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/ROAD/37834/2018   (ii). Name of Project for which Forest Land is required : Black topping of Sigaddi Shrot to Chillarkhal motor road in length of 3.30 Km   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : This road Construction would be connected to Garhwal Mandal to Kumau Mandal.   (iv). State : Uttarakhand   (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) : 995.71   (viii). Area of forest land proposed for diversion(in ha.): 0.99   (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): 1
A-2. Details of User Agency
  (i). Name : ENGINEER IN CHIEF, PUBLIC WORK DEPARTMENT, DEHRADUN   (ii). Address1 : Yamuna Colony Dehradun   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Dehradun   (vi). Pin : 248001   (vii). Landmark : Near Rohan Motors   (viii). Email address : cepwdua@rediffmail.com   (ix). Landline Telephone No. : 135-2531072   (x). Fax No. : 135-2531154   (xi). Mobile No. : 9412992971   (xii). Website (if any) : http://pwd.uk.gov.in   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: AKRITI   (ii). Middle Name: NIL   (iii). Last Name: GUPTA   (iv). Gender: Female   (v). Designation: Assistant Engineer   (vi). Address 1: CONSTRUCTION DIVISION PWD, DUGADDA   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Pauri Garhwal   (x). Tehsil: NIL   (xi). Pin: 246127   (xii). Landmark: NEAR GOVT. HOSPITAL   (xiii). Email Address: eepwdcddugadda@gmail.com   (xiv). Landline Telephone No.: 1382-251221   (xv). Fax No.: 01382251221   (xvi). Mobile No.: 9458387552   (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
1ReturnedFP/UK/ROAD/15984/2015FP/UK/ROAD/15984/20156.63750
Total 6.6375 0
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.Lansdowne0.990
Total0.990
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Pauri Garhwal0.990
Total0.990
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Bhudevpur, daleeppur,jaidevpur, mandevpur,0.990
Total 0.99 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Sigaddi0.990
Total 0.99 0
C. Maps of forest land proposed to be diverted
Division 1. : Lansdowne
  (i). Area of forest land proposed to be diverted(in ha.) : 0.99   (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).
1.0.99    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: N.A.
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 0   (iii). Temporary Employment(Number of person-days): 1050
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
1Front Page
2CHECK LIST
3Authorization certificate
4ACT 2
5Certificate of Financial and administrative
6GO
7Joint Inspection Report
8Site Inspection report DFO (FOREST LAND DIVERTED)
9MAP OF ALINGMENT SCALE 1 50000
10DIGITAL MAP
11TOPO SHEET
12REPORT
13CERTIFICATE OF MINIMUM LAND REQUIRED AND OTHER AND NOT AVAILABE OF ALTERNATE LAND
14LAND SCHEDULE
15DIMENSION OF FOREST LAND
16BAR CHART
17CERTIFICATE OF WORK HAS NOT STARTED
18Cerfiticate of Not Effected Trees
19CERTIFICATE OF FALLING TREES
20CERTIFICATE OF NATIONAL PARK
21NOC OF VILLAGERS
22FRA
23GEOLOGIST REPORT
24CERTIFICATE OF OBEYING CONDITION AND SUGESSION OF GEOLOGIST AND TASK FORCE
25TASK FORCE
26STANDARD CONDITION
27CERTIFICATE OF NO HISTORICAL PLACE
28CERTIFICATE NO ANIMAL WILL BE EFFECTED
29CERTIFICATE OF PROVIDING FUEL TO LABOUR
30NPV
31CERTIFICATE OF BENIFITED VILLAGERS
32CERTIFICATE OF COMPANSATORY PLANTATION
33praroop 48
34CERTIFICATE OF FOREST RIGHT ACT 1980