FORM - B
Form for seeking prior approval under Section-2 of the proposals by the State Governments and other authorities, in respect of renewal of leases,
which have been earlier granted clearance under Forest (Conservation) Act,1980
PART - I
(To be filled up by User Agency)
A.
General Details
A-1.
Project Details
(i). Proposal No. :
FP/UP/ROAD/141411/2021
(ii). Name of Project for which Forest Land is required :
Widening & Up-gradation of NH-135A from Km. 34.900 (Bhadohi) to Km 73.134 at Jaunpur in the state of Uttar Pradesh.
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Widening & Up-gradation to four lane configuration from Km. 34.900 (Bhadohi) to Km 54.150 and from Km. 58.800 to Km. 70.400 (Jaunpur Bypass section) and to two lane with paved shoulder from km 54.150 to km 58.800 & from Km 70.400 to Km 73.134of NH-135A in the state of Uttar Pradesh on EPC mode.
(iv). State :
Uttar Pradesh
(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) :
39562
(viii). Area of forest land proposed for diversion(in ha.):
65.612
(ix). Non-forest land required for this project(in ha.):
34.085
(x). Total period for which the forest land is proposed to be diverted(in years):
99
A-2.
Details of User Agency
(i). Name :
NH DIVISION NO 1, PWD VARANASI
(ii). Address1 :
Office of Executive Engineer, NH Division No-1, PWD Varanasi
(iii). Address2 :
Near Varuna Bridge, Nadesar, Varanasi.
(iv). State :
Uttar Pradesh
(v). District :
Varanasi
(vi). Pin :
221002
(vii). Landmarks :
NIL
(viii). Email address :
pwdvaranasi@yahoo.com
(ix). Landline Telephone No. :
NIL
(x). Fax No. :
NIL
(xi). Mobile No. :
9415164914
(xii). Website (if any) :
NIL
(xiii). Details of Proposals seeking prior approval of Central Government under the Act for diversion of forest land submitted by the User Agency 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
(xiv). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
Mritunjay
(ii). Middle Name:
Singh
(iii). Last Name:
Yadav
(iv). Gender:
Male
(v). Designation:
Executive Engineer
(vi). Address 1:
Office of Executive Engineer, NH division No-1, PWD Varanasi
(vii). Address 2:
Near Varuna Bridge, Nadesar, Varanasi.
(viii). State:
Uttar Pradesh
(ix). District:
Varanasi
(x). Tehsil:
Varanasi
(xi). Pin:
221002
(xii). Landmarks:
NIL
(xiii). Email Address:
pwdvaranasi@yahoo.com
(xiv). Landline Telephone No.:
0
(xv). Fax No.:
NIL
(xvi). Mobile No.:
9415164914
(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:
A-7.
Details of the forest land returned back to the State Forest Department or any other Authority from the forest land diverted in favour of the user agency
A-9.
Details of Transfer of Lease
Serial No
Name of person
Address of person
Date of transfer
MMDR File
Transfer Deed
Conservation
MoEF_file No
Date of approval
MoEF file
NIL
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
(i). Whether any proposal seeking prior approval of Central Government under the Act for diversion of forest land required for the project has been submitted in the past?. :
No
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.
Social Forestry Division Jaunpur
65.612
34.085
Total
65.612
34.085
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Jaunpur
65.612
34.085
Total
65.612
34.085
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Pachwal
4.726
6.385
2
Sidhvan
3.366
1.411
3
Mai
2.21
0.967
4
Dhanuha
1.428
0.608
5
Rampur Dhanuha
1.955
1.001
6
Khemapur
1.36
0.573
7
Kotgaon
0.935
0.385
8
Gandhauna
2.312
1.036
9
Aura
2.448
1.03
10
Kumbhapur
0.128
0.052
11
Raipur Sarai bikram
1.063
0.438
12
Jogapur
1.666
0.686
13
Jamalpur
1.904
0.835
14
Sarauna
1.53
0.645
15
uttampur
0.833
0.361
16
Seer
0.255
0.227
17
seur
3.094
1.355
18
Katghara
0.527
0.258
19
Shivpur
2.573
0.917
20
Ranipur
2.438
0.742
21
Dilawarpur
4.83
1.564
22
Khijirpur
0.667
0.207
23
Sarai Khurd
0.483
0.147
24
Jogapuur
1.71
0.63
25
Maidieh
0.476
0.314
26
Soitha
1.224
0.522
27
Basdev Patti
0.366
0.4
28
Majhawat
0.485
0.2
29
Ahirauli
1.581
0.651
30
Pali
1.165
0.48
31
Subhaspur
1.165
0.48
32
Chaktala
1.19
0.562
33
Rampur
0.68
0.28
34
Sikandarpur
1.496
0.752
35
Unchanikalan
1.598
1.319
36
Unchanikhurd
0.697
0.582
37
Gahora
1.36
1.208
38
Kuddupur
1.207
0.747
39
Ranjitpur
1.972
0.825
40
Kadipur
0.204
0.084
41
Harbuspur
0.051
0.06
42
Madarpur Doyam
0.383
0.158
43
Phoolpur Arazi
1.565
0.665
44
Saidanpur
0.163
0.088
45
Raibhanipur
0.455
0.245
46
Chandpur
1.144
0.616
47
Umarpur
0.148
0.079
48
Jaunpur
0.396
0.308
65.612
34.085
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Construction of road
64.146
29.1475
2
Toll Plaza, facilities, office building and its ap
1.3996
4.8877
3
Construction of Bridge
0.0664
0.0498
Total
65.612
34.085
C.
Maps of forest land proposed to be diverted
Division 1. : Social Forestry Division Jaunpur
(i). Area of forest land proposed to be diverted(in ha.) :
65.612
(ii).Shape of forest land proposed to be diverted :
Linear
(b). No. of Segments :
One
Segments wise details
Segmenst
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.
65.612
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 DGPS 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:
The road is widening of existing road. hence no ot
E.
Employment likely to be generated
(i). Whether the Project is likely to generate employment ?:
Yes
(ii). Permanent/Regular Employment(Number of persons):
20
(iii). Temporary Employment(Number of person-days):
120000
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?:
Yes
(a). Copy of Cost-Benefit analysis:
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 ?:
NIL
(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
Project Sanction Letter
2
NOC of other agencies
3
road side plantation scheme
4
Cross Section Design
5
Forest Notification
6
Muck Disposal Plan
7
NOC not required as land belongs to PWD itself.
8
Coordinates of Ex. Road Center line Bhaodohi to Jaunpur road
9
Linear Plan of Bhadohi to Jaunpur
10
Cost of the project
11
Area Statement
12
Part I
13
Benificiary details
14
Detail Note
15
Manak Sharte
16
No other Alternative
17
Protected area
18
Undertaking for Archaelogical Site
19
Undertaking for EC
20
Undertaking for Flora and Fauna
21
Undertaking for FRA
22
Undertaking for No work without permission
23
Undertaking for NPV and Addl NPV
24
Undertaking for Task Force
25
Undertakings for CA
26
Van Swarup