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/21220/2016   (ii). Name of Project for which Forest Land is required : construction of Bakriya Bend to Chhimta link Motor Road under PMGSY.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The road is for providing connectivity to the village Bedi Talli,Chhimta and Chorda which is situated in block Gairsain of district Chamoli and length of the road is 12.00 km.The Population being served with the road is 880 numbers.The road passes through Private and Van Panchayat land .   (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) : 800   (viii). Area of forest land proposed for diversion(in ha.): 4.72   (ix). Non-forest land required for this project(in ha.): 5.8875   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : RES PMGSY KARANPERAYAG   (ii). Address1 : Karanprayag   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Chamoli   (vi). Pin : 246444   (vii). Landmark : NIL   (viii). Email address : eepmgsykaranprayag1@rediffmail.com   (ix). Landline Telephone No. : 1363-244843   (x). Fax No. : 1363-0   (xi). Mobile No. : 9412056922   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: sachin   (ii). Middle Name: NIL   (iii). Last Name: kumar   (iv). Gender: Male   (v). Designation: Assistant Engineer   (vi). Address 1: Karanprayag   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Chamoli   (x). Tehsil: Karnaprayag   (xi). Pin: 246444   (xii). Landmark: NIL   (xiii). Email Address: eepmgsykaranprayag1@rediffmail.com   (xiv). Landline Telephone No.: 1363-244843   (xv). Fax No.: NIL   (xvi). Mobile No.: 7895282436   (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.Kedarnath Wild Life Division,Gopeshwar4.725.8875
Total4.725.8875
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Chamoli4.725.8875
Total4.725.8875
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Doltu0.350.27
2Kheti0.1050
3Bedi talli1.321.8825
4Chorda0.750.315
5chhimta2.1953.42
Total 4.72 5.8875
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Muck Disposal - 10.030
2Muck Disposal-20.030
3Muck Disposal-300.0525
4Muck Disposal-400.21
5Muck Disposal-50.060
6Muck Disposal-600.525
7Muck Disposal-700.06
8Muck Disposal-080.10250
9Muck Disposal-90.01750
10Road4.485.04
Total 4.72 5.8875
C. Maps of forest land proposed to be diverted
Division 1. : Kedarnath Wild Life Division,Gopeshwar
  (i). Area of forest land proposed to be diverted(in ha.) : 4.72   (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).
1.4.72    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): 21600
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?: No   (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) . Reason for not providing Non-Forest Land: Others
Additional information Details
Documents
S.No Documents
Remarks
1Benefited Village(s) ,Families, Population Certificate
2Certificate that no historical monumental or religious place will be affected
3Certificate that no violation of the FA 1980 has taken place
4certificate to follow the conditions imposed by task force
5Certificate by UA for complying the conditions imposed in standard condition
6Ownership proof
7Undertaking to provide alternative fuel wood ,kerosene or LPG to labourers involved in the projectUndertaking to provide alternative fuel wood ,kerosene or LPG to labourer involved in the project
8Undertaking regarding no animal will be affected side plantation
9Undertaking by the User Agency to bear the cost of CA
10Understanding of payment of NPV,if Honable Supreme Court increases the rates of NPV
11Financial sanction
12Administrative sanction
13Areal distence certificate
14comparative Statement of identified alignment for the road
15variation extent.
16Felling of Oak trees
17Suitability certificate of CA land
18Estimate of CA scheme
19Certificate for Not staring the Work
20Certificate that no historical monumental or religious place will be affected
21Geologist recommendation
22No alternative suitable non-forest land is available for the project and that demand is barest to the minimum
23Estimates of RCC piller for demarcation of Forest
24NPV value
25Bar Chart
26Preliminary Joint Inspection report
27Land Schedule of the road
28Geo-Refernce Map of CA for Degraded reserve forest Land
29Toposheet Map of CA for Degraded reserve forest Land
30Muck disposal Plan
31Part-1
32Certificate of falling minimum of trees during the project work
33Undertaking by the User Agency to bear the cost of RCC Piller
34Estimate of muck Disposal Plan
35Certificate that no violation of the FA 1980 has taken place
36Estimate of strip plantation
37certificate to follow the conditions imposed by task force
38Diawise Details of trees.
39Geologist Report
40EDS Reply by user agency on dated 28.12.19
41Certificate of falling minimum of trees during the project work
42EDS Reply by user agency on dated 14.02.2020