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/32572/2018   (ii). Name of Project for which Forest Land is required : Extension of Lolti-Kasbinagar Motor Road.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : For Construction of Lolti-Kasbinagar Motor Road 0.188 Ha. Forest Land is required. After construction of this Motor road Kasbinagar Village with 416 Population will be benefited.   (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) : 25.2   (viii). Area of forest land proposed for diversion(in ha.): 0.188   (ix). Non-forest land required for this project(in ha.): 1.7   (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 : Tharali   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Chamoli   (vi). Pin : 246481   (vii). Landmark : NIL   (viii). Email address : pwdtharali@gmail.com   (ix). Landline Telephone No. : 1363-271224   (x). Fax No. : NIL   (xi). Mobile No. : 8126088480   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Mool   (ii). Middle Name: Chand   (iii). Last Name: Gupta   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: Con. Div. P.W.D. Tharali   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Chamoli   (x). Tehsil: NIL   (xi). Pin: 246481   (xii). Landmark: NIL   (xiii). Email Address: pwdtharali@gmail.com   (xiv). Landline Telephone No.: 1363-271224   (xv). Fax No.: 01363271224   (xvi). Mobile No.: 9457065960   (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
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
1ApprovedFP/UK/Road/10775/2015FP/UK/Road/10775/20150.7220.72230 Oct 201518 Oct 2016
2ApprovedFP/UK/ROAD/25814/20178B/UCP/06/103/20170.9550.95524 Sep 201823 Oct 2018
Total 1.677 1.677
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,Gopeshwar0.1881.7
Total0.1881.7
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Chamoli0.1881.7
Total0.1881.7
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Kasbinagar0.1881.7
Total 0.188 1.7
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1For Muck Disposal0.020.116
2For Motor Road0.1681.5839
Total 0.188 1.6999
C. Maps of forest land proposed to be diverted
Division 1. : Badrinath,Gopeshwar
  (i). Area of forest land proposed to be diverted(in ha.) : 0.188   (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).
1.0.188    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): 800
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?: 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
1If non-forest or Revenue forest land is required to be provided by User Agency? A Copy of ownership proof and No Objection Certificate
2Copy of Mou/agreement executed between the Present owner and the User Agency.
3Administrative and Financial sanction
4Preliminary Joint Inspection report (by user agency, forest department, revenue department etc.)
5Certificate from the DM 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.
6Land schedule (for RF signed by DFO and civil soyam, Van panchayat and private nap land signed by DM).
7Category wise (RF,civil soyam, Van panchayat and private nap land, Notified forest land etc.) land length, width and area in Ha.
8Bar Chart with index
9Road side/gap filling plantation estimate
10Undertaking by the User Agency to bear the cost of Road side /gap filling plantation
11Estimate of 100 trees plantation by DFO
12Details of the trees with their scientific name in RF, Civil Soyam, Van Panchayat, Private Notified land and in Nap Land should be mentioned (with valuation of the trees to be felled )
13Felling of Oak trees (if involves, inspection report of the concerning CF has to be provided).
14Certificate of felling minimum trees during the project work.
15Muck disposal scheme
16Whather project area is a part of National Park or sanctuary and airal distance of the project from National Park or sanctuary signed by DFO.
17No voilation has taken place, FC Act. 1980 reg.
18NOC from local Gram Sabhas.
19Certificate- work has not been started reg
20Geologist Report (Govt. approved Geologist).
21Task Force report
22Certificate by user agency for complying the condition imposed in Standard Condition
23Certificate by user agency for complying the condition imposed in geologist report/Task force recommendation in hill areas
24No historical/monumental or relegeous place will be effected certificate reg.
25Undertakoing regarding no animal will be effected adversely by the project.
26Undertading to provide alternative fuelwood, kerosene or LPG to labours involved in project.
27Benefited villages/Families/Population Certificate.
28NPV calculation certificate as per Hon'ble Supreem court /MoEF orders by DFO
29Undertaking of payment of NPV, if Hon'ble Supreem Court increses the rates of NPV
30Demarcation of land to be diverted
31Undertaking of user agency to bear the cost for dimarcation work
32other Document