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/10617/2015   (ii). Name of Project for which Forest Land is required : Construction of Gram Kush & Kushdev Mahadev Motor Road from Km. 13 of Parkal Kedarkot Motor Road.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : For Construction of Gram Kush & Kushdev Mahadev Motor Road from Km. 13 of Parkal Kedarkot Motor Road, total forest land required is 1.753 Ha.   (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) : 25.2   (viii). Area of forest land proposed for diversion(in ha.): 1.753   (ix). Non-forest land required for this project(in ha.): 0   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : PUBLIC WORK DEPARTMENT   (ii). Address1 : Tharali   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Chamoli   (vi). Pin : 246481   (vii). Landmark : NIL   (viii). Email address : pwdtharali@gmail.com   (ix). Landline Telephone No. : 1363-271224   (x). Fax No. : NIL   (xi). Mobile No. : 8126088480   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Jitendra   (ii). Middle Name: NIL   (iii). Last Name: Kumar   (iv). Gender: Male   (v). Designation: Assistant Engineer   (vi). Address 1: Con. Div. P.W.D. Tharali   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Chamoli   (x). Tehsil: Tharali   (xi). Pin: 246481   (xii). Landmark: NIL   (xiii). Email Address: pwdtharali@gmail.com   (xiv). Landline Telephone No.: 1363-271224   (xv). Fax No.: 01363271224   (xvi). Mobile No.: 8439950507   (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/10775/2015FP/UK/Road/10775/20150.7220.72230 Oct 201518 Oct 2016
2ApprovedFP/UK/ROAD/25814/20178B/UCP/06/103/20170.9550.95524 Sep 201823 Oct 2018
Total 1.677 1.677
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,Gopeshwar1.7530
Total1.7530
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Chamoli1.7530
Total1.7530
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Bhangota1.7530
Total 1.753 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1For Road Construction1.40
2For Muck Disposal0.3530
Total 1.753 0
C. Maps of forest land proposed to be diverted
Division 1. : Badrinath,Gopeshwar
  (i). Area of forest land proposed to be diverted(in ha.) : 1.753   (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).
1.1.753    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 ?: 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. : Chamoli
  (a). Village: Dangtoli   (b). Area(in ha.): 3.506   (c). Copy of KML file of the patch:     View File   (d). Khasra details: Khata No. 9, Khasra No. 94   (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 explored for the proposed project and reasons for their rejection duly countersigned by DFO.
5Certificate 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.
6Land schedule (for RF signed by DFO and civil soyam, Van panchayat and private nap land signed by DM).
7Category wise (RF,civil soyam, Van panchayat and private nap land, Notified forest land etc.) land length, width and area in Ha.
8Bar Chart with index
9Compensatory afforestation scheme in Civil and Soyam land
10Certificate Regarding. suitability of indentified land for Comensatory Afforestation by DFO
11Undertaking by the User Agency to bear the cost of compensatory afforestation
12Road side/gap filling plantation estimate
13Undertaking by the User Agency to bear the cost of Road side /gap filling plantation
14Estimate of 100 trees plantation by DFO
15Details of the trees with their scientific name in RF, Civil Soyam, Van Panchayat, Private Notified land and in Nap Land should be mentioned (with valuation of the trees to be felled )
16Felling of Oak trees (if involves, inspection report of the concerning CF has to be provided).
17Certificate of felling minimum trees during the project work.
18Muck disposal scheme
19Whather project area is a part of National Park or sanctuary and airal distance of the project from National Park or sanctuary signed by DFO
20No voilation has taken place, FC Act. 1980 reg.
21NOC from local Gram Sabhas.
22Certificate- work has not been started reg.
23Geologist Report
24Task Force report
25Certificate by user agency for complying the condition imposed in Standard Condition
26Certificate by user agency for complying the condition imposed in geologist report/Task force recommendation in hill areas
27No historical/monumental or relegeous place will be effected certificate reg
28Undertakoing regarding no animal will be effected adversely by the project.
29Undertading to provide alternative fuelwood, kerosene or LPG to labours involved in project.
30Benefited villages/Families/Population Certificate
31NPV calculation certificate as per Hon'ble Supreem court /MoEF orders by DFO
32Undertaking of payment of NPV, if Hon'ble Supreem Court increses the rates of NPV
33Demarcation of land to be diverted
34Undertaking of user agency to bear the cost for dimarcation work
35Other Document
36Check List