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/16722/2015   (ii). Name of Project for which Forest Land is required : construction of NAULAPUR -KHETU- KEDARGALI -KONAGAD -GHODIYANA -BIRONKHAL MOTOR ROAD   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : construction of NAULAPUR -KHETU- KEDARGALI -KONAGAD -GHODIYANA -BIRONKHAL MOTOR ROAD 10.000km in block bironkhal disst pauri garhwal uttrakhand for connecting rural area   (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) : 126   (viii). Area of forest land proposed for diversion(in ha.): 2.43   (ix). Non-forest land required for this project(in ha.): 6.3   (x). Total period for which the forest land is proposed to be diverted(in years): 100
A-2. Details of User Agency
  (i). Name : PWD   (ii). Address1 : CD PWD BAIJRO   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Pauri Garhwal   (vi). Pin : 246278   (vii). Landmark : NIL   (viii). Email address : eepwdbaijro@rediffmail.com   (ix). Landline Telephone No. : 1348-267116   (x). Fax No. : 1348-267116   (xi). Mobile No. : 9756885708   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: anil   (ii). Middle Name: kumar   (iii). Last Name: negi   (iv). Gender: Male   (v). Designation: amin   (vi). Address 1: cd pwd baijro   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Pauri Garhwal   (x). Tehsil: Thali Sain   (xi). Pin: 246278   (xii). Landmark: NIL   (xiii). Email Address: anilkumarbaijro@gmail.com   (xiv). Landline Telephone No.: 1348-267116   (xv). Fax No.: 01348267116   (xvi). Mobile No.: 9761180526   (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.Garhwal,Pauri2.436.3
Total2.436.3
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Pauri Garhwal2.436.3
Total2.436.3
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1naulapur0.451.44
2khetu0.181.92
3konagad0.8551.56
4ghodiyana0.631.08
5nakuri0.3150.3
Total 2.43 6.3
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1ROAD2.434.725
2MUCK DISPOSAL01.575
Total 2.43 6.3
C. Maps of forest land proposed to be diverted
Division 1. : Garhwal,Pauri
  (i). Area of forest land proposed to be diverted(in ha.) : 2.43   (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).
1.2.43    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): 8   (iii). Temporary Employment(Number of person-days): 60000
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. : Pauri Garhwal
  (a). Village: Tandola bawansa malla   (b). Area(in ha.): 4.86   (c). Copy of KML file of the patch:     View File   (d). Khasra details: khasra no 204, 206, 1877, 2015, 2111   (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
11.1 autherty letter
21.2 Topo sheet 1 50000.pdf
31.3 Geo refer map.pdf
42.1 JUSTIFICATION
52.2 G O.pdf
62.3 Joint inspection riport.pdf
72.4 comprative chart.pdf
82.5 Certificate from DM that no alternative suitable land
92.6 Land schedule
102.7 Category wise land length width and area.pdf
112.8 Bar chart.pdf
122.9 Compensatory afforestation scheme.pdf
132.10 Certificate regarding suitability of identified land for C A.pdf
142.11 Undertking by the UA to bear the cost of road side plantation.pdf
152.12 Road side plantation.pdf
162.13 Undertking by the UA to bear the cost of road side plantation.pdf
172.15 Details of the trees.pdf
182.16 Felling of Oak trees.pdf
192.18 Certificate of felling minimum trees.pdf
202.19 muck disposal.pdf
212.20 Airal distance of the project from Nationl park.pdf
222.23 No voilation has taken place FC Act 1980.pdf
232.24 NOC from local gram sabhas.pdf
242.26 component wise details.pdf
252.27Certificate work has not been started.pdf
262.28 Geologist Report.pdf
272.29 task force report.pdf
282.30 Certificate by UA for compilying the condition imposed in standard condition.pdf
292.31 Certificate by UA for compilying the condition imposed in geologist report task force.pdf
302.32 No historical monumental or relegegeous place will be effected.pdf
312.33 Undertaking regarding no animal will be effected.pdf
322.34 Undertaking to provide kerosene LPG.pdf
332.35 benefited villages families.pdf
342.36 npv calculation certificate.pdf
352.37 undertaking of payment of npv if increses.pdf
362.38 cost of forest land.pdf
372.39 dmarcation of land.pdf
382.40 to bear the cost of dmarcation.pdf
392.41 fact sheet.pdf
40acknowledgement slip is uploaded
41receiving letter uploaded
42ca map
43one-two point objections solution's
44New FRA 2006 of villages uploded
45Objections solution