforestation: 1   (iv). No. of patches: Six
District 1. : Sonipat
  (a). Village: Nahra   (b). Area(in ha.): 2.6   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 78/1/2,9,10,11,12   (e). Present owner: User Agency   (f). Copy of Ownership proof:
District 2. : Sonipat
  (a). Village: Shamri   (b). Area(in ha.): 2   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 54//17,18,23,24   (e). Present owner: User Agency   (f). Copy of Ownership proof:
District 3. : Sonipat
  (a). Village: Jharoti   (b). Area(in ha.): 2.8   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 15//14,15//15,15//16   (e). Present owner: User Agency   (f). Copy of Ownership proof:
District 4. : Sonipat
  (a). Village: Nasirpur   (b). Area(in ha.): 2.4   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 25/20,25/21,26/1,26/10, 27/2,3,4,5,6,7,8   (e). Present owner: User Agency   (f). Copy of Ownership proof:
District 5. : Sonipat
  (a). Village: Sisana   (b). Area(in ha.): 2.6   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 184//4,5/1,5/2,6,7/1,7/2,193//1,10,203//5,6,7/1,7/2,14   (e). Present owner: User Agency   (f). Copy of Ownership proof:
District 6. : Sonipat
  (a). Village: Tihaad Kalan   (b). Area(in ha.): 3.6   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 3//11,4//14/8,15,16,17/1,17/2,18,19,5//5,6,15   (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
1Administrative Approval
2Forest Layout Plan
3Forest Check list and Undertakings
4Muck Disposal Plan
5EDS Letter
6FRA Certificate Undertaking Certificate
7Details and Resolution of All Gram Panchayats for the Land Transferred to Forest Department
8All DGPS Map for the Land Transferred to Forest Division
9All Location Marked on SOI Toposheet for the Land Transferred to Forest Division