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/30634/2017   (ii). Name of Project for which Forest Land is required : Construction of Supi to Jhuni motor road in District-Bageshwar   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Proposal for diversion of 8.137 ha. forest land for construction of motor road. This Road will link the villagers with supi jhuni road. Presently the foot track is very narrow and steep witch is the course of trouble for the villagers to come down and up for there necessary needs to fulfill from ne   (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) : 863.74   (viii). Area of forest land proposed for diversion(in ha.): 8.137   (ix). Non-forest land required for this project(in ha.): 0.869   (x). Total period for which the forest land is proposed to be diverted(in years): 100
A-2. Details of User Agency
  (i). Name : PMGSY   (ii). Address1 : RES PMGSY Kapkot   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Bageshwar   (vi). Pin : 263642   (vii). Landmark : Kathayatbara   (viii). Email address : eepmgsykapkot@rediffmail.com   (ix). Landline Telephone No. : 5963-220127   (x). Fax No. : 5963-220127   (xi). Mobile No. : 9897839748   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: GIRISH   (ii). Middle Name: CHANDRA   (iii). Last Name: KHOLIYA   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: RES PMGSY KAPKOT   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Bageshwar   (x). Tehsil: NIL   (xi). Pin: 263642   (xii). Landmark: Kathayatbara   (xiii). Email Address: eepmgsykapkot@rediffmail.com   (xiv). Landline Telephone No.: 5963-220127   (xv). Fax No.: 05963220127   (xvi). Mobile No.: 9897839748   (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.Bageshwar8.1370.869
Total8.1370.869
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Bageshwar8.1370.869
Total8.1370.869
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Patiyashar1.9830.869
2Khaljuni2.9940
3juni3.160
Total 8.137 0.869
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road8.0410.869
2Muck Disposal0.0960
Total 8.137 0.869
C. Maps of forest land proposed to be diverted
Division 1. : Bageshwar
  (i). Area of forest land proposed to be diverted(in ha.) : 8.137   (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).
1.8.137    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): 26000
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?: Yes   (a). Copy of Cost-Benefit analysis:
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
1Short Narrative
2Joint Inspection
3Comperative chart showing statement of both aligment
4Cetificate from the DM
5Land Schedule
6Category wise land length, width and area in Ha.
7Bar Chart with Index
8undertaking by the user agency to bear the cost of compensatory afforestation duly counter signed by the DFO
9Road side/gap filling plantation estimate
10Undertaking by the user agency to bear the cost of Road side/gap filling plantation
11Felling of oak trees
12certificate of felling minimum trees during the project work
13Whather Project area is a park of National Park or sancturay and arial distance of the project
14If the project area is within 10Km radius of N/P
15FC Act 1980 reg.
16NOC from local gram sabhas.
17Certificate work has not been started reg.
18Geologist Report
19Task force report
20Standard Condition
21Certificate by user agency for complying the condition imposed in geologist report/task force
22No historical/monumental
23No animal will be effected adversely by the poroject
24undertaking to provide alternative fuelwood, kerosene of LPG to labours involved in project
25new joints inspection report
26new tree details
27receving letter cf office
28Part i,ii,iii certificate
29Benefited Villages
30Undertaking of Payment of NPV
31Receving letter cf office revised
32suitability of indentified land for comensatory afforestation
33Aerial distance certificate
34Administrative and Financial Sanction
35NPV Calculation certificate as per Hon'ble supereem courtllages
36Compensatory afforestation scheme
37CA suitability(MDF) By DFO
38reply of 45th REC objections
39Muck Disposal scheme
40certificate regarding counting of trees within 7 mts
41reply of observations by RO
42reply of EDS by Nodal