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/11576/2015   (ii). Name of Project for which Forest Land is required : Construction of Rauli to Kuneth Motor Road, km-5.50, Under PMGSY   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The road is required for providing connectivity to Village - Main situated in Block-Thalisen of District Pauri with a population of 904 numbers. The total length of the road is 5.50 km.   (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) : 346.93   (viii). Area of forest land proposed for diversion(in ha.): 4.968   (ix). Non-forest land required for this project(in ha.): 0.695   (x). Total period for which the forest land is proposed to be diverted(in years): 100
A-2. Details of User Agency
  (i). Name : PMGSY BAIJRO   (ii). Address1 : Executive engineer PMGSY (ID) Baijro H.Q-Satpuli Pauri Garhwal   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Pauri Garhwal   (vi). Pin : 246172   (vii). Landmark : Sakti Filling Petrol Pump   (viii). Email address : eepmgsybaijro@rediffmail.com   (ix). Landline Telephone No. : 1386-273344   (x). Fax No. : NIL   (xi). Mobile No. : 8475825023   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Lalit   (ii). Middle Name: Kumar   (iii). Last Name: Dhariwal   (iv). Gender: Male   (v). Designation: Assistant Engineer   (vi). Address 1: Executive Engineer PMGSY (I.D.) Baijro H.Q.-Satpuli   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Pauri Garhwal   (x). Tehsil: Satpuli   (xi). Pin: 246172   (xii). Landmark: Sakti Filling Petrol Pump   (xiii). Email Address: eepmgsybaijro@rediffmail.com   (xiv). Landline Telephone No.: 1386-273344   (xv). Fax No.: 01386273344   (xvi). Mobile No.: 9412968402   (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.Garhwal,Pauri4.9680.695
Total4.9680.695
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Pauri Garhwal4.9680.695
Total4.9680.695
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Kuneth4.9680.695
Total 4.968 0.695
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1muck disposal0.2930.42
2road alignment4.6740.274
Total 4.967 0.694
C. Maps of forest land proposed to be diverted
Division 1. : Garhwal,Pauri
  (i). Area of forest land proposed to be diverted(in ha.) : 4.968   (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).
1.4.968    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): 25   (iii). Temporary Employment(Number of person-days): 200
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. : Pauri Garhwal
  (a). Village: Kuneth   (b). Area(in ha.): 9.936   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 158,348,511,697,820,821,1455   (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
1Fect Sheet
2Prativadan
3Parpatr 1 Authorised to Upload The Land Transfer Proposal
4Parpatr 2
5Parpatr 3
6Parpatr 4
7Parpatr 5
8Parpatr 6
9Parpatr 7 Site Inspection Report
10Parpatr 8 Topo Sheet With Different Colour Area
11Parpatr 9 Digital Map With GPS Reading
12Parpatr 11
13Parpatr 12
14Parpatr 13
15Parpatr 14
16Parpatr 15 Land Schedule
17Parpatr 16 Road Length & Width
18Parpatr 17 Bar Chart
19Parpatr 18 No Work Start Certificate
20Parpatr 19 Affected Trees Details
21Parpatr 20 estimate of affected trees
22Parpatr 21 details of cutting trees
23Parpatr 22
24Parpatr 23 No tree affected certificate
25Parpatr 24 minimum falls of trees certificate
26Parpatr 25 Road is not a part of national park or airport
27Parpatr 26 No Objection certificate from chief forest officer
28Parpatr 27
29Parpatr 28 no objection certificate from affected villages committee
30Parpatr 29 Cost Benefit Ratio
31Parpatr 31
32Parpatr 32 layout plans of building works
33Parpatr 33 Geologist Details for Road
34Parpatr 34 suggestion of Geologist
35Parpatr 35
36Parpatr 36 maanak shartay maanay hone ka parmaan patr
37Parpatr 37 existance/non existance of tempale, monuments
38Parpatr 38 No harm for forest animals & botanical trees certificate
39Parpatr 39 certificate of cooking gas, kerosene oil for labours
40Parpatr 40 details of villages/peoples/families in habitation
41Parpatr 41 Present value of forest land given by DM
42Parpatr 42 10 year planning map for compensatory plantation
43Parpatr 43 certificate of perfect place for compensatory plantation
44Parpatr 44 area for compensatory plantation shown in topo sheet of scale 1:50,000
45Parpatr 45 area for compensatory plantation shown in coloured google map
46Parpatr 46
47Parpatr 47
48Parpatr 48 Bond Between landowner and proposal agency
49Parpatr 49 muck disposal plan
50Parpatr 50 estimate of NPV amount according to the Government Of India
51Parpatr 51 increment in current rate of NPV
52Parpatr 52
53Parpatr 53 certificate for lease time period
54Parpatr 54 forest conservation Act 1980
55Parpatr 55 cat plan for hydro power project
56Parpatr 56 Environmental permission from GOI, environmental, forest ministry
57Cover Page
58Index Page
59compensatory map in polygon form
60corrected FRA 2006
61FRA Parpatra 30
62FRA 2006
63FRA 2006 After correction
64Forward Letter