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: DHAN   (ii). Middle Name: SINGH   (iii). Last Name: RAWAT   (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: Chamoli   (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
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.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
1Reference Map
2New Plantation Topo
3New Plantation Reference map
4PArt-I
5Administrative & Financial Approval
6Geologist Report
7Villagers NOC
8Certificate to bear CA & NPV Certificate
9Alingment Report
10Alingment topo
11Alternative certificate
12Authority letter
13Bar Chart
14Benefitted Population
15Chainage wise report
16Detail of tree
17FRA
18Geo Map
19Historic & Rerligious palces
20Justification
21Khasra & Khautni
22Muck Disposal Certificate
23Muck Disposal Plan
24Pratiwedan
25Proposal
26Villagers NOC
27Distance Certificate from National Park by CWLW
28Plantation Topo
29Plantation Geo Map
30Joint Inspection
31Land Schedule
32Rectify letter
33Rectify letter dt- 13-09-18
34DFO Authorised Justification
35Encumberence certificate
36Plantation MOU
37Plantation Ownership certificate
38Rectify letter 15_11_19
39Proposal submission letter 13-06-17
40rectify letter 29-01-19
41CWLW Certificate
42CWLW Aerial Distance Certificate
43PArt-II
44PArt-III
45Rectify lettet 26-04-18
46DFO C/S Muck point certificate
47rectify leeter 11_02
48Rectify letter 22-09-18
49Revised FRA
50Rectify letter