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/10131/2015
(ii). Name of Project for which Forest Land is required :
Construction of Pokhari - Kandai Motor Road
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Construction of Pokhari - Kandai Motor Road of length 14.2 kms under PMGSY pokhari (chamoli)
(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) :
747.58
(viii). Area of forest land proposed for diversion(in ha.):
7.35
(ix). Non-forest land required for this project(in ha.):
2.59
(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,Gopeshwar
7.35
2.59
Total
7.35
2.59
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Chamoli
7.35
2.59
Total
7.35
2.59
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Gugli
0
0.7
2
Sarnachai
0
0.7
3
Veena Talla
6.3
0
4
Dhamak
0
1.05
5
Kafalpaani
1.05
0
6
Trishula
0
0.14
Total
7.35
2.59
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Civil Land
4.2
0
2
Van Panchayat Land
3.15
0
3
Private Land
0
2.589993
Total
7.35
2.589993
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.) :
7.35
(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.
7.35
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:
No
(a). Reason for not providing such map:
Only one alignment is possible
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):
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?:
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? :
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:
Two
District 1. : Chamoli
(a). Village:
Kafalpani
(b). Area(in ha.):
7.713
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
220
(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:
District 2. : Chamoli
(a). Village:
Khalyun
(b). Area(in ha.):
7.172
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
40,135
(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
1
Aam Sabha NOCs
2
Aerial Distance certificate
3
Certificate of benefitted Families
4
Certificate of bearing cost of bothside of road plantation
5
bothside of road plantation scheme
6
Brief description and importance of project
7
certificate of bearing cost by user agency for Compensatory Afforestation
8
Land Suitability certificate for CA
9
Comparative chart between proposed and alternate alignment
10
certificate of providing wood/kerosene etc by user agency
11
certificate of Geologist/zila taskforce guidelines compliance
12
Geologist Report
13
Certificate by user agency to bear increase in NPV amount in future
14
Certificate of NPV amount
15
Joint Inspection Report
16
Land Schedule
17
Length and Breadth certificate of Project
18
Maanak Shartein
19
certificate of of minimum trees felling
20
Muck Disposal Scheme along with all NOCs
21
certificate of non avalability of any other alternate forest land
22
certificate of no harm to animals
23
certificate of no harm to Religious ancient etc monuments
24
certificate of no voilation of forest conservation act 1980
25
certificate of no work is started yet
26
Certificate of Oak Trees Felling
27
Estimate of boundary pillars
28
certificate of bearing cost of boundary pillars by user agency
29
Task force certificate
30
Description and evaluation of trees to be felled
31
MoU between private land owner and user agency and NOCs
32
Part 1-5
33
Bar chart
34
praroop 30.3 Anapatti praman patra
35
The Administrative and financial sanction duly signed by competent authority has been uploaded.
36
Compensatory Afforestation scheme has been attached.
37
The pointwise correction has been made and all the necessary entries required has been filled correctly.
38
The pointwise correction has been made and all the necessary entries required has been filled correctly
39
Hard copy of the proposal as required already is sumitted to nodal office dehradun and letter is attached.
40
letter is attached
41
Hard copy of the proposal with all necessary documents is submitted on 16.03.18 to nodal office Dehradun. Recieving is attached.
42
Hard copy of the proposal with all necessary documents is submitted on 16.03.18 and other necessary original documents is also submitted on date 13.7.18 to nodal office Dehradun. Recieving is attached.
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