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/38601/2019   (ii). Name of Project for which Forest Land is required : Dewal to Dhanai M/R of length 2.000 km   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Under chief minister declaration 1471/2015 in state sector Construction of new motor road, in constituency karanpryag “Dewal to Dhani motor road” total forest land (vanpanchayat) required 0-940 hectare to transfer Public work Department of total road length 2.00 KM. Construction of this road   (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) : 35.4   (viii). Area of forest land proposed for diversion(in ha.): 0.94   (ix). Non-forest land required for this project(in ha.): 0.49   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : TEMPORARY DIVISION PUBLIC WORKS DEPARTMENT GAUCHAR   (ii). Address1 : office of the executive Engineer Temporary Division PWD Gauchar   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Chamoli   (vi). Pin : 246429   (vii). Landmark : Near SBI BANk Gauchar   (viii). Email address : eepwdgauchar@reddiffmail.com   (ix). Landline Telephone No. : 1363-240614   (x). Fax No. : 1363-240614   (xi). Mobile No. : 9412382882   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: AMIT   (ii). Middle Name: KUMAR   (iii). Last Name: PATEL   (iv). Gender: Male   (v). Designation: ASSISTANT ENGINEER   (vi). Address 1: Office of the executive Engineer Temporary Division PWD Gauchar   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Chamoli   (x). Tehsil: Karnaprayag   (xi). Pin: 246429   (xii). Landmark: Near SBI BANK Gauchar   (xiii). Email Address: amit.patel280@gmail.com   (xiv). Landline Telephone No.: 1363-240614   (xv). Fax No.: 01363240614   (xvi). Mobile No.: 9536854007   (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,Gopeshwar0.940.49
Total0.940.49
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Chamoli0.940.49
Total0.940.49
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Dewalgarhsari0.940
2Dhanai00.49
Total 0.94 0.49
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1For Road0.910.49
2for muck disposal at x/s/ 0/15 to 0/170.010
3for muck disposal at x/s/ 0/38 to 0/390.010
4for muck disposal at x/s/ 1/15 to1/170.00990
Total 0.9399 0.49
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.) : 0.94   (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).
1.0.94    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): 8500
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
1A short narrative and importance of the project.. (pdf file).
2Administrative and Financial sanction (pdf file).
3Preliminary Joint Inspection report (by user agency, forest department, revenue department etc.) (pdf file).
4Land schedule (for RF signed by DFO and civil soyam, Van panchayat and private nap land signed by DM). (pdf file) .department, revenue department etc.) (pdf file).
5Category wise (RF,civil soyam, Van panchayat and private nap land, Notified forest land etc.) land length, width and area in Ha. (pdf file).
6Bar Chart with index (counter signed by DFO). (pdf file).
7Compensatory afforestation scheme in Civil and Soyam land (10 years) by DFO (pdf file).
8Undertaking by the User Agency to bear the cost of Road side /gap filling plantation (by user agency) (pdf file)
9Details 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 ) (0-10 dia trees will be mentioned as saplings). (pdf file) Tree count.
10Felling of Oak trees (if involves, inspection report of the concerning CF has to be provided). (pdf file).
11Certificate of felling minimum trees during the project work. (pdf file) .
12Muck disposal scheme (in prescribed format) (pdf file).
13No voilation has taken place, FC Act. 1980 reg. (pdf file).
14NOC from local Gram Sabhas. (pdf file).
15Certificate- work has not been started reg. (pdf file).
16Geologist Report (Govt. approved Geologist). (pdf file).
17Task Force report.
18Certificate by user agency for complying the condition imposed in Standard Condition (pdf file).
19Certificate by user agency for complying the condition imposed in geologist report/Task force recommendation in hill areas (excluding drinding water.
20No historical/monumental or relegeous place will be effected certificate reg. (by DM/DFO) (pdf file).
21Undertakoing regarding no animal will be effected adversely by the project. (Pdf file).
22Undertading to provide alternative fuelwood, kerosene or LPG to labours involved in project. (Pdf file).
23Benefited villages/Families/Population Certificate. (pdf file).
24NPV calculation certificate as per Hon'ble Supreem court /MoEF orders by DFO (pdf file).
25Undertaking of payment of NPV, if Hon'ble Supreem Court increses the rates of NPV (by user agency
26ANS YOUR EDS ON DATED 2 FEB 2019
27ANSWER Nodal office letter dated 16 march 2019
28ANSWER nodal office online eds on dated 13 may 2019
29Cost of the forest land and lease rent certificate by DM. (pdf file).
30Demarcation of land to be diverted (pdf file).
31airal distance of the project from National Park or sanctuary signed by DFO. (pdf file).
32answer your eds on dated 23 may 2019