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/38364/2019   (ii). Name of Project for which Forest Land is required : Construction of Bungidhar Mehalchauri bacchuwaban Motor Road km-12 to kolani link Motor road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The road is required for providing connectivity to Village - Kolani situated in Block-Gaisain of District Chamoli .The Population being served with the road is 305 numbers . The road passes through Reserve Land, Civil Land and private land.   (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) : 300   (viii). Area of forest land proposed for diversion(in ha.): 2.775   (ix). Non-forest land required for this project(in ha.): 2.055   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : RES PMGSY KARANPERAYAG   (ii). Address1 : Karanprayag   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Chamoli   (vi). Pin : 246444   (vii). Landmark : NIL   (viii). Email address : eepmgsykaranprayag1@rediffmail.com   (ix). Landline Telephone No. : 1363-244843   (x). Fax No. : 1363-0   (xi). Mobile No. : 9412056922   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: sachin   (ii). Middle Name: NIL   (iii). Last Name: kumar   (iv). Gender: Male   (v). Designation: Assistant Engineer   (vi). Address 1: Karanprayag   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Chamoli   (x). Tehsil: Karnaprayag   (xi). Pin: 246444   (xii). Landmark: NIL   (xiii). Email Address: eepmgsykaranprayag1@rediffmail.com   (xiv). Landline Telephone No.: 1363-244843   (xv). Fax No.: NIL   (xvi). Mobile No.: 7895282436   (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.Kedarnath Wild Life Division,Gopeshwar2.7752.055
Total2.7752.055
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Chamoli2.7752.055
Total2.7752.055
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1RF0.180
2Kolani1.06050.3855
3Naugaon0.4450.4
4Gogina0.81950.5495
5kot0.270.72
Total 2.775 2.055
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road2.6551.935
2Muck Disposal0.120.12
Total 2.775 2.055
C. Maps of forest land proposed to be diverted
Division 1. : Kedarnath Wild Life Division,Gopeshwar
  (i). Area of forest land proposed to be diverted(in ha.) : 2.775   (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).
1.2.775    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): 16740
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? : Yes
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
1Justification of the project
2Detail of private land owners with proof of ownership
3Details of Trees
4Land schedule
5Noc of aam sabha
6Preliminiry report of the project
7Task force condition
8Estimate of strip plantation
9Muck disposal plan
10certificate for bearing the cost CA
11Benefited Village Families Population Certificate
12Bar chart of the road
13Certificate for bearing the cost of road side plantation
14certificate for minimum number of trees
15Certificate for Not staring the work
16Certificate that no violation of the FA 1980 has taken place
17Certificate that the project is not a part of National park or Sanctuary and the aerial distance.
18compensatory Afforestation scheme.
19Cost of the Demarcation of land to be diverted and Understanding of user agency to bear the cost for Demarcation work
20Certificate that no historical/monumental or religious place will be affected .
21Part-1
22Certificate for no alternative suitable non-forest land for the project and that demand is barest to the minimum.
23Certificate for no alternative NPV calculation Certificate as per Honable Supereme Court/MoEF orders and Understanding of payment of NPV,if Honable Supreme Court increases the rates of NPV.
24NPV details
25comparative Statement of identified alignment for the road.
26Undertaking to provide alternative fuel wood ,kerosene or LPG to labourers involved in the projectUndertaking to provide alternative fuel wood ,kerosene or LPG to labourer involved in the project
27Estimates of RCC piller for demarcation of Forest
28Estimate of muck Disposal Plan
29Geologist recommendation
30Toposheet Map Of degraded forest land for CA
31Geo-Referance Of degraded forest land for CA
32Photograph of Alignment
33Muck Disposal Plan
34Administrative Sanction
35Geologist Report
36EDS reply by User Agency on dated 22.11.19
37EDS reply by User Agency on dated 17.02.2020
38EDS reply by User Agency on dated 17.02.2020
39Standard condition
40Task force certificate
41Undertaking regarding no animal will be affected adversely by the project
42EDS reply by User Agency on dated 09.07.19