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/14233/2015
(ii). Name of Project for which Forest Land is required :
construction of Bariely Almora motor road to Sirsa under PMGSY
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Proposed road is 1.75 Km.Beneficiary villag Sirsa provide connectivity to market place.
(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) :
0.85
(viii). Area of forest land proposed for diversion(in ha.):
0.9212
(ix). Non-forest land required for this project(in ha.):
0.3038
(x). Total period for which the forest land is proposed to be diverted(in years):
NIL
A-2.
Details of User Agency
(i). Name :
PUBLIC WORK DEPARTMENT
(ii). Address1 :
executive engineer, pmgsy division, pwd kathgodam
(iii). Address2 :
NIL
(iv). State :
Uttarakhand
(v). District :
Nainital
(vi). Pin :
263126
(vii). Landmark :
nariman chauraha
(viii). Email address :
eepmgsykathgodam@rediffmail.com
(ix). Landline Telephone No. :
5946-266211
(x). Fax No. :
5946-5946
(xi). Mobile No. :
9411318463
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
jeewan
(ii). Middle Name:
singh
(iii). Last Name:
hyanki
(iv). Gender:
Male
(v). Designation:
executive engineer
(vi). Address 1:
executive engineer, pmgsy division, pwd kathgodam
(vii). Address 2:
NIL
(viii). State:
Uttarakhand
(ix). District:
Nainital
(x). Tehsil:
Haldwani
(xi). Pin:
263126
(xii). Landmark:
nariman chauraha
(xiii). Email Address:
eepmgsykathgodam@rediffmail.com
(xiv). Landline Telephone No.:
5946-266211
(xv). Fax No.:
05946266211
(xvi). Mobile No.:
9411318463
(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.
Nainital
0.9212
0.3038
Total
0.9212
0.3038
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Nainital
0.9212
0.3038
Total
0.9212
0.3038
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
NIL
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Ramgarh
0.9212
0.3038
Total
0.9212
0.3038
C.
Maps of forest land proposed to be diverted
Division 1. : Nainital
(i). Area of forest land proposed to be diverted(in ha.) :
0.9212
(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.
0.9212
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):
20
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
1
1st Page
2
A short narrative and importance of the project
3
Administrative and Financial sanction
4
2.3 Preliminary Joint Inspection report (by user agency, forest department, revenue department etc.)
5
2.4 Comperative chart showing statement of both alignment or alternate site explored for the proposed project and reasons for their rejection duly countersigned by DFO.
6
2.5 Certificate 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. (pdf file)
7
2.6 Land schedule (for RF signed by DFO and civil soyam, Van panchayat and private nap land signed by DM).
8
2.7 Category wise (RF,civil soyam, Van panchayat and private nap land, Notified forest land etc.) land length, width and area in Ha. (pdf file)
9
2.8 Bar Chart with index (counter signed by DFO). (pdf file)
10
2.12 Road side/gap filling plantation estimate (by DFO) (pdf file)
11
2.13 Undertaking by the User Agency to bear the cost of Road side /gap filling plantation (by user agency) (pdf file)
12
2.14 Estimate of 100 trees plantation by DFO ( less then 1.0 ha. cases ) (pdf file)
13
2.15 Details 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). (pdf file) Tree count cases ) (pdf file)
14
2.18 Certificate of felling minimum trees during the project work. (pdf file)
15
2.19 Muck disposal scheme (in prescribed format) (pdf file)
16
2.20 Whather project area is a part of National Park or sanctuary and airal distance of the project from National Park or sanctuary signed by DFO. (pdf file)
17
2.23 No voilation has taken place, FC Act. 1980 reg. (pdf file)
18
2.24 NOC from local Gram Sabhas. (pdf file)
19
2.27 Certificate- work has not been started reg. (pdf file)
20
2.28 Geologist Report (Govt. approved Geologist). (pdf file)
21
2.29 Task Force report
22
2.30 Standard Condition
23
2.31 Certificate by user agency for complying the condition imposed in Standard Condition (pdf file)
24
2.32 Certificate by user agency for complying the condition imposed in geologist report/Task force recommendation in hill areas (excluding drinding water
25
2.33 No historical/monumental or relegeous place will be effected certificate reg. (by DM/DFO) (pdf file)
26
2.34 Undertakoing regarding no animal will be effected adversely by the project. (Pdf file)
27
2.35 Undertading to provide alternative fuelwood, kerosene or LPG to labours involved in project. (Pdf file) adversely by the project. (Pdf file)
28
2.36 Benefited villages/Families/Population Certificate. (pdf file)
29
2.37 NPV calculation certificate as per Hon'ble Supreem court /MoEF orders by DFO (pdf file)
30
2.38 Undertaking of payment of NPV, if Hon'ble Supreem Court increses the rates of NPV (by user agency) (pdf file)
31
2.39 Cost of the forest land and lease rent certificate by DM. (pdf file)
32
Extra paper
33
2.16 Felling of Oak trees (if involves, inspection report of the concerning CF has to be provided). (pdf file)
34
2.17 If felling of trees is not involved, certificate by DFO in this regard. (pdf file)
35
2.44 Check list/Fact sheet
Print