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/9621/2015   (ii). Name of Project for which Forest Land is required : Construction of Deghat Gaurasi motor road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Construction of Deghat to Jaurasi Motor Road sanctioned by Govt. order no. 289/III(2)/08-47(Pra. Aa.)/04 dated 20-03-2008 by the construction of the road Gwalvina, Kafaltana, Papyariya, Saugar etc. villages are benefited and about 3500 population will get direct advantage. So construction of above r   (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) : 579.69   (viii). Area of forest land proposed for diversion(in ha.): 4.505   (ix). Non-forest land required for this project(in ha.): 8.995   (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: Lalit   (ii). Middle Name: Kumar   (iii). Last Name: Goel   (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: NIL   (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.: 9412919971   (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
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
1ApprovedFP/UK/ROAD/19725/20168B/UCP/06/173/2016/FC/19532.162.1629 Dec 201621 Feb 2018
Total 2.16 2.16
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.Almora4.5058.995
Total4.5058.995
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Almora4.5058.995
Total4.5058.995
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Golna0.2361.58
2Chauna0.2640.64
3Gwalbhina01.54
4Kafaltana0.1050.6
5Papdiya1.080.85
6Sanadbhina0.251.21
7Dubseel0.831.5
8Bagoliachhina10.434
9Songar0.740.641
Total 4.505 8.995
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1For Road Km. 1 to 154.5058.267
2For Road (Muck Disposal Yard) Km 500.5
3For Road (Muck Disposal Yard) Km 1200.228
Total 4.505 8.995
C. Maps of forest land proposed to be diverted
Division 1. : Almora
  (i). Area of forest land proposed to be diverted(in ha.) : 4.505   (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).
1.4.505    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): 30   (iii). Temporary Employment(Number of person-days): 3000
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. : Almora
  (a). Village: Sadka   (b). Area(in ha.): 9.01   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 2605, 2618, 2619   (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
1Short narrative and importance of the project.
2Administrative and financial approval
3Preliminary Joint Inspection report
4Comparative chart showing statement of bothe alignments
5Certificate from DM that no alternate suitable non forest land in available
6Land schdule.
7Category wise land width and area in Ha
8Bar chart with index
9Certificate regarding suitable of identified land for compensatory afforestation
10Undertaking by user agency to bear the cost of C.A
11Road side/ gap filling plantation estimate
12Undertaking by the user agnecy to bear the cost of road side/ gap filling plantation.
13Details of trees with their scientific name.
14Felling of oak trees.
15Muck disposal scheme
16whether project area is a part of National park or sanctuary and Arial distance
17No violation has taken place, FC, Act 1980 reg.
18NOC from local gram sabhas
19Certificate work has not been started.
20Geologist report.
21Task force report.
22Manak shartain
23Certificate by user agency for complying the condition imposed in manak shartain
24Certificate by user agency for complying the condition imposed in geologist report/ Task force recommendations
25No historical/ monumental or religious place
26Undertaking regarding no animal ill be affected
27Undertaking to provide alternative fuel.
28Benefited villages
29NPV calculation certificate
30Undertaking of payment, if Hon'ble supream court/ MOEF order by DFO.
31Undertaking of user agency to bear the cost for demarcation
32Cost of forest land and lease rent certificate by DM
33Check list/ fact sheet/ Praroop -I & II
34Hard Copy Receiving Letter
35Revised Compensatory afforestation scheme.
36Objection Removal by letter no. 887/36c dated 05-05-2017 in ref of DFO Almora letter no. Memo/12-1(2)dt. 14-07-2016
37Objection removal by letter 2240/36c dated 19-08-2017 in ref of dfo letter no. memo/12-1 dt. 18-09-2017