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/13065/2015   (ii). Name of Project for which Forest Land is required : Construction of Kapkot Pindari Galeshicar to Kafalikmera Motor Road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : This Road will link the villagers with mean road Kapkot Pindari Galeshicar motor road. Presently the foot track is very narrow and steep witch is the course of trouble for the villagers to come down and up for there necessary needs to fulfill from near by towns.   (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) : 787.6   (viii). Area of forest land proposed for diversion(in ha.): 6.287   (ix). Non-forest land required for this project(in ha.): 2.002   (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   (ii). Address1 : RES PMGSY Kapkot   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Bageshwar   (vi). Pin : 263642   (vii). Landmark : Kathayatbara   (viii). Email address : eepmgsykapkot@rediffmail.com   (ix). Landline Telephone No. : 5963-220127   (x). Fax No. : 5963-220127   (xi). Mobile No. : 9897839748   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: GIRISH   (ii). Middle Name: CHANDRA   (iii). Last Name: KHOLIYA   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: RES PMGSY KAPKOT   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Bageshwar   (x). Tehsil: NIL   (xi). Pin: 263642   (xii). Landmark: Kathayatbara   (xiii). Email Address: eepmgsykapkot@rediffmail.com   (xiv). Landline Telephone No.: 5963-220127   (xv). Fax No.: 05963220127   (xvi). Mobile No.: 9897839748   (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.Bageshwar6.2872.002
Total6.2872.002
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Bageshwar6.2872.002
Total6.2872.002
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Kaflikamera6.2872.002
Total 6.287 2.002
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road6.162.002
2muck0.1270
Total 6.287 2.002
C. Maps of forest land proposed to be diverted
Division 1. : Bageshwar
  (i). Area of forest land proposed to be diverted(in ha.) : 6.287   (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).
1.6.287    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): 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?: Yes   (a). Copy of Cost-Benefit analysis:
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. : Bageshwar
  (a). Village: badiyakot civil   (b). Area(in ha.): 12.574   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 110   (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
1Geoiogical Report
2Google map in Plantesion, Prativedan
3bar chat
4Task force certificate, year lige rant affitifit, Toto sheet in plantesion
5Disten of air pote, National park noc certificate, work Not Start Certificate, cost Banifit Analisis, Gological Affitafit, NVP, Lige Afitivit
6Querry removed on dt 22-07-2017
7Hard copy submitted reciept letter
8Querry removed letter
9hard copy receving letter
10tree detalied
11querry removed letter dated 06-12-2017
12Covering letter
13Query removed
14NPV New
15Road width and length
16querry removed letter 01-05-2018
17land shadule
18Muck disposal
19querry removed letter 19-05-2018
20querry removed letter dt 21-06-2018
21Hard copy receving
22querry removed letter dt 21-08-2018
23EDS letter dated 02-08-2018
24querry removed letter dated 18-12-2018
25CA certificate
26CA scheme
27querry removed letter dt 07-02-2019
28joint inspection report
29querry remove letter dt 25-06-2019
30querry removed letter dt 28-06-2019
31Aeriel distance certificate
32Receving letter nodal office
33querry removed letter dt 26-07-2019
34querry letter RO office
35inspection report
36querry removed letter dt 07-08-2019