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/10142/2015
(ii). Name of Project for which Forest Land is required :
Construction of Chamdeval to Nidil M/R under PMGSY Champawat.
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
The proposal has been made for construction of Chamdeval to Nidil Motor Road under PMGSY Champawat which shall provide connectivity to villages Jundi Suradi,Nidil,Khaikot talla and Khaikot malla with a total population of 1202. Thus total population being served with this road.
(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) :
856.73
(viii). Area of forest land proposed for diversion(in ha.):
5.54
(ix). Non-forest land required for this project(in ha.):
4.4325
(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
(ii). Address1 :
OFFICE OF THE EXECUTIVE ENGINEER, IRRIGATION DIVISION (P.W.D.)CHAMPAWAT
(iii). Address2 :
NIL
(iv). State :
Uttarakhand
(v). District :
Champawat
(vi). Pin :
262523
(vii). Landmark :
NEAR POST OFFICE
(viii). Email address :
eepmgsychampawat@rediffmail.com
(ix). Landline Telephone No. :
5965-230148
(x). Fax No. :
5965-0
(xi). Mobile No. :
9411521847
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
Sanjay
(ii). Middle Name:
NIL
(iii). Last Name:
Tewari
(iv). Gender:
Male
(v). Designation:
ASSISTANT ENGINEER
(vi). Address 1:
OFFICE OF THE EXECUTIVE ENGINEER, IRRIGATION DIVISION (P.W.D.)CHAMPAWAT
(vii). Address 2:
NIL
(viii). State:
Uttarakhand
(ix). District:
Champawat
(x). Tehsil:
Champawat
(xi). Pin:
262523
(xii). Landmark:
NEAR POST OFFICE
(xiii). Email Address:
eepmgsychampawat@rediffmail.com
(xiv). Landline Telephone No.:
5965-230148
(xv). Fax No.:
NIL
(xvi). Mobile No.:
7534880799
(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.
Champawat
5.54
4.4325
Total
5.54
4.4325
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Champawat
5.54
4.4325
Total
5.54
4.4325
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Jindi surad
0.345
0.09
2
Nidil
0.39
0.54
3
Malla khaikot
3.7777
1.53
4
Talla khaikot
1.0273
2.2724999999
Total
5.54
4.4324999999
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Road
4.34
4.4325
2
Muck
1.2
0
Total
5.54
4.4325
C.
Maps of forest land proposed to be diverted
Division 1. : Champawat
(i). Area of forest land proposed to be diverted(in ha.) :
5.54
(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.
5.54
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):
0
(iii). Temporary Employment(Number of person-days):
14000
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. : Champawat
(a). Village:
gureli
(b). Area(in ha.):
6.171
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
4877,4878
(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. : Champawat
(a). Village:
selpad
(b). Area(in ha.):
4.909
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
8357
(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
A short narrative and importance of the project
2
Administrative and Financial sanction
3
Preliminary Joint Inspection report (by user agency, forest department, revenue department etc.
4
Comperative chart showing statement of both alignment or alternate site explored for the proposed project and reasons for their rejection
5
Certificate from the DM that no alternative suitable non-forest land is available for the project in question and the demand of the forest land for the project is barest minimum.
6
Land schedule
7
Undertaking by the User Agency to bear the cost of compensatory afforestation
8
Undertaking by the User Agency to bear the cost of Road side /gap filling plantation
9
Felling of Oak trees
10
Certificate of felling minimum trees during the project work
11
Muck disposal scheme
12
If the project area is within 10 Km radius of N/P or Centuary, Comments/No objection certificate of CCF Wild Life
13
No violation has taken place, FC Act. 1980 reg
14
NOC from local Gram Sabhas
15
Certificate- work has not been started reg
16
Geologist Report
17
Task Force report
18
Certificate by user agency for complying the condition imposed in Standard Condition
19
Certificate by user agency for complying the condition imposed in geologist report/Task force recommendation in hill areas
20
No historical/monumental or religeous place will be effected certificate reg
21
Undertaking regarding no animal will be effected adversely by the project.
22
Undertading to provide alternative fuelwood, kerosene or LPG to labours involved in project
23
Benefited villages/Families/Population Certificate.
24
Undertaking of payment of NPV, if Hon'ble Supreem Court increses the rates of NPV
25
Cost of the forest land and lease rent certificate by DM.
26
Demarcation of land to be diverted
27
Undertaking of user agency to bear the cost for demarcation work
28
Fact sheet
29
Certificate regarding suitability of indentified land for Comensatory Afforestation
30
Alignment Approval Reasons
31
Khatauni
32
1-8CA
33
Objection reply (Letter No 1281/03 pmgsy dated 29.12.2016) of EDS raised dated 07.04.2016 (uploaded on 29.12.2016)
34
Soft copy submission letter (Letter No 1280/03 pmgsy dated 29.12.2016) of EDS raised dated 07.04.2016 (uploaded on 29.12.2016)
35
Reason for connecting villages letter (Letter No 457/03 pmgsy dated 24.05.2016) of EDS No. 3 raised dated 07.04.2016 (uploaded on 29.12.2016)
36
Objection removel letter.
37
Objection Removal letter 15-09-2018
38
Bar Chart with index
39
Land schedule
40
Category wise (RF,civil soyam, Van panchayat and private nap land, Notified forest land etc.) land length, width and area in Ha Land schedule
41
Muck disposal scheme
42
Comperative chart showing statement of both alignment or alternate site explored for the proposed project and reasons for their rejection
43
NPV calculation certificate as per Hon'ble Supreem court /MoEF orders
44
CA Scheme
45
benefitted habitations certificte
46
demarcation of land to be diverted
47
undertaking to bear the cost for demarcation of land to be diverted
48
Objection removal letter 05-01-2019
49
objection removal 21/04/2019
50
Objection removal letter dated 15-05-2019
51
Tree enumeration list
52
Certificate Authenticated by DFO for CA falls in VDF.
53
Aerial distance certificate.
54
objection removal letter
55
Objection removal letter dated 14-08-2019
56
Objection removal letter dated 27-08-2019
57
Objection removal letter dated 09-09-2019
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