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/38058/2019   (ii). Name of Project for which Forest Land is required : Mangoli Khamari Thapla Jalalgaon to Dechori MR   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Motor Road is proposed from mangoli khamari thapla jlalgaon dechauri under State sector in 7 km. gram Jalalgaon, khudliya khet, bhotiyapdaw, rokhad and Amaltani etc. directly and indirectly benefited by motor road and education as well as medical facility will be enhance.   (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) : 245   (viii). Area of forest land proposed for diversion(in ha.): 5.445   (ix). Non-forest land required for this project(in ha.): 0.43   (x). Total period for which the forest land is proposed to be diverted(in years): 90
A-2. Details of User Agency
  (i). Name : PUBLIC WORKS DEPARTMENT   (ii). Address1 : Office of the Executive Engineer, Provincial Division , Public Works Division, Nainital   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Nainital   (vi). Pin : 263002   (vii). Landmark : NIL   (viii). Email address : eepdpwdntl@gmail.com   (ix). Landline Telephone No. : 5942-235572   (x). Fax No. : 5942-233549   (xi). Mobile No. : 9411115445   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: dhan   (ii). Middle Name: singh   (iii). Last Name: kutiyal   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: Office of the Executive Engineer, Provincial Division , Public Works Division, Nainital   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Nainital   (x). Tehsil: Nainital   (xi). Pin: 263001   (xii). Landmark: NIL   (xiii). Email Address: eepdpwdntl@gmail.com   (xiv). Landline Telephone No.: 5942-235572   (xv). Fax No.: 05942233549   (xvi). Mobile No.: 7895523863   (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.Nainital3.510.215
2.Ramnagar1.9350.215
Total5.4450.43
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Nainital5.4450.43
Total5.4450.43
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Jalalgaon5.4450.43
Total 5.445 0.43
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road5.4450
2Muck Disposal00.43
Total 5.445 0.43
C. Maps of forest land proposed to be diverted
Division 1. : Nainital
  (i). Area of forest land proposed to be diverted(in ha.) : 3.51   (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).
1.3.51    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:
Division 2. : Ramnagar
  (i). Area of forest land proposed to be diverted(in ha.) : 1.935   (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).
1.1.935    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): 7300
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?: 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. : Pauri Garhwal
  (a). Village: Juaa   (b). Area(in ha.): 10.89   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 1104 1125 1136 1149 1159 1166 1174 1177 1188 1194 1221 1222 1235 1247 1289 1295 1307 1312 1318 1319 1320 1324 1328 1331 1333 1338 1345 1352 1357 1362 1363 1365 1367   (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
1Front Page, Index, Site Inspection Report, Fact Sheet
2User agency Cert. rule-6 Part I, II, III, IV
3User agency Cert. rule-6 Part V, FRA, Demand of forest land cert.
4Joint inspection report, Land Schedule, Cutting of oak tree cert., inpection report, list of tree 10-20 dia, National Park/Wild life centuary cert
5All Digital Map, List of 10 mm dia cert
6Civil Soyam transfer Land cert, CA Planning, Site Sutability Cert, Bar Chart, CA Planning for plantation, Work not startedf cert.
7Geologist Report, Task force Cert, Relegious/Histrocal/Mythological cert,Advantage for villagers/families/population cert
8Envirmental Approval, Valuation of Forest Land, NPV deposit cert, NPV valuation, Eco class cert, muck disposal cert, Valuation of Muck disposal
9Standard condition, RCC simakan Cert, Carosin oil cret
10Muck disposal proposal cert, Summary of muck Disposal, Muck disposal yard co-ordinate, Muck disposal map
11Administrative and financial approval
12Aerial Distance
13Barchart
14Cost benefit Ratio Cert NEW
15objection remove dated 19-11-2019
16objection remove dated 19-11-2019