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/42607/2019   (ii). Name of Project for which Forest Land is required : construction of pinani-nogudu motor road under district sector   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : required for new construction of pinani nogudu motor road which provides road facility for local villagers   (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) : 25.9   (viii). Area of forest land proposed for diversion(in ha.): 0.49   (ix). Non-forest land required for this project(in ha.): 0   (x). Total period for which the forest land is proposed to be diverted(in years): 30
A-2. Details of User Agency
  (i). Name : PWD   (ii). Address1 : construction Division PWD Paboo,   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Pauri Garhwal   (vi). Pin : 246001   (vii). Landmark : Nayar River   (viii). Email address : eecdpwdpaboo@gmail.com   (ix). Landline Telephone No. : 1368-224230   (x). Fax No. : 1368-0   (xi). Mobile No. : 9639795378   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Yatendra   (ii). Middle Name: Singh   (iii). Last Name: Rawat   (iv). Gender: Male   (v). Designation: A.E   (vi). Address 1: construction Division PWD Paboo,   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Pauri Garhwal   (x). Tehsil: Pauri   (xi). Pin: 246001   (xii). Landmark: NIL   (xiii). Email Address: eecdpwdpaboo@gmail.com   (xiv). Landline Telephone No.: 1368-224230   (xv). Fax No.: NIL   (xvi). Mobile No.: 9639795378   (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.Garhwal,Pauri0.490
Total0.490
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Pauri Garhwal0.490
Total0.490
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1pinani0.490
Total 0.49 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1road0.490
Total 0.49 0
C. Maps of forest land proposed to be diverted
Division 1. : Garhwal,Pauri
  (i). Area of forest land proposed to be diverted(in ha.) : 0.49   (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).
1.0.49    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): 4700   (iii). Temporary Employment(Number of person-days): 550
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
1title page
2Form 1
3important papers list
4form 2
5form 3
6form 4
7gio of sanctioned work
8report of combined site inspection
9form 8
10form 9
11form 10
12form 11
13form 12
14comparison of alignment
15form 14
16detail of land schedule
17form 18
18detail of trees
19form 25
20form 26
21form 27
22non objection certificate
23cost benefit ratio calculation performa
24FRA
25Form 31
26Form 32
27geological report
28task force certificate
29certificate of validation of standard conditions
30form 37
31form 38
32form 39
33form 40
34form 41
35form 42
36form 43
37form 44
38form 45
39form 46
40form 47 and 48
41muck disposal
42non objection certificate of muck disposal
43form 50
44form 51
45form 52
46form 53
47form 54
48form 55
49form 56
50form 57