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/14272/2015
(ii). Name of Project for which Forest Land is required :
New Construction Of Karnagaon To Rajrajeswari Mandir Motor Road
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
To facilitate local people for road and communication
(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) :
250
(viii). Area of forest land proposed for diversion(in ha.):
3.2375
(ix). Non-forest land required for this project(in ha.):
0.3375
(x). Total period for which the forest land is proposed to be diverted(in years):
33
A-2.
Details of User Agency
(i). Name :
PUBLIC WORKS DEPARTMENT GHANSALI
(ii). Address1 :
OFFICE OF EXECUTIVE ENGINEER TEMP. DIV. PWD GHANSALI UTTRAKHAND
(iii). Address2 :
NIL
(iv). State :
Uttarakhand
(v). District :
Tehri Garhwal
(vi). Pin :
249155
(vii). Landmark :
NIL
(viii). Email address :
eepwdghansali@rediffmail.com
(ix). Landline Telephone No. :
1379-258327
(x). Fax No. :
1379-1379
(xi). Mobile No. :
7533944842
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
BIRENDRA
(ii). Middle Name:
SINGH
(iii). Last Name:
BASERA
(iv). Gender:
Male
(v). Designation:
ASST.ENGINEER
(vi). Address 1:
C/O EXECUTIVE ENGINEER TEMP. DIV PWD GHANSALI, TEHRI GARHWAL, UTTARAKHAND
(vii). Address 2:
NIL
(viii). State:
Uttarakhand
(ix). District:
Tehri Garhwal
(x). Tehsil:
NIL
(xi). Pin:
249155
(xii). Landmark:
NIL
(xiii). Email Address:
eepwdghansali@rediffmail.com
(xiv). Landline Telephone No.:
1379-258327
(xv). Fax No.:
01379258327
(xvi). Mobile No.:
9012475006
(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
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
1
Under Processing at State Government
FP/UK/ROAD/47739/2020
1.085
0
Total
1.085
0
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.
Tehri,New Tehri
3.2375
0.3375
Total
3.2375
0.3375
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Tehri Garhwal
3.2375
0.3375
Total
3.2375
0.3375
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Karangaon
3.2375
0.3375
2
Mandra
0
0
3
Lasiyalgaon
0
0
4
Gadara
0
0
Total
3.2375
0.3375
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Road
3.2375
0.3375
2
Muck dumping
0
0
Total
3.2375
0.3375
C.
Maps of forest land proposed to be diverted
Division 1. : Tehri,New Tehri
(i). Area of forest land proposed to be diverted(in ha.) :
3.2375
(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.
3.2375
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):
10000
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. : Tehri Garhwal
(a). Village:
kepars
(b). Area(in ha.):
6.475
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
5,7,18,56,340,341,342,343,344,350,352,355,356,3260,3261,3266,3271,3272,3318,3319,3320,3321,3324,3326,3330,3381,3382,3803,3804,3808,3833
(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
1
A Short narrative & Impotance Of The project
2
Administrative and Financial sanction (pdf file)
3
Preliminary Joint Inspection report (by user agency, Forestdepartment, revenue department etc.) (pdf file)
4
Comparative chart showing statement of both alignment and alternate site explored for the proposed project and reason for their rejection duly countersigned by DfO
5
Certificate from the DM that no alternative suitable non-forest land is available for project in question and the demand of the forest land for the project is barest minimum
6
Land schedule (for RF signed by DFO and civil soyam, Van panchayat and privet nap land, Notified forest land etc
7
Category wise (RF,civil soyam,Van panchayat and privet nap land, Notified forest land etc.) land length, width and area in Ha.(pdf file)
8
Bar chart with index (counter signed by DFO)
9
Compensatory afforestation scheme in Civil and Soyam land (10 years
10
Undertaking by the user agency to bear the cost of compensatory afforestation duly counter signed by the
11
Road side/gap filling plantation estimate
12
Muck disposal scheme
13
WatherProject area Is not Part Of National Park Or Sanctuary And Arial Distance Of The Project From National Park Or Sanctuary
14
No Violation Has Taken Place,FC Act 1980
15
Noc From Local Gram Sabha’
16
Component Wise Details Of Construction Work
17
Certificate Work Has Not Been Started Reg
18
Geologist report
19
Task Force Certificate
20
Certificate By User Agency For Complying The Condition Imposed In Geologist Report/Task Force Recommendation In Hill Areas(Excluding Drinking Water)
21
Certificate By user Agency For Complying The Condition
22
No Historical / Monumental Or Religious Place Will Be Effected Certificate
23
Under The Provide Alternative Fuel wood, Kerosene Or LPg To Labors Involved In Project
24
Benefited Village/Families/Population Certificate
25
Undertaking Of Payment Of NPV If Hon’ble Supreme Court Increase The Rates Of NPV
26
Undertaking Of User Agency To Bear The Cost Of Demarcation Work
27
Check List/Fact Sheet/Other Important Detail.
28
Compartment wise detailed of forest land
29
query have been remove as per direction recieved
30
certificate
31
Reply of D.F.O. letter no. 851/12-a, date- 25/10/2019
32
CERTIFICATE
33
Certificate for justification Motor Road with DFO singed
34
NPV Calculation Certificate As Per Hon’bleSupreme Court/MOEF Orders By DFO NPV Calculation Certificate As Per Hon’bleSupreme Court/MOEF Orders By DFO
35
Details of the tree with their scientific name in RF.Civil Soyam ,Van panchayat ,Privet Land should be mentioned (with valuation of the trees to be filled)(0-10 dia trees will be mentioned as saplings
36
Tree enumeration revise list
37
NOC muck dumping
38
Certificate regarding suitability of identified land for Compensatory Afforestation by DFO
39
eds on 14.07.2020
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