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/16321/2015   (ii). Name of Project for which Forest Land is required : Forest Land Transfer Proposal for New Construction of Simli Sheleshwar Motor Road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The proposed road is for providing connectivity to Nearest village & Sheleshwar temple. The road is located in Block-Karanprayag of District Chamoli   (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) : 37.8   (viii). Area of forest land proposed for diversion(in ha.): 1.44   (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): 99
A-2. Details of User Agency
  (i). Name : PUBLIC WORKS DEPARTMENT   (ii). Address1 : Provincial Division, PWD, Karanprayag, Distt.-Chamoli (Uttarakhand)   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Chamoli   (vi). Pin : 246444   (vii). Landmark : NIL   (viii). Email address : eepdpwdkpg@gmail.com   (ix). Landline Telephone No. : 1363-244204   (x). Fax No. : 1363-244204   (xi). Mobile No. : 9412974296   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Mayank   (ii). Middle Name: NIL   (iii). Last Name: Tiwari   (iv). Gender: Male   (v). Designation: Assistant Engineer   (vi). Address 1: Provincial Division, PWD, Karanprayag, Distt.-Chamoli (Uttarakhand)   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Chamoli   (x). Tehsil: NIL   (xi). Pin: 246444   (xii). Landmark: NIL   (xiii). Email Address: eepdpwdkpg@gmail.com   (xiv). Landline Telephone No.: 1363-244204   (xv). Fax No.: 01363244204   (xvi). Mobile No.: 9410332205   (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.Kedarnath Wild Life Division,Gopeshwar1.440
Total1.440
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Chamoli1.440
Total1.440
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Kanoth0.380
2Mailwagwad0.070
3Naini0.990
Total 1.44 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road1.340
2Muck Disposal0.09990
Total 1.4399 0
C. Maps of forest land proposed to be diverted
Division 1. : Kedarnath Wild Life Division,Gopeshwar
  (i). Area of forest land proposed to be diverted(in ha.) : 1.44   (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).
1.1.44    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): 57   (iii). Temporary Employment(Number of person-days): 265
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. : Chamoli
  (a). Village: Kanoth   (b). Area(in ha.): 2.88   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 625   (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
1Van Panchayat Certificate
2Justification
3Work GO
43_Joint_Inspection Report
54_Alignment_Comperative
65_Certificate from the DM that no alternative suitable non-forest land is available
76_Land schedule
87_Category wise land length width and area
98_Bar Chart with index
109_Compensatory afforestation scheme in Civil and Soyam land
1110_Certificate regarding suitability of indentified land for Comensatory Afforestation
1211_Undertaking by the User Agency to bear the cost of compensatory afforestation
1311_Undertaking by the User Agency to bear the cost of compensatory afforestation
1412_Road side plantation estimate
1513_Undertaking by the User Agency to bear the cost of Road side gap filling plantation
1615_Details of the trees with their scientific name
1716_Felling of Oak trees
1818_Certificate of felling minimum trees during the project work
1919_Muck disposal
2020_Status of the project area is a part of National Park or sanctuary and airal distance of the project from National Park or sanctuary
2123_No voilation has taken place FC Act 1980 reg
2224_NOC from local Gram Sabhas
2327_Certificate work has not been started reg
2428_Geologist Report
2529_Task Force report
2630_31_Item wise details of work
2732_geologist reportTask force recommendation Report
2833_No historical monumental or relegeous place will be effected
2934_Undertakoing regarding no animal will be effected adversely by the project
3035_Undertading to provide alternative fuelwood kerosene or LPG to labours involved in project
3136_Benefited villages Families Population Certificate
3237_Undertaking of payment of NPV if Honble Supreem Court increses the rates of NPV
3338_Certificate of payment of NPV
3441_Demarcation of land to be diverted
35Fact Sheet and Other Detalils
36RO Objection Related Qurery
37Reply of RO objection dated 16-08-2016
38Reply of RO Dated 19 Nov 2016
39Reply of RO Dated 18 April 2017
40Query Reply EDS Date 11_07_2017
41RO Reply dated 06_09_2017
42Reply EDS dated 06-10-2017
43Reply EDS dated 06-10-2017
44Reply EDS dated 07-11-2017