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/19747/2016   (ii). Name of Project for which Forest Land is required : Construction of Pakhi-Hyuna-Pokhani-Lanzi-Dewing motor road. Under C.M. Announce   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Village Pokhani, Hyuna, Lanzi & Dwing are nor connected by any motor road. So the villegers walk trough near about 10 Km. on foot. For connecting these villages 10 Km motor road required. For this 3.97Hect forest land will be diverted.   (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) : 126   (viii). Area of forest land proposed for diversion(in ha.): 3.97   (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): 99
A-2. Details of User Agency
  (i). Name : PUBLIC WORK DEPARTMENT   (ii). Address1 : PROVINCIAL DIVISION   (iii). Address2 : PUBLIC WORKS DEPARTMENT, GOPESHWAR (CHAMOLI)   (iv). State : Uttarakhand   (v). District : Chamoli   (vi). Pin : 246401   (vii). Landmark : NEAR PETROL PUMP   (viii). Email address : eepdgpr1@gmail.com   (ix). Landline Telephone No. : 1372-252122   (x). Fax No. : 1372-252122   (xi). Mobile No. : 9412974456   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: SURENDRA   (ii). Middle Name: SINGH   (iii). Last Name: PATWAL   (iv). Gender: Male   (v). Designation: EXECUTIVE ENGINEER   (vi). Address 1: PROVINCIAL DIVISION, PWD   (vii). Address 2: GOPESHWAR   (viii). State: Uttarakhand   (ix). District: Chamoli   (x). Tehsil: NIL   (xi). Pin: 246401   (xii). Landmark: NEAR PETROL PUMP   (xiii). Email Address: eepdgpr1@gmail.com   (xiv). Landline Telephone No.: 1372-252122   (xv). Fax No.: 01372252122   (xvi). Mobile No.: 9412949936   (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
1InprincipleFP/UK/ROAD/15018/2015150180.7130.71322 Sep 2019
Total 0.713 0.713
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.Badrinath,Gopeshwar3.970
Total3.970
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Chamoli3.970
Total3.970
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Pakhi0.050
2Pokhani2.650
3Lanzi1.270
Total 3.97 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road3.850
2Muck Diposal0.120
Total 3.97 0
C. Maps of forest land proposed to be diverted
Division 1. : Badrinath,Gopeshwar
  (i). Area of forest land proposed to be diverted(in ha.) : 3.97   (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).
1.3.97    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: there are no any other alternative alingment
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): 560
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: One
District 1. : Chamoli
  (a). Village: Malari   (b). Area(in ha.): 7.94   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 1354, 1355, 1356, 1357, 1358, 1367, 1368   (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
1Alingment Report
2Alingment topo
3Alternative certificate
4Authority letter
5Bar Chart
6Benefitted Population
7Chainage wise report
8Detail of tree
9FRA
10Geo Map
11Historic & Rerligious palces
12Justification
13Khasra & Khautni
14Muck Disposal Certificate
15Muck Disposal Plan
16Pratiwedan
17Proposal
18Villagers NOC
19Plantation Topo
20Plantation Geo Map
21Joint Inspection
22Land Schedule
23Rectify letter
24Proposal submission letter 13-06-17
25Reference Map
26New Plantation Topo
27New Plantation Reference map
28PArt-I
29PArt-II
30PArt-III
31Rectify lettet 26-04-18
32Rectify letter dt- 13-09-18
33DFO Authorised Justification
34Encumberence certificate
35Plantation MOU
36Plantation Ownership certificate
37Rectify letter 22-09-18
38Revised FRA
39Administrative & Financial Approval
40Geologist Report
41Villagers NOC
42Certificate to bear CA & NPV Certificate
43Distance Certificate from National Park by CWLW
44rectify letter 29-01-19
45CWLW Certificate
46CWLW Aerial Distance Certificate
47Rectify letter
48Rectify letter 15_11_19
49DFO C/S Muck point certificate
50rectify leeter 11_02
51Bhagirathi Eco Sensitive Zone Certificate
52Rectify letter 06_06_20
53Rectify letter 22_07_20
54Joint Report Point 1 Objection
55News Paper