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/23179/2016   (ii). Name of Project for which Forest Land is required : THE ESTABLISHMENT OF HANSPURKHATTA REPORTING OUTPOST AT POLICE STATION CHORGALIYA AREA IN DISTRICT NAINITAL   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : In few year hanspurkhatta area are affected to maoists & unlawful criminal activities & it’s 11 km large area. there is no security agency. So that reason a police choki established very urgent in hanspurkhatta   (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) : 71.84   (viii). Area of forest land proposed for diversion(in ha.): 0.1625   (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): 100
A-2. Details of User Agency
  (i). Name : UTTARAKHAND POLICE DISTRICT NAINITAL   (ii). Address1 : S.S.P. OFFICE NAINITAL   (iii). Address2 : TALLITAL DISTRICT-NAINITAL   (iv). State : Uttarakhand   (v). District : Nainital   (vi). Pin : 263001   (vii). Landmark : TALLITAL   (viii). Email address : cctnsntl@gmail.com   (ix). Landline Telephone No. : 5942-235586   (x). Fax No. : 5942-235693   (xi). Mobile No. : 9411112712   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: VIJAY   (ii). Middle Name: NIL   (iii). Last Name: THAPA   (iv). Gender: Male   (v). Designation: DY. SP   (vi). Address 1: POLICE OFFICE NAINITAL   (vii). Address 2: TALLITAL DISTRICT-NAINITAL   (viii). State: Uttarakhand   (ix). District: Nainital   (x). Tehsil: Nainital   (xi). Pin: 263001   (xii). Landmark: TALLITAL   (xiii). Email Address: cctnsntl@gmail.com   (xiv). Landline Telephone No.: 5942-235730   (xv). Fax No.: 05942235730   (xvi). Mobile No.: 9411112087   (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.Tarai East,Haldwani0.16250
Total0.16250
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Nainital0.16250
Total0.16250
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Lakhanmandi0.16250
Total 0.1625 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Office Building0.01470
2Open coutryard & Green area0.0310
3Vechile Parking0.0180
4Area for internal Road0.0240
5Area for criminal cases viechles & matarials0.07480
Total 0.1625 0
C. Maps of forest land proposed to be diverted
Division 1. : Tarai East,Haldwani
  (i). Area of forest land proposed to be diverted(in ha.) : 0.1625   (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 PatchesTo view KML file on google the same may be downloaded and then open if in google earth install in your computer.
1.0.1625    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): 11   (iii). Temporary Employment(Number of person-days): 300
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
1Short narrative of the project.
2Administrative and Financial sanction
3Joint Inspection report
4Reasons for rejection alternate site.
5Certificate from the DM that no alternative suitable non-forest land is available for the project and the demand of the forest land for the project is barest minimum.
6Land schedule
7Category wise land length, width and area of proposed land
8Bar Chart
9Certificate about Compensatory afforestation
10Gap filling plantation estimate.
11Undertaking by the User Agency to bear the cost of gap filling plantation
12Estimate of 100 trees plantation
13Certificate for not felling of Oak trees
14If felling of trees is not involved, certificate by DFO
15Certificate of felling minimum trees during the project work.
16Certificate of Muck disposal scheme
17project area is not a part of National Park or sanctuary
18Certificate of CCF Wild Life
19No voilation has taken place, FC Act. 1980 reg.
20NOC from local Gram Sabhas
21Component wise details of construction work.
22Certificate- work has not been started reg.
23Geologist Report
24Task Force report.
25Certificate by user agency for complying the condition imposed in Standard Condition
26Certificate by user agency for complying the condition imposed in geologist report/Task force recommendation imposed in Standard Condition
27No historical/monumental or relegeous place will be effected certificate reg.
28Undertakoing regarding no animal will be effected adversely by the project.
29Undertading to provide alternative fuelwood, kerosene or LPG to labours involved in project.
30Benefited villages/Families/Population Certificate.
31NPV calculation certificate as per Hon'ble Supreem court /MoEF orders by DFO
32Undertaking of payment of NPV, if Hon'ble Supreem Court increses the rates of NPV
33Cost of the forest land and lease rent certificate by DM.
34Certificate of Lease
35Acknowledgement Slip
36Latter to Dfo about Submission Hard copies of Proposal
37Demarcation of land to be diverted And Undertaking of user agency to bear the cost for dimarcation work
38Revised Lay out plan and estimate of the project
39component wise breakup