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/31072/2017
(ii). Name of Project for which Forest Land is required :
Ghansali-Panwali-Akhori M/R Km14 (Hulanakhal) to Hadiyana Talla M/R
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
The proposed road is for providing the connectivity to the village Hadiyana Talla with a population of 307.The total length of the road is 3.400 km and approval of the road has been granted by Government of India under PMGSY project.
(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) :
241.91
(viii). Area of forest land proposed for diversion(in ha.):
1.78
(ix). Non-forest land required for this project(in ha.):
1.44
(x). Total period for which the forest land is proposed to be diverted(in years):
99
A-2.
Details of User Agency
(i). Name :
PMGSY
(ii). Address1 :
Executive Engineer PMGSY (ID)Tehri-1 New Tehri
(iii). Address2 :
NIL
(iv). State :
Uttarakhand
(v). District :
Tehri Garhwal
(vi). Pin :
249001
(vii). Landmark :
Near CMO office
(viii). Email address :
eepmgsytehri1@rediffmail.com
(ix). Landline Telephone No. :
1376-234594
(x). Fax No. :
1376-234594
(xi). Mobile No. :
9412347933
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
Rohit
(ii). Middle Name:
Kumar
(iii). Last Name:
Srivastava
(iv). Gender:
Male
(v). Designation:
Assistant Engineer
(vi). Address 1:
Executive Engineer PMGSY (ID)Tehri-1 New Tehri
(vii). Address 2:
NIL
(viii). State:
Uttarakhand
(ix). District:
Tehri Garhwal
(x). Tehsil:
Tehri
(xi). Pin:
249001
(xii). Landmark:
Near CMO office
(xiii). Email Address:
eepmgsytehri1@rediffmail.com
(xiv). Landline Telephone No.:
1376-234594
(xv). Fax No.:
01376234594
(xvi). Mobile No.:
9412347933
(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.
Tehri,New Tehri
1.78
1.44
Total
1.78
1.44
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Tehri Garhwal
1.78
1.44
Total
1.78
1.44
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Hadiyana Talla
1.78
1.44
Total
1.78
1.44
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
For actual construction of MR in Length 3.400Km.
1.68
0.9
2
For muck dumping in reserve forest land at X/s 0/4
0.1
0
3
For muck dumping in nap land at X/s 1/14-1/17
0
0.15
4
For muck dumping in nap land at X/s 1/24-1/27
0
0.06
5
For muck dumping in nap land at X/s 2/8-2/12
0
0.15
6
For muck dumping in nap land at X/s 2/18-2/19
0
0.03
7
For muck dumping in nap land at X/s 3/1-3/5
0
0.15
Total
1.78
1.44
C.
Maps of forest land proposed to be diverted
Division 1. : Tehri,New Tehri
(i). Area of forest land proposed to be diverted(in ha.) :
1.78
(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.
1.78
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):
25000
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. : Tehri Garhwal
(a). Village:
Hadiyana Talla
(b). Area(in ha.):
3.56
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
2369,2416,2409,2411,2437,2436,2431,2433,3232
(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
1
Copy of documents in support of the competence /authority of the person making this application to make application on behalf of the User Agency.
2
Copy of Survey of India Toposheet indicating boundary of forest land proposed to be diverted.
3
Geo-referenced map of the forest land proposed to be diverted prepared by using GPS.
4
Note containing justification for locating the Project in forest land
5
Certificate by DM- Forest Right Act-2006.
6
Survey of India Toposheet in 1:50,000 scale indicating location of the land identified for creation of Compensatory Afforestation:
7
Geo-Referenced Map showing the land identified for CA
8
If non-forest or Revenue forest land is required to be provided by User Agency? A Copy of ownership proof and No Objection Certificate
9
Copy of Mou/agreement executed between the Present owner and the User Agency.
10
A short narrative and importance of the project.
11
Administrative and Financial sanction of Projct.
12
Joint Inspection report by user agency, forest department, revenue department etc.
13
Comperative chart showing statement of both alignment or alternate site explored for the proposed project and reasons for their rejection.
14
Certificate from the D.M./D.F.0. that no alternative suitable non-forest land is available for the project in question and the demand of the forest land for the project is barest minimum.
15
Land schedule- Reserve Forest Land, Civil Soyam Land and private Nap Land.
16
Category wise Length, Width and Area Certificate of the Project.
17
Compensatory afforestation scheme in Civil and Soyam land for 10 years.
18
Certificate regarding suitability of indentified land for Comensatory Afforestation.
19
Undertaking by the User Agency to bear the cost of compensatory afforestation
20
Road side/gap filling plantation estimate.
21
Undertaking by the User Agency to bear the cost of Road side /gap filling plantation.
22
Details of the effective trees with their scientific name in Reserve Forest, Civil Soyam, Private Nap Land.
23
Certificate of felling minimum trees during the project work.
24
Muck disposal scheme.
25
The project area is not a part of National Park or sanctuary and airal distance of the project from National Park or sanctuary certificate.
26
No voilation has taken place, FC Act. 1980
27
NOC from local Gram Sabha.
28
Certificate- work has not been started reg.
29
Geologist Report.
30
Task Force report.
31
Certificate by user agency for complying the condition imposed in Standard Condition
32
Certificate by user agency for complying the condition imposed in geologist report/Task force recommendation in hill areas.
33
No historical/monumental or relegeous place will be effected certificate.
34
Undertakoing regarding no animal will be effected adversely by the project.
35
Undertading to provide alternative fuelwood, kerosene or LPG to labours involved in project.
36
Benefited villages/Families/Population Certificate.
37
NPV calculation certificate as per Hon'ble Supreem court /MoEF orders by D.F.O.
38
Undertaking of payment of NPV, if Hon'ble Supreem Court increses the rates of NPV (by user agency).
39
Cost of the forest land and lease rent certificate by DM.
40
Certificate of Lease period by user agency.
41
Demarcation of land to be diverted
42
Undertaking of user agency to bear the cost for dimarcation work.
43
All Scan copy of Forest Land Transfer proposal Submitted.
44
Check List and Fact Sheet.
45
5 No. hard copy has been submitted.
46
Revise Bar Chart of Project
47
Reply of objection Dated 09.03.2018