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/12157/2015   (ii). Name of Project for which Forest Land is required : construction of hanumanchatti pindki mardresh motar marg   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : the road will connectivity to the remote area villager to main 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) : 209.7   (viii). Area of forest land proposed for diversion(in ha.): 2.895   (ix). Non-forest land required for this project(in ha.): 2.61   (x). Total period for which the forest land is proposed to be diverted(in years): 2
A-2. Details of User Agency
  (i). Name : PUBLIC WORK DEPARTMENT   (ii). Address1 : Construction Division PWD Barkot   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Uttarkashi   (vi). Pin : 249141   (vii). Landmark : Near Police Station   (viii). Email address : eepwdbarkot@rediffmail.com   (ix). Landline Telephone No. : 1375-224756   (x). Fax No. : 1375-224828   (xi). Mobile No. : 9457268901   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Sanjay   (ii). Middle Name: prasad   (iii). Last Name: sinha   (iv). Gender: Male   (v). Designation: Excecutive Engineer   (vi). Address 1: Construction Division PWD Barkot   (vii). Address 2: District-Uttarkashi   (viii). State: Uttarakhand   (ix). District: Uttarkashi   (x). Tehsil: NIL   (xi). Pin: 249141   (xii). Landmark: Near Police Station   (xiii). Email Address: eepwdbarkot@rediffmail.com   (xiv). Landline Telephone No.: 1375-224756   (xv). Fax No.: 01375224828   (xvi). Mobile No.: 9411166945   (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.Upper Yamuna,Barkot2.8952.61
Total2.8952.61
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Uttarkashi2.8952.61
Total2.8952.61
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1pidki madish2.8952.61
Total 2.895 2.61
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1road1.442.61
2muck disposal1.4550
Total 2.895 2.61
C. Maps of forest land proposed to be diverted
Division 1. : Upper Yamuna,Barkot
  (i). Area of forest land proposed to be diverted(in ha.) : 2.895   (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).
1.1.44    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: No Data   (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: No Data
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 ?: Yes   (a). Provide reasons thereof: attached in ca scheme   (b). Area of non-forest or Revenue forest land required to be provided by User Agency for raising Compensatory Afforestation(in ha.): 2.895   (iii). No. of districts involved for raising Compensatory Afforestation: 1   (iv). No. of patches: One
District 1. : Uttarkashi
  (a). Village: durbil   (b). Area(in ha.): 5.79   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 1049,1098,1603,1909,2995   (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
1vishay chuci or check list
2report
3annxure decide by the indian gov
4physical and financial
5joint insection report
6sir of dfo
7digital map road
8land schedule road
9land and width of project road
10bar chat
11certificate of road working not started
12data and valuation of effected tress
13certificate of banjh tree ka patan
14certificate of minimun tress that are nt cutted
15certificate of project land that shows it is not a part of national park/wild life
16certificate of distance from park/density and wild life
17noc by dfo
18noc by village sabha
19cost benifit ratio chart
20parameter of evalution of loss of forest
21parameter of evalution benifit not with stnding loss of forest
22fra
23prasthavit priyojna k vibhin ghatko ka madvar/bhumivar/chetrafavr ka vivran only hrdrolic project
24lay out
25geologist report
26undertaking reg zeologist recm
27task force certificate
28no historic place certificate
29no violanceof wild life certificate
30certificate of worker provide benifit oil/gass
31certificate related to the benifits getting by the villagers/no of population
32certificate of forest land cost/yearly lease
33ca scheme
34land suitability for ca
35road side plantation
36estimate of pantation of tress under CA
37muck disposal
38npv certi. by dfo
39npv certi.current increasing rates for npv dfo
40estimates of rcc pillar
41certi.of leage tym
42certi.fra act 1980
43hydraulic [project by catchment area treatment pant
44certificate of declination of alternate road
45certificate of declination of alternate road
46C.A STAL UPUKTA CIRTIFICATE
47C.A KHASRA KHATONI