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/145468/2021   (ii). Name of Project for which Forest Land is required : Binwalgoan Kaliyadura (Chidakhan) motor road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Connectivity of village binwalgoan population 458 & goldanda population 249   (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) : 671.73   (viii). Area of forest land proposed for diversion(in ha.): 8.721   (ix). Non-forest land required for this project(in ha.): 2.59   (x). Total period for which the forest land is proposed to be diverted(in years): 100
A-2. Details of User Agency
  (i). Name : PUBLIC WORK DEPARTMENT   (ii). Address1 : Prov. Div. P.W.D. office Champawat distt- champawat   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Champawat   (vi). Pin : 262523   (vii). Landmark : Near Main Post Office   (viii). Email address : eechampawat@gmail.com   (ix). Landline Telephone No. : 5965-230034   (x). Fax No. : 5965-230034   (xi). Mobile No. : 9412044730   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Anupam   (ii). Middle Name: NIL   (iii). Last Name: Rai   (iv). Gender: Male   (v). Designation: Assistant Engineer   (vi). Address 1: Prov. Div. P.W.D. office Champawat Distt- Champawat   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Champawat   (x). Tehsil: Champawat   (xi). Pin: 262523   (xii). Landmark: Near Main Post Office   (xiii). Email Address: eechampawat@rediffmail.com   (xiv). Landline Telephone No.: 5965-230034   (xv). Fax No.: 05965230034   (xvi). Mobile No.: 9412044730   (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.Champawat8.7212.59
Total8.7212.59
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Champawat8.7212.59
Total8.7212.59
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Binwalgoan1.9680.49
2Goldanda6.7532.1
Total 8.721 2.59
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Muck dosposal0.67069750
2Road8.052.5865
Total 8.7206975 2.5865
C. Maps of forest land proposed to be diverted
Division 1. : Champawat
  (i). Area of forest land proposed to be diverted(in ha.) : 8.721   (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).
1.8.721    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 ?: 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?: 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 ?: Yes   (a). Reason Category: CA Will be raised on degraded forest land as well as on land provided by User Agency   (b). Degraded forest area on which CA has to be raised by forest department(in ha.): 17.442   (c). Area of non-forest or Revenue forest land required to be provided by User Agency for raising Compensatory Afforestation(in ha.): NIL   (iii). No. of districts involved for raising Compensatory Afforestation: 1   (iv). No. of patches: One
District 1. : Champawat
  (a). Village: Monkanda   (b). Area(in ha.): 17.442   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 1   (e). Present owner: User Agency   (f). Copy of Ownership proof:
  (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
1Ca Yojana
2Short Narrative and Importance of the project
3Administrative and finiancal sanction.
4Preliminary joint inspection report
5comprative chart showing statement of both alignment alternate site.
6certificate from the DM that no alternative suitable non froest land is available
7land schedule
8category wise length, width and area in ha
9bar chart
10compensatory afforestation scheme in civil and soyam land
11compensatory regarding suitability of indentfied land for CA
12Undertaking by the user agency to bear the cost of CA
13Road side/gap filling plantation estimate.
14undertaking by the user agency to bear the cost of road side.
15Felling of oak tree
16certificate of felling minimum trees during the project work
17Muck Disposal plan
18Wheather project area is a part of National Park
19No voilation has taken place, FC Act 1980
20NOC From local Gram sabhas
21Certificate work has not been started reg.
22Geolagist report
23task force.
24standard condition and certificate by user agency for complying condition
25certificatye by user agencey for complying the condition imposed in geologist report/task force.
26no historical/monumental or relgeous place will be effected cerificate.
27undertiking regarding no animal will be effected adversey by rhe project.
28undertiking to provide alternative fuelwood, kerosene or LPG
29Benefited village/family/population
30NPV Calculation certificate as per honrable supreem
31Undertiking of payments of NPV
32RCC piller
33check lest & fact sheet
34Other
35road map
36road map land identifition
37date 05-05-2022 send hard copy to CF
38query removed
39Details of the tree with their scientific name in RF, Civil Soyam, Van panchayat etc.
40Query removed letter
41query removed letter
42removed Query letter
43removed letter
44query removed letter
45Query removed
46cost benefit new format removed query.
47Query Removed letter no 2239/2c
48query removed letter