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/UK/Others/21571/2016
(ii). Name of Project for which Forest Land is required :
ESTABLISMENT OF GOVERNMENT POLYTECHNIC POKHARI
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
The main objective of acquiring the required forest land is to establish Government Polytechnic Pokhari Chamoli for providing opportunities to impart technical education to the youth of far flung areas of Pokhari tehsil of District Chamoli.
(iv). State :
Uttarakhand
(v). Category of the Proposal :
Others
(vi). Shape of forest land proposed to be diverted :
Non Linear
(vii). Estimated cost of the Project(Rupees in lacs) :
322.68
(viii). Area of forest land proposed for diversion(in ha.):
0.964
(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):
NIL
A-2.
Details of User Agency
(i). Name :
GOVERNMENT POLYTECHNIC POKHARI
(ii). Address1 :
VILL-UDAYPUR,SINAU TALLA-MALLA, TEHSIL-POKHARI
(iii). Address2 :
NIL
(iv). State :
Uttarakhand
(v). District :
Chamoli
(vi). Pin :
246473
(vii). Landmark :
VILL-UDAYPUR, TEHSIL-POKHARI
(viii). Email address :
principalpokhari@gmail.com
(ix). Landline Telephone No. :
1372-212671
(x). Fax No. :
1372-
(xi). Mobile No. :
9411762338
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
SANJAY
(ii). Middle Name:
NIL
(iii). Last Name:
YADAV
(iv). Gender:
Male
(v). Designation:
PRINCIPAL/SAMANVAYAK
(vi). Address 1:
VILL-UDAYPUR,SINAU TALLA-MALLA,TEHSIL-POKHARI
(vii). Address 2:
NIL
(viii). State:
Uttarakhand
(ix). District:
Pauri Garhwal
(x). Tehsil:
Srinagar
(xi). Pin:
246174
(xii). Landmark:
NEAR SSB,SRINAGAR GARHWAL
(xiii). Email Address:
sanjayraj7876@gmail.com
(xiv). Landline Telephone No.:
1372-212671
(xv). Fax No.:
NIL
(xvi). Mobile No.:
9411762338
(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.
Kedarnath Wild Life Division,Gopeshwar
0.964
0
Total
0.964
0
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Chamoli
0.964
0
Total
0.964
0
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
VILL-SINAU TALLA-MALLA
0.559
0
2
VILL-UDAYPUR
0.404
0
Total
0.963
0
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Building-1
0.117
0
2
Building-2
0.325
0
3
Building-3
0.0875
0
4
Auditorium/Amphitheater
0.0525
0
5
Principal Quarter
0.017
0
6
Guest House and Sport Club/GYM
0.0285
0
7
Additional Workshop and Cafeteria
0.0575
0
8
FREE AREA
0.278
0
Total
0.963
0
C.
Maps of forest land proposed to be diverted
Division 1. : Kedarnath Wild Life Division,Gopeshwar
(i). Area of forest land proposed to be diverted(in ha.) :
0.964
(ii). Nature of the Project:
Non Linear
(a). No. of patches :
One
Patch wise details
Patch No.
Area of Patch(in ha.)
Kml File of Patches
To view KML file on google the same may be downloaded and then open if in google earth install in your computer.
1.
0.964
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:
E.
Employment likely to be generated
(i). Whether the Project is likely to generate employment ?:
Yes
(ii). Permanent/Regular Employment(Number of persons):
24
(iii). Temporary Employment(Number of person-days):
5
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?:
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
1.1 COPY OF DOCUMENTS IN SUPPORT OF THE COMETENCE/AUTHORITY OF THE PERSON MAKING THIS APPLICATION TO MAKE APPLICATION ON BEHALF OF THE USER AGENCY
2
1.2 COPY OF SURVEY OF INDIA TOPOSHEET INDICATING BOUNDARY OF FOREST LAND PROPOSED TO BE DIVERTED
3
1.6 CERTIFICATE BY DM-FOREST RIGHT ACT-2006 (IN MOEF REVISED PRESCRIBED FORM)
4
1.9 IF NON-FOREST OR REVENUE FOREST LAND IS REQUIRED TO BE PROVIDED BY USER AGENCY? A COPY OF OWNERSHIP PROOF AND NO OBJECTION CERTIFICATE
5
1.10 COPY OF MOU/AGREEMENT EXECUTED BETWEEN THE PRESENT OWNER AND THE USER AGENCY
6
2.3-PRELIMINARYJOINT INSPECTION REPORT(BY USER AGENCY,FOREST DEPARTMENT,REVENUE DEPARTMENT ETC
7
2.4 COMPERATIVE CHART SHOWING STATEMENT OF BOTH ALIGNMENT OR ALTERNATE SITE EXPLORED FOR THE PROPOSED PROJECT AND REASONS FOR THEIR REJECTION DULY COUNTERSIGNED BY DFO
8
2.5 CERTIFICATE FROM THE DM THAT NO ALTERNATIVE SUITABLE NON-FOREST LAND IS AVAILABLE FOR THE PROJECT IN QUESTION AND THE DEMAND OF THE FOREST LAND FOR THE PROJECT IS BAREST MINIMUM
9
2.7 CATEGORY WISE (RF,CIVIL SOYAM, VAN PANCHAYAT AND PRIVATE NAP LAND, NOTIFIED FOREST LAND ETC.) LAND LENGTH, WIDTH AND AREA IN Ha.
