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/157397/2022   (ii). Name of Project for which Forest Land is required : Widening & Strengthening of Gadarpur-Dineshpur-Matkota-Haldwani State Highway SH-05 (constructed before 1980) in Two-Lane with paved shoulder from Km 17 to 38 in Distt.- U.s Nagar & Nainital under C   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Widening & Strengthening of Gadarpur-Dineshpur-Matkota-Haldwani State Highway SH-05 (constructed before 1980) in Two-Lane with paved shoulder from Km 17 to 38 in Distt.- U.s Nagar & Nainital under CRIF   (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) : 5817   (viii). Area of forest land proposed for diversion(in ha.): 16.69   (ix). Non-forest land required for this project(in ha.): 0   (x). Total period for which the forest land is proposed to be diverted(in years): NIL
A-2. Details of User Agency
  (i). Name : EXECUTIVE ENGINEER CD PWD HALDWANI   (ii). Address1 : Construction Division, P.W.D., Tikonia, Haldwani   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Nainital   (vi). Pin : 263139   (vii). Landmark : Nainital Road   (viii). Email address : ee_ndhal@rediffmail.com   (ix). Landline Telephone No. : 5946-223352   (x). Fax No. : 5946-223352   (xi). Mobile No. : 8393821705   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Others
A-3. Details of Person Making Application
  (i). First Name: Ashok   (ii). Middle Name: NIL   (iii). Last Name: Kumar   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: P.W.D. Colony, Tikoniya, Haldwani   (vii). Address 2: Construction Division, P.W.D., Tikonia, Haldwani   (viii). State: Uttarakhand   (ix). District: Nainital   (x). Tehsil: Haldwani   (xi). Pin: 263139   (xii). Landmark: Nainital Road   (xiii). Email Address: ee_ndhal@rediffmail.com   (xiv). Landline Telephone No.: 5946-223352   (xv). Fax No.: 05946223352   (xvi). Mobile No.: 7830202555   (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.Tarai Central,Haldwani16.690
Total16.690
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Nainital9.30
1.Udham Singh Nagar7.390
Total16.690
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Rudrapur Range0.420
2Tanda Range6.970
3Bhakda Range4.840
4Haldwani Range4.460
Total 16.69 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1component 115.090
2component 20.61250
3component 30.18850
4component 40.670
5component 50.12750
Total 16.6885 0
C. Maps of forest land proposed to be diverted
Division 1. : Tarai Central,Haldwani
  (i). Area of forest land proposed to be diverted(in ha.) : 16.69   (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).
1.16.69    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: Alternative location can not be 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): 400
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?: Yes   (a). Copy of Cost-Benefit analysis:
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: Three
District 1. : Udham Singh Nagar
  (a). Village: South Gadgadiya-82   (b). Area(in ha.): 27.4   (c). Copy of KML file of the patch:     View File   (d). Khasra details: NIL   (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:
District 2. : Udham Singh Nagar
  (a). Village: Pipalparao-10A   (b). Area(in ha.): 6   (c). Copy of KML file of the patch:     View File   (d). Khasra details: NIL   (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
1Authorisation letter
2Prapatra 1 Prativedan
3Prapatra 2
4Prapatra 3 Administrative and Financial Approval
5Prapatra 4 Site Inspection report
6Prapatra 6 Map of Proposal
7Prapatra 7
8Prapatra 8, 9 and 10 Alternation area regarding
9Prapatra 11 and 12 Land Schedule
10prapatra 15 Trees detail
11Prapatra 17 and Minimum tree felling and other certificate
12Prapatra 18 and 19 Wildlife
13Prapatra 22 Cost Benefit Ratio
14Prapatra 26 and 27 Geologist report
15Prapatra 28 Task Force
16Prapatra 29 Condition Certificate
17Prapatra 30
18Prapatra 31 and 32
19Prapatra 33
20Prapatra 41 Muck Disposal
21Prapatra 43 NPV increased amount certificate
22Prapatra 45 Lease regarding
23Prapatra 48
24Index of the Proposal
25Prapatra 21 and 23 FRA 2006
26Prapatra 42 NPV
27Prapatra 13 Bar Chart
28Prapatra 35 and 36
29Prapatra 44 Pillar
30Fact Sheet
31Prapatra 14
32Prapatra 46 FCA 1980 regarding
33Reserve and Naap Land Breakup
34Lopping Trees detail
35Distance Certificate NWLS to Proposed Road
36Certificate regarding Provision made by Geologist
37Reply of queries raised in FRCM meeting dated 28-07-2022
38Reply of queries raised in meeting dated 30-08-2022