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/42765/2019   (ii). Name of Project for which Forest Land is required : Construction of link motor road from Thapli to Raheli under Mukhyamantree Graameen Sadak Sanyojan Yojana in Betalghat Block at district Nainital.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Village Raheli and Khairni (Tok Thapli) will be directly benefited by the road and nearest village Tok Balari and Bahari will be indirectly benefited by the road as well as medical and education 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) : 44.1   (viii). Area of forest land proposed for diversion(in ha.): 2.187   (ix). Non-forest land required for this project(in ha.): 0.963   (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.Almora2.1870.963
Total2.1870.963
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Nainital2.1870.963
Total2.1870.963
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Khairani1.15650.2835
2Raheli1.03050.6795
Total 2.187 0.963
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Construction of motor road2.1870.749
2Muck Disposal (Dumping Yard)00.214
Total 2.187 0.963
C. Maps of forest land proposed to be diverted
Division 1. : Almora
  (i). Area of forest land proposed to be diverted(in ha.) : 2.187   (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).
1.2.187    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): 4956
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?: Yes   (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). No. of districts involved for raising Compensatory Afforestation: 1   (iv). No. of patches: One
District 1. : Nainital
  (a). Village: Raheli   (b). Area(in ha.): 4.374   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 984   (e). Present owner: Others   (f). Copy of ownership proof:   (g). Copy of Mou/agreement executed between the Present owner and the User Agency:   (h). Copy of non encumberence certificate for the forest land:
  (v). Scanned copy of the map of the land identified for creation of Compensatory Afforestation prepared by using GPS ot Total Station:   (vi). Copy of Survey of India Toposheet in 1:50,000 scale indicating location of the land identified for creation of Compensatory Afforestation:
Additional information Details
Documents
S.No Documents
Remarks
1Undertaking by the user agency to bear the cost of road side / gap filling plantation
2Details of the trees with their scientific name in RF civil soyam, Van panchayat , Private Notified land and in nap land should be mentioned
3Felling of oak tree
4Certificate of felling minimum trees during the project work
5Muck disposal scheme
6Whather project area is a part of National Park or sanctuary and airal distance of the project from National Park
7No vailation has taken place. FC act 1980 reg.
8NOC from local Gram Sabhas
9Certificate work has not been started reg.
10Geologist report
11Task force report
12Certificate by user agency for complying the condition imposed in standard condition
13Certificate by user agency for complying the condition imposed in geologist report / Task force recommendation in hill areas
14No historical /monumental or relegeous place will be effected certificate reg.
15Undertaking regarding no animal will be effected adversely by the project
16Undertaking to provide alternative fuelwood kerosene or LPG to labour involeved in project
17Benefited villages/ Families / Population certificate
18NPV calculation certificate as per Hon'ble Superm court / MoEF order by DFO
19Undertaking of payment of NPV, if Hon'ble Superem Court increses the rates of NPV
20Undertaking of user agency to bear the cost for dimaracation work
21Form part-1 filled by user agency
22Check list / Fact sheet
23authority of the person making this application to make application on behalf of the user agency.
24Survey of India Toposheet indicating boundary of forest Land proposed to be diverted
25Geo-referenced map of the forest land proposed to be diverted prepared
26Note containing justification for locating the project in forest land
27Certificate by DM- Forest right act 2006 reg.
28Survey of India Toposheet in 1:50000 scale indicating location of the land identified for creation of compensatory afforestation: signed by DFO
29Mou/agreement executed between the present owner and the User Agency.
30A short narrative and importance of the project
31Administrative and Financial sanction
32Preliminary joint incpection report ( by user agency forest department , revenue department etc.
33Comperative chart showing statement of both alignment or alternate site explored for the proposed project and reasons for their rejection
34Certificate 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.
35Land schedule ( for RF signed by DFO and civil soyam, Van pahchayat and private nap land signed by DM)
36Category wise (R.F. civil soyan, Van panchayat and private nap land, notified forest land etc ) Land length, width and area in Ha
37Bar Chart with index
38objection removed letter no 31/18mg date 04.01.2020
39objection removed vide letter no 2620/18mg date 28-11-2019
40Certificate regarding, suitability of indentified land for comensatory afforestatin by DFO
41Undertaking by the user agency to bear the cost of compensatory afforestation duly counter signed by the DFO