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/37544/2018   (ii). Name of Project for which Forest Land is required : Pilkhi Nail Baunsala Vanchuri Road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : For new construction of road to facilitate some parts (Toke) of villages Nail Baunsala & Vanchuri population and Short distance between both villages. To facilitate local people from road, Local Market (Ghansali) and communication easily.   (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) : 323   (viii). Area of forest land proposed for diversion(in ha.): 2.89   (ix). Non-forest land required for this project(in ha.): 1.99   (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 WORKS DEPARTMENT GHANSALI   (ii). Address1 : OFFICE OF EXECUTIVE ENGINEER TEMP. DIV. PWD GHANSALI UTTRAKHAND   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Tehri Garhwal   (vi). Pin : 249155   (vii). Landmark : NIL   (viii). Email address : eepwdghansali@rediffmail.com   (ix). Landline Telephone No. : 1379-258327   (x). Fax No. : 1379-1379   (xi). Mobile No. : 7533944842   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: RATNESH   (ii). Middle Name: KUMAR   (iii). Last Name: SAXENA   (iv). Gender: Male   (v). Designation: ASST.ENGINEER   (vi). Address 1: C/O EXECUTIVE ENGINEER TEMP. DIV PWD GHANSALI, TEHRI GARHWAL, UTTARAKHAND   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Tehri Garhwal   (x). Tehsil: Ghansali   (xi). Pin: 249155   (xii). Landmark: NIL   (xiii). Email Address: eepwdghansali@rediffmail.com   (xiv). Landline Telephone No.: 1379-258327   (xv). Fax No.: 01379258327   (xvi). Mobile No.: 7533944842   (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 Tehri2.891.99
Total2.891.99
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Tehri Garhwal2.891.99
Total2.891.99
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Nail1.120.636
2Vanchuri1.771.354
Total 2.89 1.99
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Proposed Road2.891.78
2muck Dumping in naap Land at existing road km 500.05
3muck Dumping in naap Land at proposed road km 100.024
4muck Dumping in naap Land at proposed road km 300.024
5muck Dumping in naap Land at proposed road km 400.035
6muck Dumping in naap Land at proposed road km 500.032
7muck Dumping in naap Land at proposed road km 600.045
Total 2.89 1.99
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.) : 2.89   (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).
1.2.89    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): 1000
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: Vanchuri   (b). Area(in ha.): 5.78   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 4506   (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
1Detail of Project
2Administrative and Financial sanction
3Preliminary Joint Inspection report (by user agency, Forest department, revenue department etc.)
4Comparative chart showing statement of both alignment and alternate site explored for the proposed project and reason for their rejection duly countersigned by DfO.
5Certificate from the DM that no alternative suitable non-forest land is available for 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 privet nap land, Notified forest land etc.)
7Category wise (RF,civil soyam,Van panchayat and privet nap land, Notified forest land etc.) land length, width and area in Ha.(pdf file)
8Bar chart with index (counter signed by DFO). (Pdf file).
9Compensatory afforestation scheme in Civil and Soyam land (10 years) by DFO (pdf file).
10CCertificate regarding suitability of identified land for Compensatory Afforestation by DFO (pdf file).
11Undertaking by the user agency to bear the cost of compensatory afforestation duly counter signed by the DFO (pdf file)
12Road side/gap filling plantation estimate (by DFO) (pdf file)
13Details of the tree with their scientific name in RF.Civil Soyam ,Van panchayat ,Privet Land should be mentioned (with valuation of the trees to be filled)(0-10 dia trees will be mentioned as saplings).(pdf file)
14Felling of Oak Trees (if involves, inspection report of the concerning CF has to be provided)(pdf file)
15Certificate of felling minimum trees during the project work. (pdf file).
16Muck disposal scheme (in prescribed format)(pdf file)
17In The Project Falling Within The National Park Or Centaury ,Needs Recommendation Of State Wild Life Board Of wild Life(NBWL) And Permission Of Hon Ble Supreme Court/MOEF(Pdf File)
18No Violation Has Taken Place,FC Act 1980 Reg( Pdf File)
19Noc From Local Gram Sabha’s (Pdf Fie)
20Approved General Lay Out Plan/Alignment And Estimate From Competent Authority With Name And Designation (Pdf File)
21Certificate Work Has Not Been Started Reg.(Pdf File)
22Geologist report (Govt Approved Geologist).(Pdf File)
23Task Force Certificate
24Certificate By user Agency For Complying The Condition Imposed In Standard Condition(Pdf File)
25Certificate By User Agency For Complying The Condition Imposed In Geologist Report/Task Force Recommendation In Hill Areas(Excluding Drinking Water)
26No Historical / Monumental Or Religious Place Will Be Effected Certificate Reg (By DM/Dfo Pdf File)
27Under The Provide Alternative Fuel wood, Kerosene Or LPg To Labors Involved In Project.(Pdf File)
28Benefited Village/Families/Population Certificate.(Pdf File)
29NPV Calculation Certificate As Per Hon’bleSupreme Court/MOEF Orders By DFO (Pdf File)
30Undertaking Of Payment Of NPV If Hon’ble Supreme Court Increase The Rates Of NPV (By User Agency)
31Cost Of Forest Land And Lease Rent Certificate By DM.(Pdf File)
32Reply of EDS dated 9-9-19
33Reply of EDS dated 28-8-19
34In The Project Area Is Within 10 K.M Radios Of N/P Or Centuary Comments/No Objection Certificate Of CCE Wild Life Has To Be Provided.(Pdf File)
35Check List/Fact Sheet/Other Important Detail.
36Wathe rProject area Is not Part Of National Park Or Sanctuary And Arial Distance Of The Project From National Park Or Sanctuary Singed By DFO(Pdf File
37Undertaking Of User Agency To Bear The Cost Of Demarcation Work( Pdf File