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/16103/2015   (ii). Name of Project for which Forest Land is required : Extension of Ganiadoli Tana Vishalkote motor road via Taraswar, Kothiya and Doni.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Extension of Ganiyadoli Tana Vishalkote motor road via village Tana, Taraswar, Kothiya, Doni is sanction vide Uttarakhand Govt. order 1835/III(2)/15-03(CM.Ghosan.)/2015 for 3.00 Km length with costing of Rs 28.72 Lac for stage-I works. The sanction road will Connect Taraswar, Kothiya and Doni villag   (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) : 28.72   (viii). Area of forest land proposed for diversion(in ha.): 0.9   (ix). Non-forest land required for this project(in ha.): 1.92   (x). Total period for which the forest land is proposed to be diverted(in years): 200
A-2. Details of User Agency
  (i). Name : EXECUTIVE ENGINEER   (ii). Address1 : Provincial Division P.W.D., Ranikhet   (iii). Address2 : Mall Raod Ranikhet   (iv). State : Uttarakhand   (v). District : Almora   (vi). Pin : 263645   (vii). Landmark : NIL   (viii). Email address : eepdrani@yahoo.com   (ix). Landline Telephone No. : 5966-220679   (x). Fax No. : NIL   (xi). Mobile No. : 7500540231   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Lalit   (ii). Middle Name: Kumar   (iii). Last Name: Goel   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: Provincial Division PWD, Ranikhet   (vii). Address 2: Mall Road Ranikhet   (viii). State: Uttarakhand   (ix). District: Almora   (x). Tehsil: NIL   (xi). Pin: 263645   (xii). Landmark: Ranikhet   (xiii). Email Address: eepdrani@yahoo.com   (xiv). Landline Telephone No.: 5966-220679   (xv). Fax No.: 05966220679   (xvi). Mobile No.: 9412919971   (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
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
1ApprovedFP/UK/ROAD/19725/20168B/UCP/06/173/2016/FC/19532.162.1629 Dec 201621 Feb 2018
Total 2.16 2.16
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.Almora0.91.92
Total0.91.92
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Almora0.91.92
Total0.91.92
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Taraswar0.721.02
2Kothiya0.180.504
3Khagyar00.396
Total 0.9 1.92
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1For Road Km 1 to 1.800 (Taraswar Village)0.720.9
2For Road Km 1.800 to 2.560 ( Kothiya Village)0.180.504
3For Road Km 2.560 to 3.00 ( Khagyar Village)00.396
4For Muck Dumping Yard at Km 100.12
Total 0.9 1.92
C. Maps of forest land proposed to be diverted
Division 1. : Almora
  (i). Area of forest land proposed to be diverted(in ha.) : 0.9   (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).
1.0.9    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): 10   (iii). Temporary Employment(Number of person-days): 2500
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
4Comparative chart showing statement of both alignment
5Certificate by DM that No alternative suitable for the project.
6Land Schedule
7Category wise land length, width and area
8Bar chart with index
9Undertaking by the user agency to bear the cost of ten times plantation.
10Estimate Road side/ gap filling plantation estimate
11Undertaking by the user agency to bear the cost of Road side/ gap filling plantation
12Details of trees with their scientific names
13Felling of oak trees
14Certificate of felling minimum trees during the project work.
15Muck disposal scheme as per prescribed formate
16Weather project area is a part of National Park/ sanctuary and aerial distance
17No violation has taken place FC Act 1980 regarding
18NOC from local gram sabhas and van Panchayat samiti
19Certificate that work has not been started
20Geologist Report
21Task Force report
22Manak Shartain
23Certificate by user agency for complying the condition imposed in Manak shartain
24Certificate by user agency for complying the condition imposed in geologist report/ Task force recommendation in hill areas
25No historical/ Monumental or religious place will be effected certificate
26Undertaking regarding no animal will be effected adversely by the project.
27Undertaking to provide alternate fuelwood, keroseen of LPG to labours involved in project.
28Benefited villages/ Families/ Population certificate
29NPV calculation.
30Undertaking of payment of NPV
31Cost of forest land
32Undertaking by the user agency to bear the cost for demarcation work.
33Check list, Main attachment, additional attachment and fact sheet
34Part I and II
35Reply on objection raised by Regional Office.
36Reply on objections raised by DFO Letter No Memo/12-1(2) dated 14-07-2016 vide this office letter No 2011/36C dated 30-08-2017
37Reply on objection raise vide DFO letter No Memo/12-1(2) dated 06-10-2017
38Point wise reply on objection raised by DFO Almora vide letter No Memo/12-1(2) dated 10-10-2017
39Point wise reply on objection raised by DFO Almora vide letter No Memo/12-1(2) dated 09-11-2017