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/15675/2015
(ii). Name of Project for which Forest Land is required :
Construction of Gwatoli-Kareempur to Freedom Fighter Shri Ram Datt Joshi Village Length 2.00
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Construction of motor road starting from Gwatoli-Kareempur village to Maudiyar village of length 2.00 Km passing through village of freedom fighter Ramdatt joshi and connecting it to Banlekh motor road in tehsil kapkot of District-Bageshwar
(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) :
120
(viii). Area of forest land proposed for diversion(in ha.):
1.687
(ix). Non-forest land required for this project(in ha.):
0.112
(x). Total period for which the forest land is proposed to be diverted(in years):
100
A-2.
Details of User Agency
(i). Name :
PWDKAPKOT
(ii). Address1 :
C.D.P.W.D.KAPKOTE
(iii). Address2 :
BAGESHWAR
(iv). State :
Uttarakhand
(v). District :
Bageshwar
(vi). Pin :
263642
(vii). Landmark :
Kapkot
(viii). Email address :
cdpwdkapkot@gmail.com
(ix). Landline Telephone No. :
5963-253385
(x). Fax No. :
5963-253385
(xi). Mobile No. :
9639377012
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
Sanjay Kumar Pandey
(ii). Middle Name:
Kumar
(iii). Last Name:
Pandey
(iv). Gender:
Male
(v). Designation:
E.E.
(vi). Address 1:
C.D.P.W.D.KAPKOTE
(vii). Address 2:
BAGESHWAR
(viii). State:
Uttarakhand
(ix). District:
Bageshwar
(x). Tehsil:
Kapkot
(xi). Pin:
263642
(xii). Landmark:
kapkot
(xiii). Email Address:
cdpwdkapkot@gmail.com
(xiv). Landline Telephone No.:
5963-253385
(xv). Fax No.:
05963253385
(xvi). Mobile No.:
9719471059
(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.
Bageshwar
1.687
0.112
Total
1.687
0.112
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Bageshwar
1.687
0.112
Total
1.687
0.112
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Ram Datt Joshi Village
1.687
0.112
Total
1.687
0.112
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Road
1.687
0
Total
1.687
0
C.
Maps of forest land proposed to be diverted
Division 1. : Bageshwar
(i). Area of forest land proposed to be diverted(in ha.) :
1.687
(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.
1.687
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):
9000
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. : Bageshwar
(a). Village:
Badiyakot
(b). Area(in ha.):
3.375
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
2
(e). Present owner:
Others
(f). Copy of ownership proof:
(g). Copy of Mou/agreement executed between the Present owner and the User Agency:
(h). Copy of non encumberence certificate for the forest land:
(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
Administrative and Financial sanction
2
Muck disposal scheme
3
Note containing justification for locating the Project in forest land
4
Preliminary Joint Inspection report
5
Comperative chart showing statement of both alignment or alternate
6
Land schedule (for RF signed by DFO and civil soyam
7
Category wise (RF,civil soyam, Van panchayat and private nap land
8
Bar Chart with index
9
15 Details of the trees with their scientific name in RF Civil Soyam dia wise
10
Certificate reg. suitability of indentified land for Comensatory
11
Undertaking by the User Agency to bear the cost of compensatory
12
Undertaking by the User Agency to bear the cost of Road side
13
Details of the trees with their scientific name in RF, Civil Soyam
14
Felling of Oak trees
15
Certificate of felling minimum trees during the project work
16
Geologist Report
17
No voilation has taken place, FC Act. 1980 reg
18
Certificate- work has not been started reg
19
Task Force report
20
Manak Shartain
21
No historical/monumental or relegeous place will be effected
22
Undertaking regarding no animal will be effected adversely by the
23
Undertaking to provide alternative fuelwood, kerosene or LPG to
24
EDS Dated 28-06-2016
25
10 year plantanc
26
CA CERTFICAT
27
MUCK DISPOGAL PLAN (Revised)
28
EDS 14-10-2016
29
Receiving copy
30
EDS Dated 09-02-2017
31
Hard copy Reviving in nodal office letter no 2620/12-1 Dated 11-04-2017
32
Eds Dated 21-06-2017
33
eds dated 01-09-2017
34
Eds Dated 14.12.2017
35
Eds Dated 14.12.2017
36
NPV calculation certificate as per Hon'ble Supreem court /MoEF
37
Eds 07-07-2018
38
partI
39
PARTII
40
Eds Dated 02-10-2018
41
Part-II
42
PART(III)
43
Nodal(IV)
44
State(V)
45
View Form A Part II
46
NPV calulation
47
Eds Dated 25-09-2019
48
Eds 28-11-2019
49
Eds Dated 09-07-2020
50
Eds Dated 25-09-2020
51
eds dated 19-12-2020
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