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/10511/2015
(ii). Name of Project for which Forest Land is required :
Construction of Khadlekh-Bhanar-Dana-Tikta Motor Road (4.00km)
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Construction of Khadlekh-Bhanar-Dana-Tikta Motor Road (4.00Km)
(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) :
200
(viii). Area of forest land proposed for diversion(in ha.):
1.75
(ix). Non-forest land required for this project(in ha.):
1.05
(x). Total period for which the forest land is proposed to be diverted(in years):
3
A-2.
Details of User Agency
(i). Name :
PWDKAPKOT
(ii). Address1 :
C.D.P.W.D.KAPKOTE
(iii). Address2 :
BAGESHWAR
(iv). State :
Uttarakhand
(v). District :
Bageshwar
(vi). Pin :
263642
(vii). Landmark :
Kapkot
(viii). Email address :
cdpwdkapkot@gmail.com
(ix). Landline Telephone No. :
5963-253385
(x). Fax No. :
5963-253385
(xi). Mobile No. :
9639377012
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
Sanjay Kumar Pandey
(ii). Middle Name:
Kumar
(iii). Last Name:
Pandey
(iv). Gender:
Male
(v). Designation:
E.E.
(vi). Address 1:
C.D.P.W.D.KAPKOTE
(vii). Address 2:
BAGESHWAR
(viii). State:
Uttarakhand
(ix). District:
Bageshwar
(x). Tehsil:
Kapkot
(xi). Pin:
263642
(xii). Landmark:
kapkot
(xiii). Email Address:
cdpwdkapkot@gmail.com
(xiv). Landline Telephone No.:
5963-253385
(xv). Fax No.:
05963253385
(xvi). Mobile No.:
9719471059
(i). Copy of documents in support of the competence/authority of the person making this application to make application on behalf of the User Agency:
No Data
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.
Bageshwar
1.75
1.05
Total
1.75
1.05
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Bageshwar
1.75
1.05
Total
1.75
1.05
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Kharlekh
0.14
0.5
2
Dana
1.61
0.55
Total
1.75
1.05
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Road
1.75
1.05
Total
1.75
1.05
C.
Maps of forest land proposed to be diverted
Division 1. : Bageshwar
(i). Area of forest land proposed to be diverted(in ha.) :
1.75
(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.
1.75
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:
No
(a). Reason for not providing such map:
No
E.
Employment likely to be generated
(i). Whether the Project is likely to generate employment ?:
No
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. : Bageshwar
(a). Village:
Harwar Civil
(b). Area(in ha.):
3.5
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
1
(e). Present owner:
User Agency
(f). Copy of Ownership proof:
(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 1.2
2
A 1.3
3
A 1.4
4
A 1.5
5
A 2.36
6
A 2.38
7
other doc
8
Note containing justification for locating the Project in forest land
9
Land should
10
A short narrative & Administrative and Financial sanction
11
Preliminary Joint Inspection report
12
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.
13
Land schedule (for RF signed by DFO and civil soyam, Van
14
Category wise (RF,civil soyam, Van panchayat and private nap land
15
Bar Chart
16
Compensatory afforestation scheme in Civil and Soyam land (10 YEAR
17
NOC REVANU
18
NOC SARPANCH
19
NOC from local Gram Sabhas
20
Certificate reg. suitability of indentified land for Comensatory Afforestation by DFO
21
Undertaking by the User Agency to bear the cost of compensatory
22
Road sidegap filling plantation estimate (by DFO)
23
Details of the trees with their scientific name in RF, Civil Soyam
24
Muck disposal scheme
25
Muck disposal scheme
26
No voilation has taken place, FC Act. 1980 reg
27
Task Force report
28
Manak Shartain
29
geologist report
30
Benefited villages Families Population certificate
31
NPV calculation certificate as per Hon'ble Supreem court MoEF
32
signed acknowledgment slip of receipt of hard copy at DFO & nodal office
33
Sir Attached hard reciving copy CF office kharlak bhanar
34
Sir Attached hard reciving copy CF office kharlak bhanar
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