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/10123/2015   (ii). Name of Project for which Forest Land is required : Construction of Mohankhal - Talikansari Motor Road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The project has been sanctioned under PMGSY by letter no. 3378/p-1-26 (XII)/ urrda/14 dated 05.3.2014 for connecting the villages Bamanthala with population 350 and Tali Kansari with population 339 as per 2001 census. Presently villagers are these villages have to go around 4 kms. on foot to reach t   (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) : 553.3   (viii). Area of forest land proposed for diversion(in ha.): 2.45   (ix). Non-forest land required for this project(in ha.): 2.842   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : PMGSY DIVISION PWD POKHARI   (ii). Address1 : Construction Division, PWD Pokhari, chamoli (Uttarakhand)   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Chamoli   (vi). Pin : 246473   (vii). Landmark : NIL   (viii). Email address : eepmgsypokhari@rediffmail.com   (ix). Landline Telephone No. : 1372-222225   (x). Fax No. : 1372-   (xi). Mobile No. : 9758299911   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Hareesh   (ii). Middle Name: NIL   (iii). Last Name: Chauhan   (iv). Gender: Male   (v). Designation: Assistant Engineer   (vi). Address 1: Assistant Engineer,PMGSY POKHARI Headquarter Gopeshwar   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Chamoli   (x). Tehsil: Pokhari   (xi). Pin: 246401   (xii). Landmark: NIL   (xiii). Email Address: sandeepdv31@gmail.com   (xiv). Landline Telephone No.: 1372-222225   (xv). Fax No.: NIL   (xvi). Mobile No.: 9410901109   (i). Copy of documents in support of the competence/authority of the person making this application to make application on behalf of the User Agency: No Data
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.Kedarnath Wild Life Division,Gopeshwar2.452.842
Total2.452.842
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Chamoli2.452.842
Total2.452.842
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Kansari01.68
2brahman thala1.120.7
3thalli1.330.462
Total 2.45 2.842
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Reserve Forest Land1.750
2Civil Land0.70
3Private Land02.842
Total 2.45 2.842
C. Maps of forest land proposed to be diverted
Division 1. : Kedarnath Wild Life Division,Gopeshwar
  (i). Area of forest land proposed to be diverted(in ha.) : 2.45   (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).
1.2.45    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): 100   (iii). Temporary Employment(Number of person-days): 36500
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. : Chamoli
  (a). Village: Pab   (b). Area(in ha.): 4.9   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 626   (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
1Aam Sabha NOCs
2Aerial Distance certificate
3Bar Chart
4Certificate of benefitted Families
5Certificate of bearing cost of bothside of road plantation
6bothside of road plantation scheme
7Brief description and importance of project
8Compensatory Afforestation Scheme
9certificate of bearing cost by user agency for Compensatory Afforestation
10certificate of providing wood/kerosene etc by user agency
11certificate of of minimum trees felling
12Comparative chart between proposed and alternate alignment
13Description and evaluation of trees to be felled
14certificate of Geologist/zila taskforce guidelines compliance
15Geologist report
16Certificate by user agency to bear increase in NPV amount in future
17Joint Inspection Report
18Land Schedule
19Land Suitability certificate for CA
20Length and Breadth certificate of Project
21Maanak Shartein
22Muck Disposal Scheme along with all NOCs
23certificate of no harm to animals
24certificate of no harm to Religious ancient etc monuments
25certificate of non avalability of any other alternate forest land
26certificate of the project not being a part of sanctuary
27certificate of no voilation of forest conservation act 1980
28certificate of no work is started yet
29Certificate of NPV amount
30Certificate of Oak Trees Felling
31Estimate of boundary pillars
32certificate of bearing cost of boundary pillars by user agency
33Administrative/Financial Sanction
34Task force certificate
35Site Inspection (not below the rank of DCF)
36Part 1-5
37MoU between private land owner and user agency and NOCs
38Revised CA and alignment map.
39Tree list.