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/151113/2022   (ii). Name of Project for which Forest Land is required : upgradation of existing road to 2 lane configuration of rameswer-gangolighat berinag chaukori kanda bageswer takula almora section of NH-309A from km 133.00 to km170.00(Length 37.00KM)   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : upgradation of existing road to 2 lane configuration of rameswer-gangolighat berinag chaukori kanda bageswer takula almora section of NH-309A from km 133.00 to km170.00(Length 37.00KM)   (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) : 3250000   (viii). Area of forest land proposed for diversion(in ha.): 22.112   (ix). Non-forest land required for this project(in ha.): 4.088   (x). Total period for which the forest land is proposed to be diverted(in years): 100
A-2. Details of User Agency
  (i). Name : EENHRANIHET   (ii). Address1 : NH PWD RANIKHET   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Almora   (vi). Pin : 263651   (vii). Landmark : MAL ROAD   (viii). Email address : eenhranikhet19@gmail.com   (ix). Landline Telephone No. : 0-   (x). Fax No. : 0-   (xi). Mobile No. : 9412023055   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: MAHENDRA   (ii). Middle Name: NIL   (iii). Last Name: KUMAR   (iv). Gender: Male   (v). Designation: EXECUTIVE ENGINEER   (vi). Address 1: NH PWD RANIKHET   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Almora   (x). Tehsil: Almora   (xi). Pin: 263651   (xii). Landmark: NIL   (xiii). Email Address: eenhranikhet19@gmail.com   (xiv). Landline Telephone No.: 0-   (xv). Fax No.: NIL   (xvi). Mobile No.: 9412023055   (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.Bageshwar22.1124.088
Total22.1124.088
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Bageshwar22.1124.088
Total22.1124.088
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1RF9.7570
2KHAKAR0.540
3GARIYAGAV0.1870.561
4BHATT KHOLA0.5310.2
5KARALA0.7370
6ARIYAGAR1.4280.3
7JOSHIGAV0.840.561
8SIMSYARI0.0660
9REKHOLI2.8620.4
10PAURI0.030.1
11MATELA00.2
12CHANI00.35
13GARIKHET00.2
14NAYAL00.35
15BILONASERA2.50.2
16KALOTA2.6340.2
17TYUNARA00.466
Total 22.112 4.088
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1MOTOR ROAD18.1124.088
2muck dumping40
Total 22.112 4.088
C. Maps of forest land proposed to be diverted
Division 1. : Bageshwar
  (i). Area of forest land proposed to be diverted(in ha.) : 22.112   (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).
1.22.112    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: UPGRADATION OF EXISTING ROAD
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): 118400
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? : 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 ?: Yes   (a). Reason Category: CA Will be raised on degraded forest land as well as on land provided by User Agency   (b). Degraded forest area on which CA has to be raised by forest department(in ha.): 44.224   (c). Area of non-forest or Revenue forest land required to be provided by User Agency for raising Compensatory Afforestation(in ha.): NIL   (iii). No. of districts involved for raising Compensatory Afforestation: 1   (iv). No. of patches: Four
District 1. : Bageshwar
  (a). Village: Haldwani com 02,pesiya com 01,pandrapali01,paldi08   (b). Area(in ha.): 44.224   (c). Copy of KML file of the patch:     View File   (d). Khasra details: Haldwani com 02,pesiya com 01,pandrapali01,paldi08   (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
1A short narrative and importance of the project.. (pdf file)
2Administrative and Financial sanction (pdf file)
3Preliminary Joint Inspection report (by user agency, forest department, revenue department etc.) (pdf file)
4Comparative chart showing statement of both alignment or alternate site explored for the proposed project and reasons for their rejection duly countersigned by DFO. (pdf file)
5Certificate 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. (pdf file)
6Land schedule (for RF signed by DFO and civil soyam, Van panchayat and private nap land signed by DM). (pdf file)
7Category wise (RF,civil soyam, Van panchayat and private nap land, Notified forest land etc.) land length, width and area in Ha. (pdf file)
8Bar Chart with index (counter signed by DFO). (pdf file)
9Undertaking by the User Agency to bear the cost of compensatory aforestation duly counter signed by the DFO (pdf file)
10Road side/gap filling plantation estimate (by DFO) (pdf file)
11Undertaking by the User Agency to bear the cost of Road side /gap filling plantation (by user agency) (pdf file)
12Estimate of 100 trees plantation by DFO ( less then 1.0 ha. cases ) (pdf file)
13Estimate of 100 trees plantation by DFO ( less then 1.0 ha. cases ) (pdf file)
14Details 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). (pdf file) Tree count
15Felling of Oak trees (if involves, inspection report of the concerning CF has to be provided). (pdf file)
16If felling of trees is not involved, certificate by DFO in this regard. (pdf file)
17Certificate of felling minimum trees during the project work. (pdf file)
18Muck disposal scheme (in prescribed format) (pdf file)
19Whather project area is a part of National Park or sanctuary and aural distance of the project from National Park or sanctuary signed by DFO. (pdf file)
20If the project area is within 10 Km radius of N/P or Centaury, Comments/No objection certificate of CCF Wild Life has to be provided. (pdf file)
21If the Project falling within the National park or Sanctuary, needs recommendation of State Wild Life Board, National Board of Wild Life (NBWL) and permission of Hon'ble Supreme Court/MoEF GoI. (pdf file)
22No violation has taken place, FC Act. 1980 reg. (pdf file)
23NOC from local Gram Sabhas. (pdf file)
24Approved general lay out plan/alignment and estimate from competent authority with name and designation (pdf file)
25Component wise details of construction work. (pdf file)
26Certificate- work has not been started reg. (pdf file)
27Task Force report
28Item wise details of works. (pdf file)
29Certificate by user agency for complying the condition imposed in Manak Shartain (pdf file) (pdf file)
30Certificate by user agency for complying the condition imposed in geologist report/Task force recommendation in hill areas (excluding drinking water
31No historical/monumental or religious place will be effected certificate reg. (by DM/DFO) (pdf file)
32Undertaking regarding no animal will be effected adversely by the project. (Pdf file)
33Undertaking to provide alternative fuel wood, kerosene or LPG to labours involved in project. (Pdf file)
34Benefited villages/Families/Population Certificate. (pdf file)
35NPV calculation certificate as per Hon'ble Supreme court /MoEF orders by DFO (pdf file)
36Undertaking of payment of NPV, if Hon'ble Supreme Court increases the rates of NPV (by user agency) (pdf file)
37Cost of the forest land and lease rent certificate by DM. (pdf file)
38Certificate of Lease period by user agency. (pdf file)
39Demarcation of land to be diverted (pdf file)
40Undertaking of user agency to bear the cost for demarcation work (pdf file)
41Non-availability of non-forest land for compensatory afforastation certificate by Chief secretary (pdf file)
42Check list/Fact sheet
43Part I
44eds
4527.05.2022
46Compensatory afforestation scheme in Civil and Soyam land (10 years) by DFO (pdf file)
47eds 20.10.2022