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/Others/33662/2018   (ii). Name of Project for which Forest Land is required : Construction of Trenching Ground in Banbasa   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Construction of Trenching Ground under Solid Waste Management for Garbage disposal of Nagar panchayat Banbasa & Nagar palika parishad Tanakpur.   (iv). State : Uttarakhand   (v). Category of the Proposal : Others   (vi). Shape of forest land proposed to be diverted : Non Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 149   (viii). Area of forest land proposed for diversion(in ha.): 0.8   (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 : NAGAR PANCHAYAT BANBASA   (ii). Address1 : Nagar panchayat banbasa   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Champawat   (vi). Pin : 262310   (vii). Landmark : Meena bazar banbasa   (viii). Email address : eo.nagarpanchayatbanbasa@gmail.com   (ix). Landline Telephone No. : 5943-265023   (x). Fax No. : 5943-265023   (xi). Mobile No. : 7533907948   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Others
A-3. Details of Person Making Application
  (i). First Name: Priyanka   (ii). Middle Name: NIL   (iii). Last Name: Raikwal   (iv). Gender: Female   (v). Designation: EO   (vi). Address 1: Nagar panchayat banbasa   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Champawat   (x). Tehsil: Poornagiri   (xi). Pin: 262310   (xii). Landmark: Meena bazar banbasa   (xiii). Email Address: eo.nagarpanchayatbanbasa@gmail.com   (xiv). Landline Telephone No.: 5943-265023   (xv). Fax No.: 05943265023   (xvi). Mobile No.: 7088002222   (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.Tarai East,Haldwani0.80
Total0.80
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Champawat0.80
Total0.80
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Banbasa0.80
Total 0.8 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Boundary wall0.01260
2Area for storage of garbage and segregation0.36020
3Pits0.2480
4Parking for garbage vehicles0.12280
5Compactor platform0.00360
6Guard / Chaukidar room0.00160
7Store0.00960
8Approach road0.04160
Total 0.8 0
C. Maps of forest land proposed to be diverted
Division 1. : Tarai East,Haldwani
  (i). Area of forest land proposed to be diverted(in ha.) : 0.8   (ii). Nature of the Project: Non Linear   (a). No. of patches : One
Patch wise details
Patch No. Area of Patch(in ha.) Kml File of PatchesTo view KML file on google the same may be downloaded and then open if in google earth install in your computer.
1.0.8    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:
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): 100000
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
1Short narrative and importance of the project
2Administrative and Financial sanction
3Joint Inspection report.
4Certificate for there is not other alignment or alternate land for the proposed project.
5Certificate from the DM that no alternative suitable non-forest land is available for the project and the demand of the forest land for the project is barest minimum.
6Land Schedule.
7Category wise land length, width and area of the project.
8Bar Chart
9Estimate of gap filling plantation
10Undertaking by the User Agency to bear the cost of Gap filling plantation.
11Estimate of 100 trees plantation by DFO
12Undertaking by the User Agency to bear the cost of 100 trees plantation.
13Details of the trees to be felled in proposed land.
14Certificate of not Felling of Oak trees.
15Certificate by DFO reg. not felling of trees.
16Certificate of No violation has taken place, FC Act. 1980 reg.
17NOC from local Gram Sabhas.
18Component wise detail of the the project.
19Certificate of The Work has not been started.
20Geologist Report.
21Certificate by user agency for complying the condition imposed in geologist report.
22Task Force report.
23Certificate by user agency for complying the condition imposed in Standard Condition.
24Certificate for there is No historical/monumental or religious place will be effected.
25Undertaking regarding no Animal will be effected adversely by the project.
26Undertaking to provide alternative fuel wood, kerosene or LPG to labours involved in project.
27Benefited villages/Families/Population Certificate.
28NPV calculation certificate.
29Undertaking of payment of NPV, if Hon'ble Supreem Court increses the rates of NPV.
30Cost of the forest land certificate by DM.
31Certificate of lease.
32Estimate of RCC pillars for demarcation of land to be diverted.
33Undertaking of user agency to bear the cost for demarcation work..
34Fact sheet.
35Replying of DFO EDS 1826/12-1 dated 23-11-2020.
36Check list.
37Certificate regarding muck disposal plan.
38Replying of DFO EDS 1826/12-1 dated 23-11-2020 and Nodal office EDS dated 19-11-2020
39Arial distance of the project from National park or sanctuary.
40DPR of Project.
41NOC/Comments of CWLW
42Plantation Scheme of 1000 trees by way of CA
43Compliance Report of GOI Letter no. 8B/UCP/09/112/2021/FC/1095 Dated 29/11/2021
44Reply of Nodal Office EDS Letter no. 360/FP/UK/Others/33662/2018 Date 02-08-2022
45Replying of DFO EDS 4286/12-1 dated 21-01-2023
46Director UDD, Dehradun has directed to ULB that EC will be taken once land will be transferred to User Agency.
47M/s Nagar Panchayat Banbasa, applied EC under Proposal No. IA/UK/INFRA2/466182/2024, dated 20/04/2024, and the Terms of Reference (ToR) for the project were granted by MoEF&CC on 20/11/2024. As per Specific Condition 1.2 outlined in the ToR and the MoM, the project proponent is required to submit Forest Clearance during the Environmental Clearance application process. Kindly take the necessary action as required. The ToR letter is attached for your reference.
48M/s Nagar Panchayat Banbasa, applied EC under Proposal No. IA/UK/INFRA2/466182/2024, dated 20/04/2024, and the Terms of Reference (ToR) for the project were granted by MoEF&CC on 20/11/2024. As per Specific Condition 1.2 outlined in the ToR and the MoM, the project proponent is required to submit Forest Clearance during the Environmental Clearance application process. Kindly take the necessary action as required. The MoM letter is attached for your reference.