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/17042/2015   (ii). Name of Project for which Forest Land is required : Khajurkhal- Niglani- Timulpani- Gognani to Damdad   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Khajurkhal-Niglani-Timulpani-Gognani to Damdad under state sector. Proposed road providing connectivity to Khajurkhal, Niglani, Timulpani,Gognani to Damdarh and incidentally other surrounding villages.   (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) : 75.6   (viii). Area of forest land proposed for diversion(in ha.): 2.975   (ix). Non-forest land required for this project(in ha.): 1.575   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : PWD CD GAIRSAIN   (ii). Address1 : Construction Division PWD Gairsain   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Chamoli   (vi). Pin : 246428   (vii). Landmark : NIL   (viii). Email address : eecdgairsain@gmail.com   (ix). Landline Telephone No. : 1363-278533   (x). Fax No. : 1363-   (xi). Mobile No. : 9897163389   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Aditya   (ii). Middle Name: Nath   (iii). Last Name: Thakur   (iv). Gender: Male   (v). Designation: Assistant Engineer   (vi). Address 1: Construction Division PWD Gairsain   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Chamoli   (x). Tehsil: Gair Sain   (xi). Pin: 246428   (xii). Landmark: NIL   (xiii). Email Address: eecdpwdgairsain@gmail.com   (xiv). Landline Telephone No.: 1363-278533   (xv). Fax No.: NIL   (xvi). Mobile No.: 9897258773   (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,Gopeshwar2.9751.575
Total2.9751.575
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Chamoli2.9751.575
Total2.9751.575
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Hislani0.99750.4725
2Niglani1.0150.6975
3Timulpani0.490.225
4Damdad0.47250.045
5Gognani00.135
Total 2.975 1.575
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road2.6251.575
2Road (van panchayat)0.350
Total 2.975 1.575
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.) : 2.975   (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).
1.2.975    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): 50   (iii). Temporary Employment(Number of person-days): 10000
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: bhandarikhod   (b). Area(in ha.): 5.951   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 07   (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
1Importance of the project
2Joint inspection Report
3Non-availability of other alternate land and minimun demand of the forest land.
4Land Schedule
5Categorywise Length width and Area
6Bar Chartwith Index
7GPS map of CA
8Google map of CA
9Trees details with scientific names
10Oak Trees details
11Falling of minimum trees
12National park or sanctuary certificate
13NOC Gram sabha
14Work not started Certificate
15Geologist Report
16No animal effected certificate
17Fuel wood provided certificate
18Benefited villages
19Estimate of CA 10yr
20Varied NPV will be paid certificate
21Muck disposal plan
22Demarcation of forest land by RCC pillar
23Non voilation of forest conservation act 1980 certificate
24FRA
25NOC Vanpanchayat
26ownership certificate
27proof scanned copy of the receipt of hard copy from the nodal office.
28EDS_Reply
29EDS reply Dt 19-7-2017
30EDS_REPLY_05/09/2017
31eds_reply12.10.17
32eds reply_16_11_2017
33Eds_Reply_Dated_13_Dec_2017
34EDS Reply on dt 20/12/2017