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/10762/2015
(ii). Name of Project for which Forest Land is required :
Construction of Bungidhar Mehalchauri Bachhuwaban MR, km-25 to Syuni Talli Motor Road under PMGSY
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
The road is for providing connectivity to vilage Syuni Talli situated in Block Gaisain of District Chamoli. The population being served with the road is 314 numbers. The road shall provide to connectivity to 01 number of village. The road passes through reserve forest land, civil soyam land and priv
(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) :
280
(viii). Area of forest land proposed for diversion(in ha.):
2.73
(ix). Non-forest land required for this project(in ha.):
0.007
(x). Total period for which the forest land is proposed to be diverted(in years):
99
A-2.
Details of User Agency
(i). Name :
RES PMGSY KARANPERAYAG
(ii). Address1 :
Karanprayag
(iii). Address2 :
NIL
(iv). State :
Uttarakhand
(v). District :
Chamoli
(vi). Pin :
246444
(vii). Landmark :
NIL
(viii). Email address :
eepmgsykaranprayag1@rediffmail.com
(ix). Landline Telephone No. :
1363-244843
(x). Fax No. :
1363-0
(xi). Mobile No. :
9412056922
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
sachin
(ii). Middle Name:
NIL
(iii). Last Name:
kumar
(iv). Gender:
Male
(v). Designation:
Assistant Engineer
(vi). Address 1:
Karanprayag
(vii). Address 2:
NIL
(viii). State:
Uttarakhand
(ix). District:
Chamoli
(x). Tehsil:
Karnaprayag
(xi). Pin:
246444
(xii). Landmark:
NIL
(xiii). Email Address:
eepmgsykaranprayag1@rediffmail.com
(xiv). Landline Telephone No.:
1363-244843
(xv). Fax No.:
NIL
(xvi). Mobile No.:
7895282436
(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.
Kedarnath Wild Life Division,Gopeshwar
2.73
0.007
Total
2.73
0.007
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Chamoli
2.73
0.007
Total
2.73
0.007
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Lohba (Forest Range Area)
2.38
0
2
Syuni Talli
0.35
0.007
Total
2.73
0.007
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Road
2.73
0.007
Total
2.73
0.007
C.
Maps of forest land proposed to be diverted
Division 1. : Kedarnath Wild Life Division,Gopeshwar
(i). Area of forest land proposed to be diverted(in ha.) :
2.73
(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.
2.73
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):
50
(iii). Temporary Employment(Number of person-days):
18000
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:
Khinsar
(b). Area(in ha.):
5.46
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
340
(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
1
Private land owners detail with MoU executed with them
2
Narrative and Importance of the Project
3
Regarding technical and financial sanction
4
Joint Inspection report and comparative between two identified alignments
5
Certificate from DM that no alternative suitable non-forest land is available for the project and the demand of the forest land for the project is barest minimum
6
Land Schedule, Category wise land length, width and area and Bar Chart with Index of land schedule
7
Compensatory Afforestation Scheme, Certificate regarding suitability of identified land for Compensatory Afforestation and Undertaking by the User Agency to bear the cost of Compensatory Afforestation
8
Road Side Plantation Estimate and Undertaking by the User Agency to bear the cost of Road Side Plantation
9
Detail of trees with their Scientific Name and Certificate of felling minimum trees during the project work
10
Muck Disposal Scheme
11
Status of the project being a part of National Park or sanctuary and Arial distance of the project from National Park or Sanctuary
12
No violation regarding FC Act 1980 and Certificate for work has not been started
13
NOC from Gram Sabha
14
Geologist Report, Task Force Report, Standard Conditions, Certificate by user agency for complying the condition imposed in Standard Condition and Certificate by user agency for complying the condition imposed by geologist / task force in hill areas
15
Certificate that No historical / monumental or religious place will be affected
16
Undertaking regarding no animal will be affected adversely by the project, Certificate to provide alternative fuel wood, kerosene or LPG to labourers and Benefited villages/ Families/ Population Certificate
17
NPV calculation certificate as per Hon'able Supreme Court / MoEF orders and Undertaking of payment of NPV, if Hon'able Supreme Court increases the rates of NPV
18
Cost of the forest land, Estimate for Demarcation of forest land to be diverted and Undertaking of user agency to bear the cost for demarcation work
19
Index
20
Form of part-1
21
RO objection related query removal letter
22
The Original hard copy of DPR has been submitted in Nodal office Dehradun.
23
RO objection related query removal letter
24
RO objection related query removal letter
25
RO objection related query removal letter on dated 19.12.17
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