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/148101/2021
(ii). Name of Project for which Forest Land is required :
Patal Bhuvneshwer Dola Nani Shitla Simayal moter Road
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
patal Bhuwaneshwar, Makar gow, Nanishitala, Simayal Chamachour, ,moter Road which Will be connect five villege so the all Villagers willget comfertable short route to tehsil and distt. HQs,
(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) :
204.75
(viii). Area of forest land proposed for diversion(in ha.):
4.905
(ix). Non-forest land required for this project(in ha.):
4.845
(x). Total period for which the forest land is proposed to be diverted(in years):
100
A-2.
Details of User Agency
(i). Name :
EE TY DIV PWD BERINAG
(ii). Address1 :
PWD Berinag
(iii). Address2 :
Distt Pithoragarh
(iv). State :
Uttarakhand
(v). District :
Pithoragarh
(vi). Pin :
262531
(vii). Landmark :
NIL
(viii). Email address :
eepwdberinag@rediffmail.com
(ix). Landline Telephone No. :
5964-244622
(x). Fax No. :
5964-244622
(xi). Mobile No. :
9997036788
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
Binod
(ii). Middle Name:
Kumar
(iii). Last Name:
Sinha
(iv). Gender:
Male
(v). Designation:
Executive Engineer
(vi). Address 1:
PWD Berinag
(vii). Address 2:
Distt Pithoragarh
(viii). State:
Uttarakhand
(ix). District:
Pithoragarh
(x). Tehsil:
Berinag
(xi). Pin:
262531
(xii). Landmark:
NIL
(xiii). Email Address:
eepwdberinag@gmail.com
(xiv). Landline Telephone No.:
5964-244622
(xv). Fax No.:
NIL
(xvi). Mobile No.:
9410351218
(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.
Pithoragarh
4.905
4.845
Total
4.905
4.845
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Pithoragarh
4.905
4.845
Total
4.905
4.845
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Makar gow
1.485
0.855
2
Nani Shitla
1.8
0.9
3
Sela
0.36
0.36
4
Simayal
0.18
1.08
5
Chamachar
1.08
0.302
Total
4.905
3.497
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Muck Dumping 1 km0 HM 6-8
0
0.138
2
Muck Dumping 2 km 1 HM 2-4
0
0.138
3
Muck Dumping 3 km 4 HM 0-2
0
0.38
4
Muck Dumping 4 km 5 HM 8-10
0
0.138
5
Muck Dumping 5 km 6 HM 8-10
0
0.138
6
Muck Dumping 6 km9 HM 2-4
0
0.138
7
Muck Dumping 7 km 7 HM 8-10
0
0.138
8
Muck Dumping 8 km 8 HM 4-6
0
0.138
9
Muck Dumping 9 km 8 HM 8-10
0
0.138
10
Muck Dumping 10 km 9 HM 2-4
0
0.138
Total
0
1.622
C.
Maps of forest land proposed to be diverted
Division 1. : Pithoragarh
(i). Area of forest land proposed to be diverted(in ha.) :
4.905
(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.
4.905
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):
12
(iii). Temporary Employment(Number of person-days):
1200
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. : Pithoragarh
(a). Village:
dangi village
(b). Area(in ha.):
9.81
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
328,360,6362,6364
(e). Present owner:
User Agency
(f). Copy of Ownership proof:
No Data
(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 and importance of the project
2
Administrative and Financial sanction
3
Preliminary Joint Inspection report
4
Comperative chart showing statement of both alignment or alternate site explored for the proposed
5
Certificate from the DM that no alternative suitable non-forest land is available for the project
6
Land schedule (for RF signed by DFO and civil soyam, Van panchayat
7
Category wise (RF,civil soyam, Van panchayat and private nap land,
8
Bar Chart with index (counter signed by DFO).
9
Compensatory afforestation scheme in Civil and Soyam land
10
Certificate Regarding. suitability of indentified land for Comensatory Afforestation by DFO
11
Undertaking by the User Agency to bear the cost of compensatory afforestation
12
Undertaking by the User Agency to bear the cost of Road side /gap filling plantation
13
Details of the trees with their scientific name in RF, Civil Soyam, Van Panchayat, Private Notified
14
Certificate of felling minimum trees during the project work
15
No voilation has taken place, FC Act. 1980 reg.
16
NOC from local Gram Sabhas.
17
Certificate- work has not been started reg
18
Task Force report
19
Standard Condition
20
Certificate by user agency for complying the condition imposed in Standard Condition
21
No historical/monumental or relegeous place will be effected certificate reg
22
Undertakoing regarding no animal will be effected adversely by the project
23
Undertading to provide alternative fuelwood, kerosene or LPG to labours involved in project
24
Benefited villages/Families/Population Certificate
25
NPV calculation certificate as per Hon'ble Supreem court
26
Undertaking of payment of NPV, if Hon'ble Supreem Court increses the rates of NPV
27
Demarcation of land to be diverted
28
Check list/Fact sheet
29
Muck disposal new 30 10 .2021
30
qus Ans 25.02.2022
31
Resolution passed in gram sabha
32
Prtivedan /report
33
air distance certficate
34
Acknowledgememt Letter 08.03.2022
35
qus Ans 24.03.2022
36
Land schedule 24.03.2022
37
SIR report 24.03.2022
38
qus Ans 12.04.2022
39
employment genrate certificate
40
NPV new
41
Ques Ans 22.11.2022
42
tress List
43
Latter 1.12.2023
44
comitee berinag 1.12.2023
45
incumbrence 1.12.2023
46
Latter 28.5.2024
47
Geological report new 20.7.2024
48
Latter 20.7.2024
49
Qus Ans 20.7.2024
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