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/43650/2019   (ii). Name of Project for which Forest Land is required : Construction of Saur to Osala motor road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : This road is connecting four villages respectively Datmir,Gangad,Pawani,Osala, approximate nineteen hundred thirty two population are living there. After the construction of this road there are basic facilities like hospitals,schools will be easily available there because this areas is very backward   (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) : 1306   (viii). Area of forest land proposed for diversion(in ha.): 22.2165   (ix). Non-forest land required for this project(in ha.): 4.0275   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : PMGSYID PUROLA   (ii). Address1 : Executive Engineer P.M.G.S.Y.I.D. Purola (Uttarkashi)   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Uttarkashi   (vi). Pin : 248185   (vii). Landmark : Yamuna river   (viii). Email address : eepmgsypurola@rediffmail.com   (ix). Landline Telephone No. : 1373-223730   (x). Fax No. : 1373-0   (xi). Mobile No. : 8126979342   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Sumit   (ii). Middle Name: NIL   (iii). Last Name: Jaguri   (iv). Gender: Male   (v). Designation: junior Engineer   (vi). Address 1: Executive Engineer P.M.G.S.Y.I.D. Purola (Uttarkashi)   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Uttarkashi   (x). Tehsil: Puraula   (xi). Pin: 248185   (xii). Landmark: NIL   (xiii). Email Address: jagurisumit@gmail.com   (xiv). Landline Telephone No.: 1373-223730   (xv). Fax No.: NIL   (xvi). Mobile No.: 8126979342   (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.Govind Pashu Vihar,Purola22.21654.0275
Total22.21654.0275
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Uttarkashi22.21654.0275
Total22.21654.0275
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Datmir14.0851.215
2Gangad4.56751.7325
3Pawani1.4850.315
4Osala1.1250.765
Total 21.2625 4.0275
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road Construction21.26254.0275
2Dumping Zone0.9540
Total 22.2165 4.0275
C. Maps of forest land proposed to be diverted
Division 1. : Govind Pashu Vihar,Purola
  (i). Area of forest land proposed to be diverted(in ha.) : 22.2165   (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).
1.22.2165    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): 45000
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?: Yes   (a). Copy of Cost-Benefit analysis:
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? : Yes   (a). Whether Project or a part thereof is located within a Protected Area ? : No   (ii). Status of approval of the Standing Committee of National Board for the Wildlife(NBWL) to the Project : Approval obtained   (a). MoEF File No : 6-148/2018 WL   (b). Copy of approval of Standing of the NBWL:   (c). Date of Approval : 30 Nov 2018
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: Five
District 1. : Uttarkashi
  (a). Village: Datmir,pawani,osla   (b). Area(in ha.): 44.433   (c). Copy of KML file of the patch:     View File   (d). Khasra details: NIL   (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
1afforestation estimate
2plantation estimate
3Road G.O.
4trees Details
5road side Plantation
6Check List
7Joint inception report
8Manak sarten Cert.
9Forest Act Related
10Minimum trees felling cert.
11No damage related cert.
12NPV related cert.
13Land Schedule
14Muuck disposal plan
15Bar chart
16Task force
171980 Forest Act no violence cert.
18additional NPV with rate cert.
19Air distance certificate
20Catchment area releted cert.
21geologist suggest cert.
22component related cert.
23project information related .
24project report related .
25Use kerosene oil related cert .
26minimum forest land use related cert .
27village NOC cert. .
28No start work related cert.
29Population related
30site clearance related
31No religious place etc related cert.
32Query forwarding letter with required enclosure