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/16306/2015
(ii). Name of Project for which Forest Land is required :
Rawatsera-Dobargara-Dhari-Madhya-Raitoli motor road in District-Bageshwar
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Proposal for diversion of 2.425 ha. forest land for construction of motor road. detail narrative attached form-11 (2.1) in additional enclosure.
(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) :
0.1
(viii). Area of forest land proposed for diversion(in ha.):
2.425
(ix). Non-forest land required for this project(in ha.):
1.155
(x). Total period for which the forest land is proposed to be diverted(in years):
50
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.
Bageshwar
2.425
1.155
Total
2.425
1.155
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Bageshwar
2.425
1.155
Total
2.425
1.155
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Basukinag R.F.
0.646
0
2
Dobargarah
0.352
0
3
Talla Dhari & Tok Dhatiyadhunga
0.422
0.504
4
Malla Dhari
1.005
0.35
5
Raitoli
0
0.301
Total
2.425
1.155
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Road
2.345
1.155
2
Muck Disposal
0.0799
0
Total
2.4249
1.155
C.
Maps of forest land proposed to be diverted
Division 1. : Bageshwar
(i). Area of forest land proposed to be diverted(in ha.) :
2.425
(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.
2.425
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):
3
(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? :
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:
Dulam
(b). Area(in ha.):
4.85
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
1
(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
Short narrative
2
G.O.
3
Joint Inspection
4
Both alignment or alternative site
5
Certificate from the DM that no alternative suitable non-forest land
6
Land Schedule
7
Category wise
8
Bar chart
9
scheme in civil and soyam land
10
comensatory afforestation by DFO
11
undertaking by the user agency
12
Road side/gap filling plantation estimate
13
undertaking by Road side/gap filling plantation
14
Details of the trees
15
Felling of oak trees
16
certificate of felling minimum trees during the project work
17
Muck Disposal scheme
18
Whather project area is a part of National Park
19
CCF wild life has to be provided
20
Permission of Hon'ble supreme court/MoEF GoI.
21
FC Act. 1980 reg.
22
NOC from local Gram Sabhas.
23
work has not been started reg.
24
Geologist Report
25
Task Force report
26
Standard condition
27
certificate geologist report/task force
28
No historical/monumental
29
No animal will be effected adversely by the project.
30
provide alternative fuelwood, kerosene or LPG to labours involved in project.
31
Benefited villages
32
NPV Calculation certificate
33
undertaking of payment of NPV
34
Fact Sheet
35
Please find the attached acknowledgement slip of receipt of hard copy at DFOs office.
36
objection 02.09.2016 removed by EE Latter No 2350/2EVB, Dt. 17.10.2016
37
objection 28.12.2016 removed by EE latter No 182/2EVB, Dt. 21.01.2017, Hard Copy Recived by Nodal 30.01.2017
38
objection 27.03.2017 removed by EE Latter No 1597/2EVB, Dt. 10.07.2017, Hard Copy submitted by Nodal Dehradun Dt. 13.07.2017
39
objection 23.08.2017 removed by EE latter No- 2599/2EVB, Dt. 10.10.2017
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