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/149823/2021   (ii). Name of Project for which Forest Land is required : Bandi to chakadhar Dharmoli Ghanghan Sukan   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : This Road Starts From Ram mander ,Which is a famous Ram mander temple and tourist place . After construction of this road, tourism will enhance at a great pace. Villagers of Dharmoli. Ghanghan and Sukan will also be benefitted by the 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) : 3200   (viii). Area of forest land proposed for diversion(in ha.): 0.81   (ix). Non-forest land required for this project(in ha.): 4.0608   (x). Total period for which the forest land is proposed to be diverted(in years): NIL
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.Pithoragarh0.814.0608
Total0.814.0608
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Pithoragarh0.814.0608
Total0.814.0608
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Dharmoli0.541.8
2Ghanghan01
3Sukan0.270.89
Total 0.81 3.69
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
11road00.3708
2KM 1 - HM 0-100.108
3KM 1 - HM 6-800.063
4KM 3 - HM 6-800.135
5KM 4 - HM 2-400.0648
6KM 5 - HM 6-800.0972
Total 0 0.8388
C. Maps of forest land proposed to be diverted
Division 1. : Pithoragarh
  (i). Area of forest land proposed to be diverted(in ha.) : 0.81   (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).
1.0.81    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): 6   (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?: Not Applicable   (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 ?: Not Applicable   (iii) . Reason for not providing Non-Forest Land: Not Applicable
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 for the project
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, Notified forest land etc.) land
7Bar Chart with index
8Road side/gap filling plantation estimate
9Road side/gap filling plantation estimate
10Road side/gap filling plantation estimate
11Details of the trees with their scientific name in RF, Civil Soyam, Van Panchayat, Private Notified
12Certificate of felling minimum trees during the project work
13No voilation has taken place, FC Act. 1980 reg.
14NOC from local Gram Sabhas.
15Certificate- work has not been started reg
16Task Force report
17Standard Condition
18Certificate by user agency for complying the condition imposed in Standard Condition
19Certificate by user agency for complying the condition imposed in Standard Condition
20No historical/monumental or relegeous place will be effected certificate reg.
21Undertakoing regarding no animal will be effected adversely by the project.
22Undertading to provide alternative fuelwood, kerosene or LPG to labours involved in project
23Benefited villages/Families/Population Certificate
24NPV calculation certificate as per Hon'ble Supreem court /MoEF orders by DFO
25Cost of the forest land and lease rent certificate
26Demarcation of land to be diverted
27Undertaking of user agency to bear the cost for dimarcation work
28Check list/Fact sheet
29Letters 30.07.2022
30new Muck Disposal plan
31new Geologist Report
32new Comperative chart showing statement of both alignment or alternate site explored for the proposed
33new Qus Ans Leatter 25.10.2023
34Qus Ans Letter 09.08.2024
35Areal Distance /09.08.2024
36FRA Form 1 /09.08.2024
37Justfiction /09.08.2024
38Sapath patra /09.08.2024