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/16277/2015   (ii). Name of Project for which Forest Land is required : Jamu Ravigram Motor Road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : This Road starts from 3rd km (near Jamdagneshwar Temple) of Phata-Jamu Motor Road and connects the Village Ravigram having Population of 216. This Road will provide connectivity to the villagers who trave1 1.5 km steep slope on foot daily for their basic needs like medical facilities and livelihood   (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) : 19.62   (viii). Area of forest land proposed for diversion(in ha.): 0.996   (ix). Non-forest land required for this project(in ha.): 0.248   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : EECDPWDUKM   (ii). Address1 : EXECUTIVE ENGINEER, CONST. DIVISION, PWD UKHIMATH, RUDRAPRAYAG   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Rudraprayag   (vi). Pin : 246469   (vii). Landmark : NEAR ONKARESHWAR TEMPLE   (viii). Email address : ukhimathpwd@yahoo.in   (ix). Landline Telephone No. : 1364-284239   (x). Fax No. : 1364-284239   (xi). Mobile No. : 9675898652   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Andeep   (ii). Middle Name: NIL   (iii). Last Name: Rana   (iv). Gender: Male   (v). Designation: Assistant Engineer   (vi). Address 1: Construction Division, PWD, Ukhimath (Rudraprayag) - 246469   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Rudraprayag   (x). Tehsil: NIL   (xi). Pin: 246469   (xii). Landmark: Near Onkareshwar Temple   (xiii). Email Address: ukhimathpwd@yahoo.in   (xiv). Landline Telephone No.: 1364-284239   (xv). Fax No.: 01364284239   (xvi). Mobile No.: 7055570245   (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.Rudraprayag0.9960.248
Total0.9960.248
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Rudraprayag0.9960.248
Total0.9960.248
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Ravigram0.9960.248
Total 0.996 0.248
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Muck Disposal point 10.0630
2Muck Disposal point 20.0750
3Bridge construction0.0080
4Road Construction0.850.248
Total 0.996 0.248
C. Maps of forest land proposed to be diverted
Division 1. : Rudraprayag
  (i). Area of forest land proposed to be diverted(in ha.) : 0.996   (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).
1.0.996    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 ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 0   (iii). Temporary Employment(Number of person-days): 2803
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
1Administrative and Financial sanction
2Bar chart with index
3Category Wise Land area in Hectare
4Certificate by user agency for complying the condition imposed in geologist report and task force certificate
5Certificate from DM that no other alternate suitable for non forest land
6Certificate of felling minimum trees during the project work
7Certificate work has not been started
8Check list Fact Sheet
9Comparative Chart showing statement of both alignment
10Cost of forest land
11Demarcation of land to be diverted
12Details of tree with Their Scientific Name
13Felling of Oak trees
14FRA 2006
15Geologist report
16If project Area is within 10 km radius of NP or Sanctury NOC of CCF
17joint inspection report
18Land schedule
19Muck disposal
20No Historical monuments will be affected certificate
21No violation of FC act 1980 has been taken place
22NOC from local gram sabha
23RCC Piller Demarcation
24Standard Conditions
25Task FOrce Certificate
26Undertaking of payment of NPV if Supreme court Increases rate
27Undertaking to provide alternative fuelwood, kerosene or LPG to labour involve in project
28Undrtaking no animal will be effected adversely by the project
29COMPLETE File
30Toposheet
31Geo Reference Map
32Competent Authority Letter
33objections remove letter
34Weather project Area is a part of national park or century and radial distance of project from it
35Benefited village and its population
36Objection Removal lette
37Certificate of Validity of sanction for financial year 2016-17
38Hard Copy Submission in Nodal office Recieving Letter
39Sir as your complain objection has been removed the letter attech share
40HARD COPY SUBMISSION LETTER
41Sir all ready Hard Copy Submission in Nodal office