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/42187/2019   (ii). Name of Project for which Forest Land is required : Nagrashu Dandakhal MR KM 14.00 to Mola Uroli Kharkota   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Construction of Nagrashu Dandakhal MR km 14.00 to Mola Uroli Kharkota MR. These three villages having population more than 250. this road is proposed under PMGSY so that villages will get benefit for govt schemes ,hospital facilities and education facilities.   (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) : 535   (viii). Area of forest land proposed for diversion(in ha.): 0.96   (ix). Non-forest land required for this project(in ha.): 4.635   (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   (ii). Address1 : IRRIGATION DIVISION , PIU RUDRAPRAYAG   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Rudraprayag   (vi). Pin : 246171   (vii). Landmark : NIL   (viii). Email address : eepmgsyrudraprayag@rediffmail.com   (ix). Landline Telephone No. : 1364-233981   (x). Fax No. : 1364-1364   (xi). Mobile No. : 9411143437   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: mohit   (ii). Middle Name: NIL   (iii). Last Name: uniyal   (iv). Gender: Male   (v). Designation: assistant engineer   (vi). Address 1: IRRIGATION DIVISION , PIU RUDRAPRAYAG   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Rudraprayag   (x). Tehsil: Rudraprayag   (xi). Pin: 246475   (xii). Landmark: NIL   (xiii). Email Address: eepmgsyrudraprayag@rediffmail.com   (xiv). Landline Telephone No.: 1364-233981   (xv). Fax No.: NIL   (xvi). Mobile No.: 8006504406   (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.Rudraprayag0.964.635
Total0.964.635
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Rudraprayag0.964.635
Total0.964.635
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Ghodsyal(Deuli0.310.135
2Mola(ladoli)0.421.26
3Ghiroli(ladoli)0.230
4Nail Kharkota(jasoli)03.24
Total 0.96 4.635
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1one (road)0.844.59
2muck0.120.045
Total 0.96 4.635
C. Maps of forest land proposed to be diverted
Division 1. : Rudraprayag
  (i). Area of forest land proposed to be diverted(in ha.) : 0.96   (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).
1.0.96    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): 26250
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
1geologist report
21980 certificate
3actual tree detail
4afted trees certificate
5banz tree detail
6bar chart
7blasting certificate
8comperative alignment justification
9digital maps of roaad
10fact sheet
11GO
12HISTORICAL MONUMENT
13joint inspection report
14kerosene
15land schedule
16lease certificate
17length width list
18STD conditions
19minimum tree certificate
20muck certificate
21muck
22no animal harmed
23no other land availab
24noc
25npv certificate
26npv
27part 1,2,3
28rcc certificate
29rcc pillar
30road side gap filling estimate
31task force certificate
32tree rate list
33bebefited village
34work not started
35DFO sir
36SIR CF
37detail
38aerial distance
39hard copy recieving
40recieving slip
41new uploading paper