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/40078/2019   (ii). Name of Project for which Forest Land is required : Construction of Khola (Thapli) to Musmola Motor Road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The proposed road is for providing the connectivity to the village Musmola with a population of 285. The road is located in District Tehri (Uttarakhand). The total length of the road is 5.400 Km.   (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) : 456.48   (viii). Area of forest land proposed for diversion(in ha.): 2.96   (ix). Non-forest land required for this project(in ha.): 3.2974   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : PMGSY PWD KIRTINAGAR   (ii). Address1 : EXECUTIVE ENGINEER, PMGSY PWD KIRINAGAR, NEAR KAILASH HOTEL DHUNDPRAYAG   (iii). Address2 : TEHRI GARHWAL (UTTARAKHAND)   (iv). State : Uttarakhand   (v). District : Tehri Garhwal   (vi). Pin : 249161   (vii). Landmark : KAILASH HOTEL DHUNDPRAYAG   (viii). Email address : eepmgsykirtinagar@rediffmail.com   (ix). Landline Telephone No. : 1370-260460   (x). Fax No. : 1370-260461   (xi). Mobile No. : 9411357969   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: RAVINDRA   (ii). Middle Name: NIL   (iii). Last Name: DIMRI   (iv). Gender: Male   (v). Designation: ADD. ASSISTANT ENGINEER   (vi). Address 1: PMGSY, PWD KIRTINAGAR NEAR KAILASH HOTEL, DHUNDPRAYAG   (vii). Address 2: TEHRI GARHWAL (UTTARAKHAD)   (viii). State: Uttarakhand   (ix). District: Tehri Garhwal   (x). Tehsil: Devprayag   (xi). Pin: 249161   (xii). Landmark: KAILASH HOTEL, DHUNDPRAYAG   (xiii). Email Address: eepmgsykirtinagar@rediffmail.com   (xiv). Landline Telephone No.: 1370-260460   (xv). Fax No.: 01370260461   (xvi). Mobile No.: 9412116769   (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.Narendranagar,Munikireti2.963.2974
Total2.963.2974
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Tehri Garhwal2.963.2974
Total2.963.2974
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Ghanji0.4390.388
2Khola1.570.266
3Musmola0.9512.6434
Total 2.96 3.2974
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1For Road Construction1.9722.888
2For Dumping Zone 1 at Starting Point0.0660
3For Dumping Zone 2 at Km10.160
4For Dumping Zone 3 at Km 20.14980
5For Dumping Zone 4 at Km 20.2590
6For Dumping Zone 5 at Km 30.20580
7For Dumping Zone 6 at Km 30.050.083
8For Dumping Zone 7 at Km 40.040.18
9For Dumping Zone 8 at Km 50.05740.1464
Total 2.96 3.2974
C. Maps of forest land proposed to be diverted
Division 1. : Narendranagar,Munikireti
  (i). Area of forest land proposed to be diverted(in ha.) : 2.96   (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).
1.2.96    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): 40000
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?: 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
1Index
2Project Report
3Latter for authorized officer to upload document
4Certificate of India Govt
5GO for Administrative and financial approval
6Joint Inspection Report
7Maps shows project Road
8Check alternate allignment and cancelled them
9Certificate of minimum land by DFO
10Certificate for non availability of alternate land
11Land Schedule
12Bar Chart
13Certificate for not start of work by DFO_0001
14Description of affected trees as per species,dia,valuation
15Available trees in the area of project and really cut of them
16Certificate by CF of Banj trees
17Certificate regarding not affected trees
18Certificate for cut of minimum trees
19Certificate regarding national park and forest animal park
20Certificate of project distance from national park
21NOC of chief forest animal conservator_0001
22Certificate by Hon'e supreme court and Indian forest council
23Certificate of villagers meeting
24Cost benifit ratio calculation
25FRA
26Description of different parts of project
27Lay out plan for Building work
28Report of Geo-logist
29Certificate for complience of geologist report
30Task force Certificate
31Standard condition Certificate
32certificate of proposed area is not sacred, historical
33certificate regarding not affect to animal and forest leaves
34Certificate regarding available of carocin oil, gas for cooking
35Benifited villages list
36Value of forest land by DM
37Costing of CA
38Map of CA land
39Estimate of both side plantation in road
40Estimate of 10 times, 100 trees plantation
41NOC of villagers
42Agreemant between land owner and department
43Muck disposal plan
44NPV calculation certificate
45Certificate for NPV calculation
46Estimate and certificate of boundry piller
47Certificate for lease period
48Description of Forest conservation Act 1980
49CAT plan for Hydrology project
50Sanction of Indian Govt, Environment, forest ministory
51Certificate for length and width of project
52Adequacy certificate of CA land
53Certifiacate for afforde amount of CA
54Attachment 1 to 23
55Description of affected trees as per species,dia etc P19
56Summary of affected trees as per species etc P20
57EDS of Dt 08-07-2019 complience
58Attachment 24 to 30
59Attachment 31 to 56