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/10355/2015   (ii). Name of Project for which Forest Land is required : construction of Bagoli to Chula motor road under PMGSY   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : proposal for transfer of 2.118 hactares of forest land for construction of Bagoli to Chula motor road under PMGSY   (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) : 600   (viii). Area of forest land proposed for diversion(in ha.): 2.118   (ix). Non-forest land required for this project(in ha.): 2.975   (x). Total period for which the forest land is proposed to be diverted(in years): NIL
A-2. Details of User Agency
  (i). Name : PMGSY   (ii). Address1 : PMGSY Division, PWD Karanprayag   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Chamoli   (vi). Pin : 246444   (vii). Landmark : Karanprayag via Simli Road   (viii). Email address : eepmgsykaranprayag2@rediffmail.com   (ix). Landline Telephone No. : 1363-244103   (x). Fax No. : 1363-244103   (xi). Mobile No. : 9837760051   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: RAJENDRA   (ii). Middle Name: SINGH   (iii). Last Name: DIWAKAR   (iv). Gender: Male   (v). Designation: Assistant Engineer   (vi). Address 1: Assistant Engg. PMGSY Div. PWD Karnaprayag, Chamoli.   (vii). Address 2: Assistant Engg. PMGSY Div. PWD Karnaprayag, Chamoli.   (viii). State: Uttarakhand   (ix). District: Chamoli   (x). Tehsil: Karnaprayag   (xi). Pin: 246444   (xii). Landmark: NIL   (xiii). Email Address: vinayjhinkwan@gmail.com   (xiv). Landline Telephone No.: 1363-244103   (xv). Fax No.: 1363244103   (xvi). Mobile No.: 8476883363   (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.Badrinath,Gopeshwar2.1182.975
Total2.1182.975
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Chamoli2.1182.975
Total2.1182.975
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1chula1.2242.1
2Gawani0.8940.875
Total 2.118 2.975
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road2.11752.975
Total 2.1175 2.975
C. Maps of forest land proposed to be diverted
Division 1. : Badrinath,Gopeshwar
  (i). Area of forest land proposed to be diverted(in ha.) : 2.118   (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).
1.2.118    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): 15   (iii). Temporary Employment(Number of person-days): 50
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: Two
District 1. : Chamoli
  (a). Village: gavani   (b). Area(in ha.): 1.882   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 932   (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: chula   (b). Area(in ha.): 2.354   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 38, 2   (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
1aam sabha ka anapatti patra
2aerial distance certificate
3afforestation 10 years
4afforestation plan
5agreement
6baanj vriksha ke paatan
7bar chart
8check list
9comparison
10details of affecting trees
11double land for afforestation
12forest land cost certificate
13fuel certificate
14geologist report
15joint inspection
16land schedule
17length width certificate
18maanak shartein
19minimum deforestation certificate
20muck disposal plan
21naap bhoomi ka vivran
22national park certificate
23neuntam van bhoomi ki maang
24no harm to wildlife certificate
25NVP estimation
26obligation to geologist and task force certificate
27pillars of estimate
28non important place
29population of benefiting villages
30task force certificate
31other documents 1
32other documents 2
33FRA document