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/153238/2022   (ii). Name of Project for which Forest Land is required : Km 5 of Simli Chulakot motar road under Karnprayag assembly constituency in chamoli district.New construction from km 5 to Swarka band to Baniyas the approved road via Harijan Basti Revenue Village Ka   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The proposed road is for providing connectivity to village Ratura , Swarka ,Revenue village kalakot, . The road is located in Block-Karnprayag of District - Chamoli   (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) : 320   (viii). Area of forest land proposed for diversion(in ha.): 0.595   (ix). Non-forest land required for this project(in ha.): 3.0372   (x). Total period for which the forest land is proposed to be diverted(in years): 99
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,Gopeshwar0.5953.0372
Total0.5953.0372
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Chamoli0.5953.0372
Total0.5953.0372
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Swarka0.05250
2Ratura0.29751.6652
3Chulakot0.2450.652
Total 0.595 2.3172
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road0.5952.25
2Muck Dumping00.7872
Total 0.595 3.0372
C. Maps of forest land proposed to be diverted
Division 1. : Badrinath,Gopeshwar
  (i). Area of forest land proposed to be diverted(in ha.) : 0.595   (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).
1.0.595    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): 0   (iii). Temporary Employment(Number of person-days): 100
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? : Yes
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
1Front page
2Administrative & Financial approval certificate
3Prativedan
4Distance certi.
5Distance certificate
6Geological report
7Jila task force report and condition
8Tree list
9100 tree estimate.
10Check list
11Connecting village
12Empty land afforestation certificate
13Environment approval certificate
14forest land boundry certificate
15LxB certificate
16Minimum falling of oak tree
17minimum falling tree
18NPV certificate
19Providing cooking gas for labour certificate
20Reginal,monumetal certificate
21Work not started certificate
22No voilation of Wild life certificate
23National park and century area certificate
24NPV
25Scientific name
26Comparative alingment
27Muck disposal plan
28Objection removal letter
29Non violation of FRA 1980
30praroop 24
31praroop 25
32Beneficiary Villegas
33EDS Removal letter
34bar chart
35Noc of village
36land schedule
37fact sheet
38Parisisth
39joint inspection
40EDS reply
41Boundry pillars certificate with EDS reply
42Neeri Certificate
43Wild Management Plan and Soil Moisture Conservation Plan
44Check List for Site Inspection by D.F.O , CF, CCF, APCCF
45Aapatiyon ka Nirakaran
46eds reply