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/12840/2015   (ii). Name of Project for which Forest Land is required : Nauti-Chatoli to Jakhet (extension)   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Under the declaration of honorable Chief Minister Uttarakhand ( State sector) construction of new motor road Nauti- Chatoli to Jakhet motor road extension of length 1.00km.   (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) : 50.32   (viii). Area of forest land proposed for diversion(in ha.): 0.17   (ix). Non-forest land required for this project(in ha.): 0.56   (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 GOPESHWAR UTTARAKHAND   (ii). Address1 : office of the executive engineer, temporary division, public works department gauchar, chamoli   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Chamoli   (vi). Pin : 246429   (vii). Landmark : near sbi bank   (viii). Email address : eepwdgauchar@rediffmail.com   (ix). Landline Telephone No. : 1363-240614   (x). Fax No. : 1363-240614   (xi). Mobile No. : 9412382882   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: rajat   (ii). Middle Name: NIL   (iii). Last Name: jain   (iv). Gender: Male   (v). Designation: assistant engineer(civil)   (vi). Address 1: office of the executive engineer, temporary division, public works department gauchar, chamoli   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Chamoli   (x). Tehsil: Karnaprayag   (xi). Pin: 246429   (xii). Landmark: near sbi bank   (xiii). Email Address: eepwdgauchar@rediffmail.com   (xiv). Landline Telephone No.: 1363-240614   (xv). Fax No.: 01363240614   (xvi). Mobile No.: 9412382882   (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,Gopeshwar0.170.56
Total0.170.56
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Chamoli0.170.56
Total0.170.56
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Bhatgwali0.170.56
Total 0.17 0.56
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1For Road0.140.56
2For muck disposal chainage 7/9 to 7/130.030
Total 0.17 0.56
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.) : 0.17   (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).
1.0.17    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): 0   (iii). Temporary Employment(Number of person-days): 50
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?: No   (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) . Reason for not providing Non-Forest Land: Diversion of forest land up to one hectare
Additional information Details
Documents
S.No Documents
Remarks
1A short narrative and importance of the project
2Administrative and Financial sanction
3Preliminary Joint Inspection report (by user agency, forest department, revenue department
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 (counter signed by DFO).
9Compensatory afforestation scheme in Civil and Soyam land (10 years) by DFO
10Certificate regarding suitability of indentified land for Comensatory Afforestation by DFO
11Road side/gap filling plantation estimate (by DFO)
12Undertaking by the User Agency to bear the cost of Road side /gap filling plantation (by user agency)
13Estimate of 100 trees plantation by DFO ( less then 1.0 ha. cases )
14Details 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 ) (0-10 dia trees will be mentioned as saplings).
15Felling of Oak trees (if involves, inspection report of the concerning CF has to be provided).
16Certificate of felling minimum trees during the project work.
17Muck disposal scheme (in prescribed format)
18Whather project area is a part of National Park or sanctuary and airal distance of the project from National Park or sanctuary signed by DFO.
19No voilation has taken place, FC Act. 1980 reg.
20NOC from local Gram Sabhas. (pdf file).
21Certificate- work has not been started reg.
22Geologist Report (Govt. approved Geologist).
23Task Force report.
24Certificate by user agency for complying the condition imposed in Standard Condition
25Certificate by user agency for complying the condition imposed in geologist report/Task force recommendation in hill areas (excluding drinding water.
26No historical/monumental or relegeous place will be effected certificate reg. (by DM/DFO)
27Undertakoing regarding no animal will be effected adversely by the project.
28Undertading to provide alternative fuelwood, kerosene or LPG to labours involved in project.
29Benefited villages/Families/Population Certificate.
30NPV calculation certificate as per Hon'ble Supreem court /MoEF orders by DFO
31Undertaking of payment of NPV, if Hon'ble Supreem Court increses the rates of NPV (by user agency)
32Cost of the forest land and lease rent certificate by DM.
33Cost of the forest land and lease rent certificate by DM.
34Undertaking of user agency to bear the cost for dimarcation work
35Check list/Fact sheet . /Other imp details
36reference Ministry Of Environment And Forests (MOEF)letter no MISS/11/RC/COP/2013/846 DATED 06-11-2015 and your letter 6001/12-1 dated 24-02-2016
37ans your EDS on dated 26-5-2016
38Ans your EDS dated 05-09-2016
39ANSWER your letter no 963/12-1 dated 15-9-2016
40ANSWER your EDS on dated 17-10-2016
41ANSWER YOUR EDS ON DATED 30 DECEMBER 2016
42ANSWER your eds on DATED 24 APRIL 2017
43Answer your EDS ON Dated 28 April 2017
44ANSWER your eds on DATED 28 june 2017
45Answer your EDS on dated 02 august 2017 and nodal office letter dated 27 july 2017
46ANSWER your eds on dated 23 august 2017
47Answer your eds on dated 25 October 2017 and R.O EDS on dated 16 october 2017
48answer your eds on dated 17 january 2018