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/10272/2015   (ii). Name of Project for which Forest Land is required : Garur-Binkholi to Kothon Motor Road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Under the PMGSY I.D. Bageshwar Block Garur the road "Binkholi to Kothon Motor Road" it proposed to be of length 2.60km having 2.34 ha of total land area in which the civil soyam land is 0.54 ha. This project is going to connect the villages named Binkholi & Kothon and giving connectivity to a total   (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) : 156   (viii). Area of forest land proposed for diversion(in ha.): 0.54   (ix). Non-forest land required for this project(in ha.): 1.8   (x). Total period for which the forest land is proposed to be diverted(in years): 100
A-2. Details of User Agency
  (i). Name : EXICUTIVE ENGINEER   (ii). Address1 : PMGSY Irrigation Division, Bageshwar   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Bageshwar   (vi). Pin : 263642   (vii). Landmark : Bageshwar   (viii). Email address : eepmgsybageshwar@rediffmail.com   (ix). Landline Telephone No. : 5963-221761   (x). Fax No. : 5963-221761   (xi). Mobile No. : 9412951292   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Vijay   (ii). Middle Name: NIL   (iii). Last Name: Krishn   (iv). Gender: Male   (v). Designation: Assistant Engineer   (vi). Address 1: PMGSY Irrigation Division, Bageshwar   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Bageshwar   (x). Tehsil: Bageshwar   (xi). Pin: 263642   (xii). Landmark: Bageshwar   (xiii). Email Address: eepmgsybageshwar@rediffmail.com   (xiv). Landline Telephone No.: 5963-221761   (xv). Fax No.: 05963221761   (xvi). Mobile No.: 8954162587   (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.Bageshwar0.541.8
Total0.541.8
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Bageshwar0.541.8
Total0.541.8
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Kothon0.541.8
Total 0.54 1.8
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road Construction0.541.8
Total 0.54 1.8
C. Maps of forest land proposed to be diverted
Division 1. : Bageshwar
  (i). Area of forest land proposed to be diverted(in ha.) : 0.54   (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).
1.0.54    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): 20   (iii). Temporary Employment(Number of person-days): 30
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?: Not Applicable   (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 ?: Not Applicable   (iii) . Reason for not providing Non-Forest Land: Not Applicable
Additional information Details
Documents
S.No Documents
Remarks
11 5 Justification for Project
21 9 No Objection Certificate for Non Forest or Revenue forest land
32 2 Administrative and Financial Sanction forest land
42 3 Preliminary Joint Inspection
52 4 Compression of Both Alignment
62 5 DM Certificate for best fit alingment
72 6 Land Schedule
82 7 Catagorywise Land Length
92 8 BarChart
102 10 CA Suitablity by DFO
112 11 Undertaking by User Agency to bear cost of CA
122 15 Details of Trees with their Scientific Names
132 16 Certificate fro Oak Trees
142 18 Certificate of Felling Minimum Trees
152 19 Muck Disposal
162 20 Distance of National Park or Sancturary
172 23 No Violation FC Act 1980
182 27 Certificate of Work has not Start
192 28 Geologist Report
202 29 Task Force Report
212 29 Task Force Report
222 30 2 31 Standard Codition and Complaince Certificate
232 32 Geologist Certficiate
242 33 No Historical Mounumental or Relegious place will be effected Certificate
252 34 Undertaking Regarding no Animal will effected adversely by the project
262 35 To provide kerosene or LPG
272 36 Villages, Population Benefitted
282 38 Undertaking for NPV Payment
29Certificate for Transfering forest land
30Geologist Report
31Ownership for CA
32Site Inspection by DFO
33MAP (Objection Rectifies)
34Objection Rectifies Garur-Binkholi to Kothon Motor Road (FPUKROAD102722015)
35Pointwise Answer Garur-Binkholi to Kotho Motor Road
36objections point wise answer
37Garur-Binkholi to Khoto Motor Road Objection Rectifies
38NPV Calculation
39Forwarding Letter
40Additional Document regarding objection raised.