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/154869/2022   (ii). Name of Project for which Forest Land is required : Construction of road from Km 15 of BaijnathBageshwar motor road to Udalgaon in District Bageshwar   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Presently the villagers (01 number of villagers of Udalgaon with the population of 373) have to walk through a distance of 2-3 km to meet their daily needs, as there is no road connecting the village,. Due to the non-existing of any road connectivity, the lives of the villagers are in constant dang   (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) : 47.36   (viii). Area of forest land proposed for diversion(in ha.): 0.261   (ix). Non-forest land required for this project(in ha.): 1.195   (x). Total period for which the forest land is proposed to be diverted(in years): 100
A-2. Details of User Agency
  (i). Name : PROVINCIAL DIVISION PWD BAGESHWAR   (ii). Address1 : Provincial Division PWD Bageshwar   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Bageshwar   (vi). Pin : 263642   (vii). Landmark : Kathayatbara   (viii). Email address : pdpwdbgr@gmail.com   (ix). Landline Telephone No. : 5963-220006   (x). Fax No. : NIL   (xi). Mobile No. : 9412023055   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Nawal   (ii). Middle Name: Kishor   (iii). Last Name: Diwedi   (iv). Gender: Male   (v). Designation: Assistant Engineer   (vi). Address 1: Provincial Division PWD Bageshwar   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Bageshwar   (x). Tehsil: Bageshwar   (xi). Pin: 263642   (xii). Landmark: Kathayatbara   (xiii). Email Address: pdpwdbgr@gmail.com   (xiv). Landline Telephone No.: 5963-220006   (xv). Fax No.: 05963220006   (xvi). Mobile No.: 9719974196   (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.Bageshwar0.2611.195
Total0.2611.195
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Bageshwar0.2611.195
Total0.2611.195
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Udalgawn0.2611.195
Total 0.261 1.195
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road0.2451.195
2Muck Disposal0.0160
Total 0.261 1.195
C. Maps of forest land proposed to be diverted
Division 1. : Bageshwar
  (i). Area of forest land proposed to be diverted(in ha.) : 0.261   (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).
1.0.261    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): 150
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
1Short Narrative
2Administrative and Financial Sanction
3Joint Inspection
4Comperative chart showing statement of both aligment
5Cetificate from the DM
6Land Schedule
7Category wise land length, width and area in Ha.
8Bar Chart with Index
9Road side/gap filling plantation estimate
10Undertaking by the user agency to bear the cost of Road side/gap filling plantation
11Details of 100 trees
12Details of Trees with their scientific name
13Felling of oak trees
14certificate of felling minimum trees during the project work
15Muck Disposal scheme
16Whather Project area is a park of National Park or sancturay and arial distance of the project
17If the project area is within 10Km radius of N/P
18Whather Project area is a park of National Park or sancturay and arial distance of the project
19No Voilation has taken place, FC Act,1980
20NOC from local gram sabhas.
21Certificate work has not been started reg.
22Geologist Report
23Task force report
24Standard Condition
25Certificate by user agency for complying the condition imposed in geologist report/task force
26No historical/monumental
27No animal will be effected adversely by the poroject
28undertaking to provide alternative fuelwood, kerosene of LPG to labours involved in project
29Benefited Villages
30NPV Calculation certificate as per Hon'ble supereem courtllages
31Undertaking of Payment of NPV
32Chack List/Fact Sheet
33Hard copy received at CF Almora in four copies letter attached
34Objection removed vide this office letter no. 124/2E-W-bhoo dtd 12.01.2023
35Objection removed vide this office letter no. 1789 dtd 1.7.2023