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/11177/2015   (ii). Name of Project for which Forest Land is required : New construction Of Jhala Koti Motor Road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Village kOTI faces many Problems During Rainy Season Due To Heavy Rain Fall Upto Apx 1500mm/Year, Flood & Landslides Are Quite Frequent During Rainy Season And This Area Looses Connectivity From Other Parts Of District Due To Non Availability Of Motor Road.   (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) : 90   (viii). Area of forest land proposed for diversion(in ha.): 0.784   (ix). Non-forest land required for this project(in ha.): 0.342   (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 WORKS DEPARTMENT GHANSALI   (ii). Address1 : OFFICE OF EXECUTIVE ENGINEER TEMP. DIV. PWD GHANSALI UTTRAKHAND   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Tehri Garhwal   (vi). Pin : 249155   (vii). Landmark : NIL   (viii). Email address : eepwdghansali@rediffmail.com   (ix). Landline Telephone No. : 1379-258327   (x). Fax No. : 1379-1379   (xi). Mobile No. : 7533944842   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: BIRENDRA   (ii). Middle Name: SINGH   (iii). Last Name: BASERA   (iv). Gender: Male   (v). Designation: ASST.ENGINEER   (vi). Address 1: C/O EXECUTIVE ENGINEER TEMP. DIV PWD GHANSALI, TEHRI GARHWAL, UTTARAKHAND   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Tehri Garhwal   (x). Tehsil: NIL   (xi). Pin: 249155   (xii). Landmark: NIL   (xiii). Email Address: eepwdghansali@rediffmail.com   (xiv). Landline Telephone No.: 1379-258327   (xv). Fax No.: 01379258327   (xvi). Mobile No.: 9012475006   (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
1Under Processing at State GovernmentFP/UK/ROAD/47739/20201.0850
Total 1.085 0
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.Tehri,New Tehri0.7840.342
Total0.7840.342
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Tehri Garhwal0.7840.342
Total0.7840.342
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Jhala Koti0.7840.342
Total 0.784 0.342
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Constt Of Jhala Koti motor Road0.7840.342
Total 0.784 0.342
C. Maps of forest land proposed to be diverted
Division 1. : Tehri,New Tehri
  (i). Area of forest land proposed to be diverted(in ha.) : 0.784   (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).
1.0.784    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?: 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
1Administrative and Financial sanction
2Preliminary Joint Inspection report
3Comparative chart showing statement of both alignment and alternate site explored for the proposed project and reason for their rejection duly countersigned by DfO
4Certificate from the DM that no alternative suitable non-forest land is available for project in question and the demand of the forest land for the project is barest minimum
5Land schedule (for RF signed by DFO and civil soyam, Van panchayat and privet nap land, Notified forest land etc.)
6Land schedule (for RF signed by DFO and civil soyam, Van panchayat and privet nap land, Notified forest land etc.)
7Bar chart with index
8Compensatory afforestation scheme in Civil and Soyam land (10 years) by DFO
9Certificate regarding suitability of identified land for Compensatory Afforestation by DFO
10Undertaking by the user agency to bear the cost of compensatory afforestation duly counter signed by the DFO
11Road side/gap filling plantation estimate
12Estimate of 100 tree plantation by DFO (less than 1.0 he. Cases)(pdf file)
13Details of the tree with their scientific name in RF.Civil Soyam ,Van panchayat ,Privet Land should be mentioned (with valuation of the trees to be filled)(0-10 dia trees will be mentioned as saplings).(pdf file)
14Felling of Oak Trees
15If felling of tree is not involved, certificate by DFO in this regard.
16Certificate of felling minimum trees during the project work.
17Muck disposal scheme
18In The Project Area Is Within 10 K.M Radios Of N/P Or Centuary Comments/No Objection Certificate Of CCE Wild Life Has To Be Provided
19In The Project Falling Within The National Park Or Centaury ,Needs Recommendation Of State Wild Life Board Of wild Life(NBWL) And Permission Of Hon Ble Supreme Court/MOEF
20No Violation Has Taken Place,FC Act 1980 Reg
21Noc From Local Gram Sabha’s
22Component Wise Details Of Construction Work.
23Certificate Work Has Not Been Started Reg
24Geologist report
25Task Force Certificate
26Certificate By user Agency For Complying The Condition Imposed In Standard Condition
27Certificate By User Agency For Complying The Condition Imposed In Geologist Report/Task Force Recommendation In Hill Areas(Excluding Drinking Water
28No Historical / Monumental Or Religious Place Will Be Effected Certificate Reg
29Under The Provide Alternative Fuel wood, Kerosene Or LPg To Labors Involved In Project
30Benefited Village/Families/Population Certificate.(
31NPV Calculation Certificate As Per Hon’bleSupreme Court/MOEF Orders By DFO
32Undertaking Of Payment Of NPV If Hon’ble Supreme Court Increase The Rates Of NPV
33Cost Of Forest Land And Lease Rent Certificate By DM
34Undertaking Of User Agency To Bear The Cost Of Demarcation Work( Pdf File)
35Fact Sheet
36Undertaking Of User Agency To Bear The Cost Of Demarcation Work( Pdf File)
37Fact Sheet
38query removed-jhala koti middle co-ordinates
39EDS date-18-07-2016
40DGPS map
41EDS reply by user agency for DFO/Nodal Officer/RO Date-04-02-2017.
42EDS Reply dt-25/03/2017 for DFO Tehri
43Receiving letter for hard copy of proposal by nodal office. Query-04-02-2017.