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/38787/2019   (ii). Name of Project for which Forest Land is required : Chelchina Basantpur Jaiti Motor Road Length 10.00Km   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Constuction of Chelchina Basantpur Jaiti Motor Road in Jageshwer constituency Distt Almora. is proposed as a existing Chaja Fatkwaldugra Motor Road. The sanction length of proposed motor road is 10.00 km. The benefited village of this Road are Tyunara, Rosila, Badiyarrait, Tikar, Ranak, Nayasangro   (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) : 139   (viii). Area of forest land proposed for diversion(in ha.): 2.602   (ix). Non-forest land required for this project(in ha.): 6.897   (x). Total period for which the forest land is proposed to be diverted(in years): 100
A-2. Details of User Agency
  (i). Name : EXECUTIVE ENGINEER   (ii). Address1 : Provincial Division P.W.D., Almora   (iii). Address2 : Mall Raod Almora   (iv). State : Uttarakhand   (v). District : Almora   (vi). Pin : 263601   (vii). Landmark : Chaughan Pata, Almora   (viii). Email address : eepdalmora@rediffmail.com   (ix). Landline Telephone No. : 5962-2320033   (x). Fax No. : 5962-5962   (xi). Mobile No. : 7533877888   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Vijay   (ii). Middle Name: NIL   (iii). Last Name: Kumar   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: Executive Engineer, Provincial Division, Public works Department, Almora   (vii). Address 2: Mall Road Almora   (viii). State: Uttarakhand   (ix). District: Almora   (x). Tehsil: Almora   (xi). Pin: 263601   (xii). Landmark: Chaughan Pata, Almora   (xiii). Email Address: eepdalmora@rediffmail.com   (xiv). Landline Telephone No.: 5962-230033   (xv). Fax No.: 059622320033   (xvi). Mobile No.: 9456104668   (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.Civil Soyam,Almora2.6026.897
Total2.6026.897
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Almora2.6026.897
Total2.6026.897
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1TYUNARA1.0291.357
2ROSILA0.1440.441
3BADIYAR RAIT0.0460.546
4RANAK0.3892.187
5NAYASANGROLI0.5491.167
6TIKAR0.4451.199
Total 2.602 6.897
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Motor Road2.6026.398
2muck disposal00.499
Total 2.602 6.897
C. Maps of forest land proposed to be diverted
Division 1. : Civil Soyam,Almora
  (i). Area of forest land proposed to be diverted(in ha.) : 2.602   (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).
1.2.602    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): 32000
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. : Almora
  (a). Village: Gunaditya   (b). Area(in ha.): 5.204   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 2758,2759,2774,2776,2779,2790,2928   (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
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)
4Comparative chart showing statement of both alignment or alternate site explored for the proposed project and reasons for their rejection duly countersigned by DFO. (pdf file)
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. (pdf file)
6Land schedule (for RF signed by DFO and civil soyam, Van panchayat and private nap land signed by DM). (pdf file)
7Category wise (RF,civil soyam, Van panchayat and private 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)
10Certificate Regarding. suitability of indentified land for Compensatory Aforestation by DFO (pdf file)
11Undertaking by the User Agency to bear the cost of compensatory aforestation duly counter signed by the DFO (pdf file)
12Road side/gap filling plantation estimate (by DFO) (pdf file)
13Undertaking by the User Agency to bear the cost of Road side /gap filling plantation (by user agency) (pdf file)
14Estimate of 100 trees plantation by DFO ( less then 1.0 ha. cases ) (pdf file)
15Details 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
16Felling of Oak trees (if involves, inspection report of the concerning CF has to be provided). (pdf file)
17If felling of trees is not involved, certificate by DFO in this regard. (pdf file)
18Certificate of felling minimum trees during the project work. (pdf file)
19Muck disposal scheme (in prescribed format) (pdf file)
20Whather project area is a part of National Park or sanctuary and aural distance of the project from National Park or sanctuary signed by DFO. (pdf file)
21If the project area is within 10 Km radius of N/P or Centaury, Comments/No objection certificate of CCF Wild Life has to be provided. (pdf file)
22If the Project falling within the National park or Sanctuary, needs recommendation of State Wild Life Board, National Board of Wild Life (NBWL) and permission of Hon'ble Supreme Court/MoEF GoI. (pdf file)
23No violation has taken place, FC Act. 1980 reg. (pdf file)
24NOC from local Gram Sabhas. (pdf file)
25Approved general lay out plan/alignment and estimate from competent authority with name and designation (pdf file)
26Component wise details of construction work. (pdf file)
27Certificate- work has not been started reg. (pdf file)
28Geologist Report (Govt. approved Geologist). (pdf file)
29Task Force report
30Item wise details of works. (pdf file)
31Certificate by user agency for complying the condition imposed in Manak Shartain (pdf file) (pdf file)
32Certificate by user agency for complying the condition imposed in geologist report/Task force recommendation in hill areas (excluding drinking water
33No historical/monumental or religious place will be effected certificate reg. (by DM/DFO) (pdf file)
34Undertaking regarding no animal will be effected adversely by the project. (Pdf file)
35Undertaking to provide alternative fuel wood, kerosene or LPG to labours involved in project. (Pdf file)
36Benefited villages/Families/Population Certificate. (pdf file)
37NPV calculation certificate as per Hon'ble Supreme court /MoEF orders by DFO (pdf file)
38Undertaking of payment of NPV, if Hon'ble Supreme Court increases the rates of NPV (by user agency) (pdf file)
39Cost of the forest land and lease rent certificate by DM. (pdf file)
40Certificate of Lease period by user agency. (pdf file)
41Demarcation of land to be diverted (pdf file)
42Undertaking of user agency to bear the cost for demarcation work (pdf file)
43Non-availability of non-forest land for compensatory afforastation certificate by Chief secretary (pdf file)
44Check list/Fact sheet
45eds 03.09.2019