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/149153/2021   (ii). Name of Project for which Forest Land is required : Const Ram mandir to thatholi saspora moter road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Ram mandir to thatholi saspora moter road by the Proposed Road Joins Very interior Area and Tourist Places of Berinag Biock Will be Benefited and Connect the Villages to tehsil and Distt .Head quarter by this 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) : 5900   (viii). Area of forest land proposed for diversion(in ha.): 1.71   (ix). Non-forest land required for this project(in ha.): 3.258   (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.Pithoragarh1.713.258
Total1.713.258
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Pithoragarh1.713.258
Total1.713.258
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Siradi1.40.15
2Thatholi0.112
3Saspoda0.20.64
Total 1.71 2.79
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road1.712.79
2Muck Disposal00.468
Total 1.71 3.258
C. Maps of forest land proposed to be diverted
Division 1. : Pithoragarh
  (i). Area of forest land proposed to be diverted(in ha.) : 1.71   (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).
1.1.71    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: No   (a). Reason for not providing such map: NIL
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 10   (iii). Temporary Employment(Number of person-days): 350
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: Two
District 1. : Pithoragarh
  (a). Village: Thatholi   (b). Area(in ha.): 3.42   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 1524.1525.1719.1793.1794.1845.1849   (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
1A short narrative and importance of the project.
2Administrative and Financial sanction
3Preliminary Joint Inspection report
4Certificate from the DM that no alternative suitable non-forest land is available
5Land schedule (for RF signed by DFO and civil soyam, Van panchayat and private nap land
6Category wise (RF,civil soyam, Van panchayat and private nap land,
7Bar Chart with index
8Certificate Regarding. suitability of indentified land for Comensatory Afforestation
9Road side/gap filling plantation estimate
10Undertaking by the User Agency to bear the cost of Road side /gap filling plantation
11Details of the trees with their scientific name in RF, Civil Soyam, Van Panchayat,
12Certificate of felling minimum trees during the project work.
13Muck disposal scheme
14No voilation has taken place, FC Act. 1980 reg.
15NOC from local Gram Sabhas.
16Certificate- work has not been started reg
17Geologist Report
18Task Force report
19Standard Condition
20Certificate by user agency for complying the condition imposed in Standard Condition
21No historical/monumental or relegeous place will be effected certificate reg.
22Undertakoing regarding no animal will be effected adversely by the project.
23Undertading to provide alternative fuelwood, kerosene or LPG to labours involved in project
24Benefited villages/Families/Population Certificate.
25Cost of the forest land and lease rent certificate by DM
26Demarcation of land to be diverted
27Undertaking of user agency to bear the cost for dimarcation work
28Check list/Fact sheet
29letter 12.04.2022
30Letter 10.01.2023
31Justification 10.01.2023
32Latter 19.12.2023
33CA Report 07.11.2024
34Latter 07.11.2024
35Letter Q.A.