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/10159/2015   (ii). Name of Project for which Forest Land is required : Construction of Kuloli Munra Devikhal Motor Road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : New construction 16.00 Km Motor Road Via Uttarakhand Govt. Sanction order no. 2454/III-2/05-07(Pra. Aaa.)/05TC-1 dated 28-10-05 connected villagers Devikhal, Kuloli, Munra, Bheyari, Khumar etc.   (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) : 334.7   (viii). Area of forest land proposed for diversion(in ha.): 3.22   (ix). Non-forest land required for this project(in ha.): 10.26   (x). Total period for which the forest land is proposed to be diverted(in years): 300
A-2. Details of User Agency
  (i). Name : EXECUTIVE ENGINEER   (ii). Address1 : Provincial Division P.W.D., Ranikhet   (iii). Address2 : Mall Raod Ranikhet   (iv). State : Uttarakhand   (v). District : Almora   (vi). Pin : 263645   (vii). Landmark : NIL   (viii). Email address : eepdrani@yahoo.com   (ix). Landline Telephone No. : 5966-220679   (x). Fax No. : NIL   (xi). Mobile No. : 7500540231   (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: Goel   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: Provincial Division PWD, Ranikhet   (vii). Address 2: Mall Road Ranikhet   (viii). State: Uttarakhand   (ix). District: Almora   (x). Tehsil: NIL   (xi). Pin: 263645   (xii). Landmark: Ranikhet   (xiii). Email Address: eepdrani@yahoo.com   (xiv). Landline Telephone No.: 5966-220679   (xv). Fax No.: 05966220679   (xvi). Mobile No.: 9412919971   (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
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
1ApprovedFP/UK/ROAD/19725/20168B/UCP/06/173/2016/FC/19532.162.1629 Dec 201621 Feb 2018
Total 2.16 2.16
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.Almora3.2210.26
Total3.2210.26
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Almora3.2210.26
Total3.2210.26
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Bangidhar0.592.05
2Baraliya1.53.21
3Ragargar0.191.11
4Dahala0.391.14
5Bhayari0.552.75
Total 3.22 10.26
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1For Road 0-150 mtr00.135
2For Road 150-4500.210
3For Road 450-100000.49
4For Road 1000-1375 mtr0.26250
5For Road 1375-1650 mtr00.2475
6For 1650-1900 mtr0.1750
7For Road 1900-3750 mtr01.665
8For Road 3750-4175 mtr0.29750
9For Road 4175-5125 mtr00.855
10For Road 5125-5675 mtr0.3850
11For Road 5675-6325 mtr00.585
12For Road 6325-6625 mtr0.210
13For Road 6625-7475 mtr00.765
14For Road 7475-7825 mtr0.2450
15For Road 7825-8275 mtr00.405
16For Road 8275-8550 mtr0.19250
17For Road 8550-10300 mtr01.575
18For Road 10300-10600 mtr0.210
19For Road 10600-11250 mtr00.585
20For Road 11250-11650 mtr0.280
21For Road 11650-12600 mtr00.855
22For Road 12600-12950 mtr0.2450
23For Road 12950-13400 mtr00.405
24For Road 13400-13675 mtr0.19250
25For Road 13675-14275 mtr00.54
26For Road 14275-14725 mtr0.3150
27For Road 14725-16000 mtr00.4975
28Dumping Yard (Km. 1)00.006
29Dumping Yard (Km. 2)00.48
30Dumping Yard (Km. 6)00.16
Total 3.22 10.251
C. Maps of forest land proposed to be diverted
Division 1. : Almora
  (i). Area of forest land proposed to be diverted(in ha.) : 3.22   (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).
1.3.22    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): 151   (iii). Temporary Employment(Number of person-days): 4000
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. : Almora
  (a). Village: bandharan basnal   (b). Area(in ha.): 6.44   (c). Copy of KML file of the patch:     View File   (d). Khasra details: Kata no 54   (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
1A Short Narrative and Importance of the Project
2Administrative and Financial Sanction
3Preliminary Joint Inspection Report
4Comperative chart showing statement of both alignment or alternate site
5Certificate from the DM that no alternative suitable non-forest land
6Category wise land length
7Bar Chart With Index
8Certificate Regarding suitability of indentified hand for CA
9Undertaking by the user agency to bear the cost of CA
10Road Side/Gap Filling Plantation Estimate
11Undertaking by the User Agency to bear the cost of Road Side/Gap Filling Plantation
12Details of the trees with their scientific name in RF, Civil Soyam, Van panchayat, Private Notified land
13Felling of Oak trees (If involves, inspection report of the concerning CF has to be provided)
14Certificate of felling minimum trees during the project work.
15Muck disposal scheme
16Whather project area is a part of National Park or sanctuary and airal distance of the project from National Park or sanctuary signed by DFO
17No voilation has taken place, FC Act. 1980 reg.
18NOC from local Gram Sabhas
19Certificate work has not been started reg.
20Geologist Report
21Task Force Report
22Certificate by user agency for complying the condition imposed in Standard Condition
23Certificate by user agency for complying the condition imposed in geologist report/Task forcex
24No historical/monumental or relegeous place will be effected certificate reg.
25Undertaking regarding no animal will be effected adversely by the project
26Undertading to provide alternative fuel wood, kerosene or LPG to labours
27Benefited villagers/families/population certificate
28Undertaking of payment of NPV S. court increases the rates of NPV
29Certificate of Lease period by user agency
30Undertaking of user agency to bear the cost for dimarcation work
31Check list/Fact Sheet
32Part-I
33Part-II
34Part-III
35Submission of Hard copy Letter
36Objection Removal Letter by 1798/36c dated 02-08-2016 in ref. of your letter no. memo/12-1 dated 20-07-2016
37Objection Removal Letter no. 2090/36c dated 30-08-2016 in ref. of your letter no. memo/12-1 dated 20-07-2016
38Land schedule
39Objection removal by letter no 2558/36c dated 24-10-16 in ref of RO objection letter
40Revised CA Map
41Objection removal letter no 01/camp/rkt/36c dated 02-09-2016
42Objection Removal Letter by 3006/36c dated 24-12-2016 in ref. of your letter no. Nil dated 16-12-2016
43Compensatory afforestation scheme in Civil and Soyam land (10years)
44Revised certificate redarding Suitability of land proposed for CA by DFO Almora