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/42443/2019   (ii). Name of Project for which Forest Land is required : Construction of Bridle steel truss bridge on Bhitarkot to par junior high school (Length 40mtr) in distt Bageshwar under UDRP   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Proposal for diversion of 0.018 ha. forest land for construction of bridle bridge and approach road. detail narrative attached form-11 (2.1) in additional enclosure.   (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) : 250   (viii). Area of forest land proposed for diversion(in ha.): 0.018   (ix). Non-forest land required for this project(in ha.): 0.018   (x). Total period for which the forest land is proposed to be diverted(in years): 100
A-2. Details of User Agency
  (i). Name : PROVINCIAL DIVISION PWD BAGESHWAR   (ii). Address1 : Provincial Division PWD Bageshwar   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Bageshwar   (vi). Pin : 263642   (vii). Landmark : Kathayatbara   (viii). Email address : pdpwdbgr@gmail.com   (ix). Landline Telephone No. : 5963-220006   (x). Fax No. : NIL   (xi). Mobile No. : 9412023055   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Nawal   (ii). Middle Name: Kishor   (iii). Last Name: Diwedi   (iv). Gender: Male   (v). Designation: Assistant Engineer   (vi). Address 1: Provincial Division PWD Bageshwar   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Bageshwar   (x). Tehsil: Bageshwar   (xi). Pin: 263642   (xii). Landmark: Kathayatbara   (xiii). Email Address: pdpwdbgr@gmail.com   (xiv). Landline Telephone No.: 5963-220006   (xv). Fax No.: 05963220006   (xvi). Mobile No.: 9719974196   (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.Bageshwar0.0180.018
Total0.0180.018
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Bageshwar0.0180.018
Total0.0180.018
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Bhitarkot0.0180.018
Total 0.018 0.018
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Bridle bridge & Approach road0.0180.018
Total 0.018 0.018
C. Maps of forest land proposed to be diverted
Division 1. : Bageshwar
  (i). Area of forest land proposed to be diverted(in ha.) : 0.018   (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).
1.0.018    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: No   (a). Reason for not providing such map: NIL
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): 950
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
1Short Narrative
2Administrative and Financial Sanction
3Joint Inspection
4Comperative chart showing statement of both aligment
5Cetificate from the DM
6Land Schedule
7Category wise land length, width and area in Ha.
8Bar Chart with Index
9Details of the trees
10Felling of oak trees
11Whather Project area is a park of National Park or sancturay and arial distance of the project
12Certificate work has not been started reg.
13Geologist Report
14Task force report
15Standard Condition
16Certificate by user agency for complying the condition imposed in geologist report/task force
17No historical/monumental
18No animal will be effected adversely by the poroject
19undertaking to provide alternative fuelwood, kerosene of LPG to labours involved in project
20Benefited Villages
21NPV Calculation certificate as per Hon'ble supereem courtllages
22Undertaking of Payment of NPV
23objection 22.10.2019 removed by EE latter No 538/AF Dt. 14.11.2019
24If the project area is within 10Km radius of N/P
25objection 20.11.2019 removed by EE latter No 590/AF, dt. 09.12.2019
26objection 28.12.2019 removed by EE latter no 639/AF, Dt. 31.12.2019
27hard copy submitted 30.01.2020