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/16309/2015   (ii). Name of Project for which Forest Land is required : Santi Bazar-Mathkhal-Talla Doba motor road in District-Bageshwar (CM Ghosna-663/2015)   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Proposal for diversion of 0.993 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) : 42.96   (viii). Area of forest land proposed for diversion(in ha.): 0.993   (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): 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.Bageshwar0.9931.155
Total0.9931.155
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Bageshwar0.9931.155
Total0.9931.155
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Nauta Katarmal0.6410.42
2Bijoriya Bajwar0.3520
3Mathkhal00.56
4Talla Doba00.175
Total 0.993 1.155
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road0.9451.155
2Muck Disposal0.0480
Total 0.993 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.) : 0.993   (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).
1.0.993    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): 1   (iii). Temporary Employment(Number of person-days): 60
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
2G.O.
3Joint Inspection
4Both alignment or alternate site
5Certificate from the DM no alternative suitable non-forest land
6Land schedule
7category wise
8Bar chart
9Road Side/gap filling plantation estimate
10undertaking by road side/gap filling plantation
11Estimate of 100 trees
12Details of the trees
13Felling of oak trees
14certificate of felling minimum trees
15Muck disposal scheme
16whather project area is a part of National park
17CCF wild life has to be provided.
18Permission of Hon'ble supreme court/MoEF GoI.
19FC Act. 1980 reg.
20NOC from local Gram Sabhas
21Geologist Report
22Fact Sheet
23work details of construction work.
24Task Force report
25Standard condition
26certificate geologist report/task force
27No historical/monumental
28No animal will be effected
29provide alternative fuelwood, kerosene or LPG labours involved in project
30Benefited Villages.
31NPV calculation certificate.
32undertaking of payment of NPV
33objection 16/05/16 removed by EE Latter No 1128/2EVB, Dt. 30/05/2016
34objection 14.07.2016 removed by EE Latter No 2152/2EVB, Dt. 20.09.2016
35objection 18.10.2016 removed by sumitted Hard copy latter No- 379/2E, Dt. 01.03.2016
36objection 20.01.2017 removed by EE Latter No 367/2EVB, Dt. 10.02.2017
37objection 20.01.2017 removed by EE Latter No 367/2EVB, Dt. 10.02.2017, Hard copy Nodal,Dehradun submitted 22.02.2017
38objection 11.05.2017 removed by EE Latter No 1597/2EVB, Dt. 10.07.2017, Hard Copy submitted by Nodal Dehradun Dt. 13.07.2017
39objection 23.08.2017 removed by EE Latter No 1597/2EVB, Dt. 10.07.2017, Hard Copy submitted by Nodal Dehradun recived Dt. 13.07.2017 & Resubmitted by Geo-Map & other map.