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/146251/2021   (ii). Name of Project for which Forest Land is required : Construction of Banjbagarh-Ruisaan motor road under in Tharali consituency under H'nable chief minister declaration no. 415/2018   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Construction of Banjbagarh-Ruisaan motor road   (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) : 1170   (viii). Area of forest land proposed for diversion(in ha.): 7.95   (ix). Non-forest land required for this project(in ha.): 2.3625   (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 WORKS DEPARTMENT   (ii). Address1 : Provincial Division, PWD, Karanprayag, Distt.-Chamoli (Uttarakhand)   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Chamoli   (vi). Pin : 246444   (vii). Landmark : NIL   (viii). Email address : eepdpwdkpg@gmail.com   (ix). Landline Telephone No. : 1363-244204   (x). Fax No. : 1363-244204   (xi). Mobile No. : 9412974296   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Mayank   (ii). Middle Name: NIL   (iii). Last Name: Tiwari   (iv). Gender: Male   (v). Designation: Assistant Engineer   (vi). Address 1: Provincial Division, PWD, Karanprayag, Distt.-Chamoli (Uttarakhand)   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Chamoli   (x). Tehsil: NIL   (xi). Pin: 246444   (xii). Landmark: NIL   (xiii). Email Address: eepdpwdkpg@gmail.com   (xiv). Landline Telephone No.: 1363-244204   (xv). Fax No.: 01363244204   (xvi). Mobile No.: 9410332205   (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.Badrinath,Gopeshwar7.952.3625
Total7.952.3625
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Chamoli7.952.3625
Total7.952.3625
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Bangali7.952.3625
Total 7.95 2.3625
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road6.30
2Dumping yard 10.960
3Dumping Yard 20.690
Total 7.95 0
C. Maps of forest land proposed to be diverted
Division 1. : Badrinath,Gopeshwar
  (i). Area of forest land proposed to be diverted(in ha.) : 7.95   (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).
1.7.95    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): 5   (iii). Temporary Employment(Number of person-days): 2360000
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: Other reason   (b). Provide reasons thereof: CA will be raised on revenue forest land   (c). Area of non-forest or Revenue forest land required to be provided by User Agency for raising Compensatory Afforestation (in ha.): 15.9   (iii). No. of districts involved for raising Compensatory Afforestation: 1   (iv). No. of patches: Four
District 1. : Chamoli
  (a). Village: Bangali   (b). Area(in ha.): 15.9   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 1939, 2275,2276, 2755, 2756, 2765, 3908, 3909   (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
1Front Page
2G O for Ist Stage sanction
3Index
4Joint Inspection Report
5Geological Asessment Report
6Legnth Width certificate of the project
7NOC from local villages
8Muck dumping plan
9Private land NOC for dumping yard
10Miscellaneous Certificates
11Part I by User Agency
12Price List
13Revenue land maps
14Short note about project
15Standerd Conditions
16Task Force certificate
17Tree counting list
18Bar Charts
19Compensatory Afforestation ten years plan
20Civil land transfer certificates
21Detail of connecting villages
22Distance certificate
23fact sheet
24Banj trees related certificates
25Redressal of objections point out by the Conservator of forest
26
27
28
29
30
31Letter for removed objection
32Reply of EDS sought by forest dett.
33C.A. Land suitablity cirtificate
34NPV Cirtificate
35Comparision Between Alignments
36Rosulution of objections Dated 06.11.2023
37Land Schedule