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/16974/2015   (ii). Name of Project for which Forest Land is required : Arakot Kalich Thunara Damti Motor Road (Extension of Remaining part)   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Arakot Kalich Thunara Damti Motor Road (Extension of Remaining part).proposal are iniate for road construction from existing km 6 of aarakot kaleech thunara motor road to paajudhar kasedi thunara motor road.required 4.5375 ha forest land for road construction.   (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) : 175   (viii). Area of forest land proposed for diversion(in ha.): 4.5375   (ix). Non-forest land required for this project(in ha.): 0.225   (x). Total period for which the forest land is proposed to be diverted(in years): 200
A-2. Details of User Agency
  (i). Name : PWD   (ii). Address1 : Construction Division, P.W.D. Purola   (iii). Address2 : District : Uttarkashi. (Uttarakhand)   (iv). State : Uttarakhand   (v). District : Uttarkashi   (vi). Pin : 249185   (vii). Landmark : NIL   (viii). Email address : himansN@gmail.com   (ix). Landline Telephone No. : 1373-223324   (x). Fax No. : 1373-223324   (xi). Mobile No. : 9411380476   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Arvind   (ii). Middle Name: Singh   (iii). Last Name: Rawat   (iv). Gender: Male   (v). Designation: Junior Engineer   (vi). Address 1: Construction Division, P.W.D. Purola   (vii). Address 2: District : Uttarkashi. (Uttarakhand)   (viii). State: Uttarakhand   (ix). District: Uttarkashi   (x). Tehsil: Puraula   (xi). Pin: 249185   (xii). Landmark: NIL   (xiii). Email Address: himansN@gmail.com   (xiv). Landline Telephone No.: 1373-223324   (xv). Fax No.: 1373223324   (xvi). Mobile No.: 8171516883   (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.Tons,Purola4.53750.225
Total4.53750.225
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Uttarkashi4.53750.225
Total4.53750.225
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1kasedi2.40
2Thunara2.0250.225
Total 4.425 0.225
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Tons Forest4.2750.225
20.2624650
Total 4.537465 0.225
C. Maps of forest land proposed to be diverted
Division 1. : Tons,Purola
  (i). Area of forest land proposed to be diverted(in ha.) : 4.5375   (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).
1.4.5375    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): 0   (iii). Temporary Employment(Number of person-days): 15500
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. : Uttarkashi
  (a). Village: Damti civil   (b). Area(in ha.): 9.075   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 1779.1781,1783   (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
1GO copy
2preliminary joint inspection report
3Comperative chart
4Certificate from the DM that no alternative suitable non forest land is available
5Land schedule
6Category of land
7Bar chart
8CA scheme
9Certificate regarding sutibality
10Road side gap filling plantation
11Undertaking by user agency to bear the cost of road side plantation
12Detail of trees
13Felling oak trees
14Felling trees not involved
15Certificate of felling minimum trees
16Muck disposal
17Wheather project area is part of National park
18If the project area is within 10 km radius
19Iff the project falling within National park
20No voilation has taken place
21NOC from gram sabas
22General layout plan
23Compenent wise detail of construction work
24Certificate work ahs not been started
25Geologist Report
26Task force
27Certificate by user agency for complying the condition imposed
28Certificate by user agency for complying the recommendation of geologist
29No historical relegeous place will be effected
30Undertaking regarding no animal will be effected
31Undertaking to provide alternative fuel wood
32Benifitted village
33NPV calcuation certificate
34Undertaking of payment of NPV
35Cost of the forest land
36certifcate of lease period
37Demarcation of land to be diverted
38Undertaking of user agency to bear the cost of dimarcation
39Checklist