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/11294/2015   (ii). Name of Project for which Forest Land is required : Construction of Pathuli to Gairar Motor Road length 7.700 Km Under PMGSY   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Forest land Proposal of Construction of Pathuli to Gairar Motor Road length 7.700 Km Under PMGSY   (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) : 385   (viii). Area of forest land proposed for diversion(in ha.): 4.738   (ix). Non-forest land required for this project(in ha.): 0.652   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : PMGSY   (ii). Address1 : PMGSY DIVISION PWD ALMORA   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Almora   (vi). Pin : 263601   (vii). Landmark : KARNATAK KHOLA   (viii). Email address : eepmgsyalmora2@rediffmail.com   (ix). Landline Telephone No. : 5962-237003   (x). Fax No. : 5962-5962   (xi). Mobile No. : 9412978390   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Kishan   (ii). Middle Name: chandra   (iii). Last Name: Arya   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: PMGSY DIVISION PWD ALMORA   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Almora   (x). Tehsil: NIL   (xi). Pin: 263601   (xii). Landmark: KARNATAK KHOLA   (xiii). Email Address: eepmgsyalmora2@rediffmail.com   (xiv). Landline Telephone No.: 5962-237003   (xv). Fax No.: 05962237003   (xvi). Mobile No.: 9568689551   (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.Almora4.7380.652
Total4.7380.652
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Almora4.7380.652
Total4.7380.652
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Simoli1.0620.096
2gairar2.1050.436
3Thakulsari1.5710.12
Total 4.738 0.652
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Motor Road4.7380.652
Total 4.738 0.652
C. Maps of forest land proposed to be diverted
Division 1. : Almora
  (i). Area of forest land proposed to be diverted(in ha.) : 4.738   (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).
1.4.738    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: Yes   (a). Copy of map indicating location of alternative examined:
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: No
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?: 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: Three
District 1. : Almora
  (a). Village: Girar   (b). Area(in ha.): 4.551   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 3926, 3929, 3939, 3952, 3309, 3310, 3312, 3313, 3314, 3390,3391, 3393, 3394, 3395, 3397, 3399, 3400, 3409, 3402, 3405, 3432, 3433, 3434, 3480, 3481, 3484, 3485   (e). Present owner: Others   (f). Copy of ownership proof:   (g). Copy of Mou/agreement executed between the Present owner and the User Agency:   (h). Copy of non encumberence certificate for the forest land:
District 2. : Almora
  (a). Village: Thakulari   (b). Area(in ha.): 1.936   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 977, 218,246, 254, 260, 261, 262, 263, 264, 265, 266   (e). Present owner: Others   (f). Copy of ownership proof:   (g). Copy of Mou/agreement executed between the Present owner and the User Agency:   (h). Copy of non encumberence certificate for the forest land:
District 3. : Almora
  (a). Village: Simoli   (b). Area(in ha.): 2.989   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 9858, 9859, 9560, 9863, 9865, 9867, 9868, 9869, 9870, 9871, 9872, 9873   (e). Present owner: Others   (f). Copy of ownership proof:   (g). Copy of Mou/agreement executed between the Present owner and the User Agency:   (h). Copy of non encumberence certificate for the forest land:
  (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
1Pointwise Letter
2Index
3Praroop 2
42.1 A short narrative and importance of the project
52.2 Administrative and Financial sanction
62.3 Preliminary Joint Inspection report (by user agency, forest department, revenue department etc.)
72.4 Comperative chart showing statement of both alignment or alternate site explored for the proposed project and reasons for their rejection duly countersigned by DFO.
82.5 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.
92.6 Land schedule (for RF signed by DFO and civil soyam, Van panchayat and private nap land signed by DM).
102.7 Category wise (RF,civil soyam, Van panchayat and private nap land, Notified forest land etc.) land length, width and area in Ha.
112.8 Bar Chart with index (counter signed by DFO).
122.10 Certificate regarding suitability of indentified land for Comensatory Afforestation by DFO
132.11Undertaking by the User Agency to bear the cost of compensatory afforestation duly counter signed by the DFO
142.12 Road side/gap filling plantation estimate
152.13 Undertaking by the User Agency to bear the cost of Road side /gap filling plantation
162.15 Details of the trees with their scientific name in RF, Civil Soyam, Van Panchayat, Private Notified land and in Nap Land should be mentioned (with valuation of the trees to be felled ) (0-10 dia trees will be mentioned as saplings).
172.16 Felling of Oak trees (if involves, inspection report of the concerning CF has to be provided)
182.18 Certificate of felling minimum trees during the project work.
192.19 Muck disposal scheme (in prescribed format)
202.20 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.
212.23 No voilation has taken place, FC Act. 1980 reg
222.24 NOC from local Gram Sabhas.
232.28 Geologist Report (Govt. approved Geologist).
242.29 Task Force report
252.30 Certificate by user agency for complying the condition imposed in Standard Condition
262.31 Certificate by user agency for complying the condition imposed in geologist report/Task force recommendation in hill areas (excluding drinding water
272.32 No historical/monumental or relegeous place will be effected certificate reg. (by DM/DFO)
282.33 Undertakoing regarding no animal will be effected adversely by the project.
292.34 Undertading to provide alternative fuelwood, kerosene or LPG to labours involved in project.
302.35 Benefited villages/Families/Population Certificate.
312.36 NPV calculation certificate as per Hon'ble Supreem court /MoEF orders by DFO
322.37 Undertaking of payment of NPV, if Hon'ble Supreem Court increses the rates of NPV
332.38 Cost of the forest land and lease rent certificate by DM
342.41 Undertaking of user agency to bear the cost for dimarcation work
352.43 Check list/Fact sheet
362.9 Compensatory afforestation scheme in Civil and Soyam land (10 years) by DFO
37Objection Answer Dt. 22-12-2016
38Ca land certificate provided by DFO
39Dt. 26-07-2017 Forwarding letter of Objections
40Objection Answer Dated 07-09-17
41NOC an proposal of Van panchayat Simoli
42NOC an proposal of Van panchayat Gairar
43Receving of Letter to DFO as on 07.03.2017
44Answer of Objection
45Objection Answer Letter no 1227 Dt. 20-11-2017
46Copy of ownership proof
47FRA With Date
48Geo-referenced map of the forest land proposed to be diverted prepared by using DGPS or Total Station
49NOC from local Gram Sabhas
50Survey of India Toposheet indicating boundary of forest land proposed to be diverted
51Geo-referenced map of the forest land proposed to be diverted prepared by using DGPS or Total Station
52Survey of India Toposheet in 150000 scale indicating location of the land identified for creation of Compensatory Afforestation
53Compensatory Afforestation google map
54Letter No 163 Dated 16-02-2018 Answer of Letter no Memo/12-1(2) Dated 16-01-2017
55Objection has been removed by the document
56Objection Removed In CAmap