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/10146/2015
(ii). Name of Project for which Forest Land is required :
Bhandeli Bend (Thalisain) To Jakhola Motor Road, KM 9.500 Under PMGSY
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Bhandeli Bend (Thalisain) To Jakhola Motor Road in Thalisain Block will connect the habitation Jakhola village. the total population of Jakhola village is 271.
(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) :
712.5
(viii). Area of forest land proposed for diversion(in ha.):
4.75
(ix). Non-forest land required for this project(in ha.):
4.504
(x). Total period for which the forest land is proposed to be diverted(in years):
100
A-2.
Details of User Agency
(i). Name :
PMGSY BAIJRO
(ii). Address1 :
Executive engineer PMGSY (ID) Baijro H.Q-Satpuli Pauri Garhwal
(iii). Address2 :
NIL
(iv). State :
Uttarakhand
(v). District :
Pauri Garhwal
(vi). Pin :
246172
(vii). Landmark :
Sakti Filling Petrol Pump
(viii). Email address :
eepmgsybaijro@rediffmail.com
(ix). Landline Telephone No. :
1386-273344
(x). Fax No. :
NIL
(xi). Mobile No. :
8475825023
(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:
Dhariwal
(iv). Gender:
Male
(v). Designation:
Assistant Engineer
(vi). Address 1:
Executive Engineer PMGSY (I.D.) Baijro H.Q.-Satpuli
(vii). Address 2:
NIL
(viii). State:
Uttarakhand
(ix). District:
Pauri Garhwal
(x). Tehsil:
Satpuli
(xi). Pin:
246172
(xii). Landmark:
Sakti Filling Petrol Pump
(xiii). Email Address:
eepmgsybaijro@rediffmail.com
(xiv). Landline Telephone No.:
1386-273344
(xv). Fax No.:
01386273344
(xvi). Mobile No.:
9412968402
(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.
Garhwal,Pauri
4.75
4.504
Total
4.75
4.504
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Pauri Garhwal
4.75
4.504
Total
4.75
4.504
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
jakhola
4.75
4.504
Total
4.75
4.504
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Reserve Forest
0.9
0
2
Van Panchayat
3.22
0
3
Civil Soyam
0.63
0
4
Naap Bhoomi
0
3.8
5
Muck Disposal
0
0.704
Total
4.75
4.504
C.
Maps of forest land proposed to be diverted
Division 1. : Garhwal,Pauri
(i). Area of forest land proposed to be diverted(in ha.) :
4.75
(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.
4.75
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):
35000
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. : Pauri Garhwal
(a). Village:
Jakhola
(b). Area(in ha.):
9.54
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
2438, 2440
(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
fect sheet
2
Report
3
Authority Letter
4
Part I Filled by User Agency
5
Part II Filled by DFO
6
Part III Filled by CF
7
Administrative Aprovel
8
Joint Inspection Report
9
Site Inspection Report
10
Topo sheet
11
Geo Refrence map
12
Report for Essential of Road
13
Alternative Alignment on Google
14
Per forma between compression of 2 alignment
15
Certificate Reg. No alternate Alignment
16
Land schedule
17
Length and Width of Land
18
Bar Chart
19
No Work start Certificate
20
Effective No of Trees
21
Valuation of Effective No of Trees
22
Detail of Actually cutting of Tres
23
Fall of Oak tress
24
No of trees effected in project
25
Certificate regarding falling of Minimum No of tress
26
Certificate regarding project not a part of National park or airport
27
Certificate regarding project not in 10 km radius of National park or airport
28
Certificate regarding consent from supreme court
29
No objection Certificate of effected villagers
30
Cost benefit ration
31
Geologist Reort
32
application of suggestion given by geoligist
33
Task Force Certificate
34
Standard condition regarding Certificate
35
Certificate regarding non availability of Temple etc
36
Certificate regarding No harm for forest animals & botanical trees
37
Certificate regarding cooking gas, kerosene oil for labours
38
Details of benefitting villages peoples families in habitation
39
Compensatory afforestation scheme in Civil and Soyam land (10years)
40
Certificate for suitability of indentified land for Comensatory 10 Afforestation
41
Topo sheet MAP OF CA
42
Geo Ref map CA.pdf
43
No objection certificate from landowner
44
Bond between landowner and department
45
Muck disposal plan
46
NPV Certificate
47
Deposit of NPV certificate
48
Certificate regarding deposition of pillar cost
49
Certificate regarding lease period
50
No breach certificate of forest protection act 1980
51
Environmental approval from GOI and forest ministry
52
Digital map
53
Reply of R.O. EDS Point No 1 GIS Map of Road
54
Reply of RO EDS Point No II Revised Administrative Approvel
55
Reply of RO EDS Point No IIIDetails of EffectiveTrees
56
FRA
57
revised CA Toposheet
58
revised CA GIS Map
59
Compliance latter dt 05-12-2017
60
Reply of EDS Dated 5 Sep 2018
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