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/42523/2019   (ii). Name of Project for which Forest Land is required : Construction of motor road from Matiyali to Prachin Mandir Kaliro through Km. 10 of Mauna-Lweshal- Kalapatal and Prathmik Pathshala in Ramgarh Block under Nainital district.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Children's of Inter college and Primary School will be directly benefited by proposed Road and some other villages indirectly benefited by this road and education as well medical facility will be enhance.   (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) : 34   (viii). Area of forest land proposed for diversion(in ha.): 0.9   (ix). Non-forest land required for this project(in ha.): 1.8   (x). Total period for which the forest land is proposed to be diverted(in years): 100
A-2. Details of User Agency
  (i). Name : EE CD NAINITAL   (ii). Address1 : Construction division, P.W.D. Nainital   (iii). Address2 : Construction division, P.W.D. Nainital   (iv). State : Uttarakhand   (v). District : Nainital   (vi). Pin : 263002   (vii). Landmark : Near L.D.A. office, Nainital   (viii). Email address : eecdnainitalpwd@rediffmail.com   (ix). Landline Telephone No. : 5942-235079   (x). Fax No. : 5942-235703   (xi). Mobile No. : 9719471059   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Dhan   (ii). Middle Name: Singh   (iii). Last Name: Kutiyal   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: Construction division, P.W.D. Nainital   (vii). Address 2: Construction division, P.W.D. Nainital   (viii). State: Uttarakhand   (ix). District: Nainital   (x). Tehsil: Nainital   (xi). Pin: 263002   (xii). Landmark: Near L.D.A. Office, Nainital   (xiii). Email Address: eecdnainitalpwd@rediffmail.com   (xiv). Landline Telephone No.: 5942-235079   (xv). Fax No.: 05942235079   (xvi). Mobile No.: 7895523863   (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.Nainital0.91.8
Total0.91.8
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Nainital0.91.8
Total0.91.8
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Reserve forest compartment 13 and 140.5850
2Lweshal Civil Soam land0.3151.8
Total 0.9 1.8
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Construction of motor road0.71.4
2Muck disposal (Dumping Yard)0.20.4
Total 0.9 1.8
C. Maps of forest land proposed to be diverted
Division 1. : Nainital
  (i). Area of forest land proposed to be diverted(in ha.) : 0.9   (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).
1.0.9    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): 4050
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
11.1 Copy of doucument in support of the competence/authority of the person making this application to make application on behalf of the user agency.
21.2 Copy of Survey of India Toposheet indicating boundary of forest Land proposed to be diverted.
31.3 Seanned copy of the Geo-referenced map of the forest land proposed to be diverted prepared by using GPS/
41.5 Note containing justification for locating the project in forest land
51.6 Certificate by DM- Forest right act 2006
61.9 If non-forest or Revenue forest land is required to be provided by User Agency ? A copy of ownership proof and No objection certificate
71.9 If non-forest or Revenue forest land is required to be provided by User Agency ? A copy of ownership proof and No objection certificate
82.1 A short narrative and importance of the project
92.2 Administrative and Financial sanction
102.3 Preliminary joint incpection report ( by user agency forest department , revenue department etc.
112.4 Comperative chart showing statement of both alignment or alternate site explored for the proposed project and reasons for their rejection duly contersigned by DFO
122.5 Certificate 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 parest minimum.
132.6 Land schedule
142.7 Category wise (R.F. civil soyan, Van panchayat and private nap land, notified forest land etc ) Land length, width and area in Ha.
152.8 Bar Chart with index
162.11 Undertaking by the user agency to bear the cost of compensatory afforestation
172.12 Road side / gap filling plantation estimate
182.13 Undertaking by the user agency to bear the cost of road side / gap filling plantation
192.14 Estimate of 100 trees plantation
202.15 Details of the trees with their scientific name in RF civil soyam, Van panchayat , Private Notified land and in nap land should be mentioned
212.16 Felling of oak tree
222.18 Certificate of felling minimum trees during the project work
232.19 Muck disposal scheme
242.20 Whather project area is a part of National Park or sanctuary and airal distance of the project from National Park or sanctuary
252.23 No vailation has taken place. FC act 1980
262.24 NOC from local Gram Sabhas
272.27 Certificate work has not been started
282.28 Geologist report
292.29 Task force report
302.30 Certificate by user agency for complying the condition imposed in standard condition
312.31 Certificate by user agency for complying the condition imposed in geologist report / Task force recommendation in hill areas
322.32 No historical /monumental or relegeous place will be effected certificate reg.
332.33 Undertaking regarding no animal will be effected adversely by the project
342.34 Undertaking to provide alternative fuelwood kerosene or LPG to labour involeved in project
352.35 Benefited villages/ Families / Population certificate
362.36 NPV calculation certificate as per Hon'ble Superm court / MoEF order
372.37 Undertaking of payment of NPV, if Hon'ble Superem Court increses the rates of NPV
382.40 Demaracation of land to be diverted and 2.41 Undertaking of user agency to bear the cost for dimaracation work
39Fact sheet
40Front Page
41OBJECTION_REMOVAL_date 07_11_2019
42OBJECTION_REMOVAL_date 27_11_2019
43OBJECTION_REMOVAL_date 28_02_2020
44objection 28.02.2020