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/22981/2016   (ii). Name of Project for which Forest Land is required : Construction of Majhera Kumarti Sore Nored Motor Road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Const. of New road is sanctioned vide GO No. 6108/III(2)/14-33(Pra. Aa.)/2014 dated 19-12-2014 length 5.00 Km & cost Rs. 43.31 Under CM Ghosana 438/2014 in sult Vidhansaba. This road is very important for Educational, Social and Economical Development of the area.   (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) : 43.31   (viii). Area of forest land proposed for diversion(in ha.): 0.63   (ix). Non-forest land required for this project(in ha.): 3.87   (x). Total period for which the forest land is proposed to be diverted(in years): 200
A-2. Details of User Agency
  (i). Name : EXECUTIVE ENGINEER   (ii). Address1 : Provincial Division P.W.D., Ranikhet   (iii). Address2 : Mall Raod Ranikhet   (iv). State : Uttarakhand   (v). District : Almora   (vi). Pin : 263645   (vii). Landmark : NIL   (viii). Email address : eepdrani@yahoo.com   (ix). Landline Telephone No. : 5966-220679   (x). Fax No. : NIL   (xi). Mobile No. : 7500540231   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Kundan   (ii). Middle Name: Lal   (iii). Last Name: vema   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: Provincial Division PWD, Ranikhet   (vii). Address 2: Mall Road Ranikhet   (viii). State: Uttarakhand   (ix). District: Almora   (x). Tehsil: Ranikhet   (xi). Pin: 263645   (xii). Landmark: Ranikhet   (xiii). Email Address: eepdrani@yahoo.com   (xiv). Landline Telephone No.: 5966-220679   (xv). Fax No.: 05966220679   (xvi). Mobile No.: 9412403782   (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.Almora0.633.87
Total0.633.87
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Almora0.633.87
Total0.633.87
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Soray0.4452.61
2Kumarti0.181.161
Total 0.625 3.771
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road work0.633.771
2Muck Disposal Yard00.099
Total 0.63 3.87
C. Maps of forest land proposed to be diverted
Division 1. : Almora
  (i). Area of forest land proposed to be diverted(in ha.) : 0.63   (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).
1.0.63    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): 675
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? : Yes
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
1A Short Narrative and Importance of the Project
2Administrative and Financial Sanction
3Preliminary Joint Inspection Report
4Certificate from the DM that no alternative suitable non-forest land
5Land schedule
6Category wise land length
7Bar Chart With Index
8Road Side/Gap Filling Plantation Estimate
9Undertaking by the User Agency to bear the cost of Road Side/Gap Filling Plantation
10Estimate of 100 trees plantation by DFO (less than 1.0 ha. Cases)
11Details of the trees with their scientific name in RF, Civil Soyam, Van panchayat, Private Notified land
12Felling of Oak trees (If involves, inspection report of the concerning CF has to be provided)
13Certificate of felling minimum trees during the project work.
14Whather project area is a part of National Park or sanctuary and airal distance of the project from National Park or sanctuary signed by DFO
15No voilation has taken place, FC Act. 1980 reg.
16NOC from local Gram Sabhas
17Certificate work has not been started reg.
18Geologist Report
19Task Force Report
20Item wise details of works
21Certificate by user agency for complying the condition imposed in Manak Shartain
22Certificate by user agency for complying the condition imposed in geologist report/Task forcex
23historical/monumental or relegeous place will be effected certificate reg.
24Undertaking regarding no animal will be effected adversely by the project
25Undertading to provide alternative fuel wood, kerosene or LPG to labours
26Benefited villagers/families/population certificate
27NPV calculation certificate as per S. court
28Undertaking of payment of NPV S. court increases the rates of NPV
29Cost of the forest land and lease rent certificate
30Hard Copy Recived by DFO letter no memo/12-1 dated 09-01-2020
31Undertaking of user agency to bear the cost for dimarcation work
32Check list/Fact Sheet
33Hard copy received by letter no 3115/36c dated 06-12-2019