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/9043/2015   (ii). Name of Project for which Forest Land is required : Construction of Nagarkotiya to Kotha gaon motor road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Construction of motor road to connect Kotha gaon from Km 13 (Nagarkotiya) of Deghat Chintoli Motor Road, Length 1.825 Km.   (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) : 53.4   (viii). Area of forest land proposed for diversion(in ha.): 0.495   (ix). Non-forest land required for this project(in ha.): 1.148   (x). Total period for which the forest land is proposed to be diverted(in years): 300
A-2. Details of User Agency
  (i). Name : EXECUTIVE ENGINEER   (ii). Address1 : Provincial Division P.W.D., Ranikhet   (iii). Address2 : Mall Raod Ranikhet   (iv). State : Uttarakhand   (v). District : Almora   (vi). Pin : 263645   (vii). Landmark : NIL   (viii). Email address : eepdrani@yahoo.com   (ix). Landline Telephone No. : 5966-220679   (x). Fax No. : NIL   (xi). Mobile No. : 7500540231   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Kundan   (ii). Middle Name: Lal   (iii). Last Name: vema   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: Provincial Division PWD, Ranikhet   (vii). Address 2: Mall Road Ranikhet   (viii). State: Uttarakhand   (ix). District: Almora   (x). Tehsil: Ranikhet   (xi). Pin: 263645   (xii). Landmark: Ranikhet   (xiii). Email Address: eepdrani@yahoo.com   (xiv). Landline Telephone No.: 5966-220679   (xv). Fax No.: 05966220679   (xvi). Mobile No.: 9412403782   (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.Almora0.4951.148
Total0.4951.148
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Almora0.4951.148
Total0.4951.148
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Nagarkotiya0.4770.126
2Dodhiyal Bakhali0.0181.021
Total 0.495 1.147
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Km 1 to 1.8250.4951.0845
2Muck Disposal Yard00.063
Total 0.495 1.1475
C. Maps of forest land proposed to be diverted
Division 1. : Almora
  (i). Area of forest land proposed to be diverted(in ha.) : 0.495   (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).
1.0.495    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): 5   (iii). Temporary Employment(Number of person-days): 9000
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
1Objection Removed by letter no 3217/36c dated 14-12-18
2Details of tree in alternate alignment.
3map indicating alternate alignment.
4justification for forest land.
5FRA of the project.
6objection removal letter ref. of your letter no. memo/12-1(2) dated 09-06-16
7Letter no 3217@36c dated 14-12-2018
8A short narrative and importance of the project.
9Administrative and Financial sanction.
10Preliminary joint inspection report.
11Compreative chart Showing statement of both alignment or alternate site explored for the proposed project and reason for their rejection by DFO
12Certificate from DM that no alternative suitable non forest land is avilable for the project in question and the demand of the forest land for the project is barest minimum
13Land schedule
14Category wise land length,idth and area in Ha.
15Bar chart ith index.
16Undertaking by the user agency to bear the cost of compensatory afforestation duly countersigned by DFO
17Road side/ gap filling plantation estimate by DFO.
18Undertaking by user agency to bear the cost of road side/ gap filling plantation.
19Estimate of trees plantation by DFO.
20Details of trees with their scientific name
21Certificate of felling minimum trees during the project work.
22muck disposal scheme.
23wheather project area is a part of National Park or sancturary and arial distance of the project from the National Park/ sanctuary sign by DFO.
24No voilation has taken place, FC Act 1980 reg.
25NOC from local gram sabhas
26Certificate work has not been started reg
27Geologist Report.
28Task force Report.
29Details of Manak shartain and certificate by user agency for complying the condition imposed in Manak shartain.
30certificate by user agency for complying the condition imposed in Geologist report/ Task force recommendation in hill areas.
31No historical/ monumental or religious place will be effected certificate by DM
32Undertaking regarding no animal will be effected adversely by the project
33Undertaking to provide alternate fuel wood, kerosene or LPG to labours involved in project
34Benefited villages/ families/ population certificate.
35NPV calculation certificate as per Hon'ble supreme court/ MOEF order by DFO.
36Undertaking of payment of NPV if Hon'ble supreme court increase the rate of NPV.
37Undertaking of user agency to bear the cost of demarcation work.
38Check list/ fact sheet
39Part-I
40Letter regarding removal of objection
41Objection removal letter no. 2279/36c dated 22-09-2016 in ref of DFO letter no. memo/12-1(2) dated 14-09-2016
42Objection removed by letter no. 495/36C dated 02-03-2016
43Objection removal letter no. 2299/36c dated 30-09-2016 in ref of DFO letter no. memo/12-1 dated 26-09-2016
44Objection Removed by letter no 244/36c dated 29-01-2020
45Objection removal by letter no 2254/36c dated 16-08-2019 in ref of DFO Almora letter no 0 dated 13-08-2019
46objection removal by letter no. 798/36c dated 27-04-2017 in ref of your letter no. memo/12-1(2) dated 01-02-2017
47Objection removed by letter no. 2939/36c dated 19-12-2016 in ref. of RO Dehradun letter no. nil dated 17-11-2016
48Details of trees with their scientific name in 9m
49Objection removed by letter no 2923/36c dated 02-11-2018 in ref of DFO Almora letter no memo/12-1(2) dated 30-05-2017
50Hard copy receiving letter no. 2456/36c dated 14-10-2016 in ref letter no. of dfo memo/12-1(2) dated 14-09-2016
51Objection removed by letter no 1512/36c dated 04-06-2019