10
2.8 BAR CHART WITH INDEX (COUNTER SIGNED BY DFO)
11
2.14 ESTIMATE OF 100 TREES PLANTATION BY DFO (LESS THEN 1.0 HA. CASES)
12
2.15 DETAILS OF THE TREES WITH THEIR SCIENTIFIC NAME IN RF, CIVIL SOYAM, VAN PANCHAYAT, PRIVATE NOTIFIED LAND AND IN NAP LAND SHOULD BE MENTIONED
13
2.17 IF FELLING OF TREES IN NOT INVOLVED, CERTIFICATE BY DFO IN THIS REGARD
14
2.18 CERTIFICATE OF FELLING MINIMUM TREES DURING THE PROJECT WORK
15
2.19 MUCK DISPOSAL SCHEME
16
2.20 WHATHER PROJECT AREA IS A PART OF NATIONAL PARK OR SANCTUARY AND AIRAL DISTANCE OF THE PROJECT FROM NATIONAL PARK OR SANCTUARY SIGNED BY DFO
17
2.21 IF THE PROJECT AREA IS WITHIN 10 KM RADIUS OF N/P OR CENTUARY, COMMENTS/NO OBJECTION CERTIFICATE
18
2.23 NO VOILATION HAS TAKEN PLACE, FC ACT. 1980 REG.
19
2.24 NOC FROM LOCAL GRAM SABHAS.
20
2.27 CERTIFICATE WORK HAS NOT BEEN STARTED REG.
21
2.28 GEOLOGIST REPORT (GOVT. APPROVED GEOLOGIST)
22
2.29-TASK FORCE REPORT
23
2.30-CERTIFICATE BY USER AGENCY FOR COMPLYING THE CONDITION IMPOSED IN STANDARD CONDITION
24
2.32-NO HISTORICAL/MONUMENTAL OR RELEGEOUS PLACE WILL BE EFFECTED CERTIFICATE REG.(BY DM/DFO)
25
2.33-UNDERTAKING REGARDING NO ANIMAL WILL BE EFFECTED ADVERSELY BY THE PROJECT
26
2.34-UNDERTAKING TO PROVIDE ALTERNATIVE FUELWOOD, KEROSENE OR LPG TO LABOURS INVOLVED IN PROJECT
27
2.35-BENEFITED VILLAGES/FAMILIES/POPULATION CERTIFICATE
28
2.36-NPV CALCULATION CERTIFICATE AS PER HON'BLE SUPREEM COURT /MOEF ORDERS BY DFO
29
2.37-UNDERTAKING OF PAYMENT OF NPV, IF HON'BLE SUPREEM COURT INCRESES THE RATES OF NPV (BY USER AGENCY)
30
2.38-COST OF THE FOREST LAND AND LEASE RENT CERTIFICATE BY DM
31
2.41-UNDERTAKING OF USER AGENCY TO BEAR THE COST FOR DIMARCATION WORK
32
2.43-CHECK LIST/FACT SHEET/OTHER IMP DETAILS
33
2.2-ADMINISTRATIVE AND FINANCIAL APPROVAL FOR THE PROPOSAL
34
2.25-LAYOUT PLAN
35
2.6 LAND SCHEDULE(FOR RF SIGNED BY DFO AND CIVIL SOYAM, VAN PANCHAYAT AND PRIVATE NAP LAND SIGNED BY DM)
36
1.3 SCANNED COPY OF THE GEO-REFERENCED MAP OF THE FOREST LAND PROPOSED TO BE DIVERTED PREPARED BY USING GPS
37
1.4 GOOGLE MAP OF THE PROPOSED SIT SHOWING LEGAL STATUS OF THE PROPOSEDLAND AND ALTERNATIVE EXAMINED FOR THE PROJECT WITH LEGEND
38
1.5 NOTE CONTAINING JUTIFICATION FOR LOCATING THE PROJECT IN FOREST LAND
39
2.1-A SHORT NARRATIVE AND IMPORTANCE OF THE PROJECT
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