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/18062/2016   (ii). Name of Project for which Forest Land is required : Construction of Birmola-Rayal motor road.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The proposed road is located at India-Nepal Border having strategic significance. Its sanctioned length is 8.00 Km & this road will provide connectivity to Villages namely Birmola & Rayal, that are very remote. The proposed road will be beneficial for the native people of these villages as there is   (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) : 35.55   (viii). Area of forest land proposed for diversion(in ha.): 2.643   (ix). Non-forest land required for this project(in ha.): 0.28   (x). Total period for which the forest land is proposed to be diverted(in years): 100
A-2. Details of User Agency
  (i). Name : PUBLIC WORK DEPARTMENT   (ii). Address1 : Prov. Div. P.W.D. office Champawat distt- champawat   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Champawat   (vi). Pin : 262523   (vii). Landmark : Near Main Post Office   (viii). Email address : eechampawat@gmail.com   (ix). Landline Telephone No. : 5965-230034   (x). Fax No. : 5965-230034   (xi). Mobile No. : 9412044730   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Anupam   (ii). Middle Name: NIL   (iii). Last Name: Rai   (iv). Gender: Male   (v). Designation: Assistant Engineer   (vi). Address 1: Prov. Div. P.W.D. office Champawat Distt- Champawat   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Champawat   (x). Tehsil: Champawat   (xi). Pin: 262523   (xii). Landmark: Near Main Post Office   (xiii). Email Address: eechampawat@rediffmail.com   (xiv). Landline Telephone No.: 5965-230034   (xv). Fax No.: 05965230034   (xvi). Mobile No.: 9412044730   (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.Champawat2.6430.28
Total2.6430.28
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Champawat2.6430.28
Total2.6430.28
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Polap0.6650.035
2Rayal1.8550.245
Total 2.52 0.28
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road2.520.28
2Muck Disposal0.1230
Total 2.643 0.28
C. Maps of forest land proposed to be diverted
Division 1. : Champawat
  (i). Area of forest land proposed to be diverted(in ha.) : 2.643   (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).
1.2.643    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): 2000
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 ?: Yes   (a). Reason Category: CA Will be raised on degraded forest land as well as on land provided by User Agency   (b). Degraded forest area on which CA has to be raised by forest department(in ha.): 5.286   (c). Area of non-forest or Revenue forest land required to be provided by User Agency for raising Compensatory Afforestation(in ha.): 2.643   (iii). No. of districts involved for raising Compensatory Afforestation: 1   (iv). No. of patches: One
District 1. : Champawat
  (a). Village: Punoli   (b). Area(in ha.): 2.643   (c). Copy of KML file of the patch:     View File   (d). Khasra details: Punoli compart no 4   (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
1index containing which file are attached and which is not required.
2Justification for the project.
3Financial and government sanction order.
4First Joint inspection report.
5Both alignment details and comparative chart of alignment.
6Certificate for no optional land available.
7Land schedule details.
8Length and width details of proposal.
9Bar chart showing different kind of land.
10Utilization certificate by D.F.O.
11Bearing of C.A. certificate
12Road side plantation.
13Bearing expenses of road side plantation certificate .
14Details of trees there species, thickness etc.
15Certificate for minimum no of trees will be cut.
16Muck disposal details.
17Certificate (Proposal is not a part of national parks, sanctuary and air distance from it)
18No violation of forest act-1980sanctuary and air distance from it)
19Unmurmuring form villagers for construction of work.
20Certificate for that work is not started.
21Geologist report in details.
22Task force certificate.
23Certificate for fulfilling standard condition.
24Certificate for accepting geologist suggestion.
25Certificate for religious, historical etc. places fall in proposal.
26Certificate for no effect on wild life. proposal.
27Certificate for availability of cooking gas and other fuel.
28List of villages/families benefited by proposal.
29NPV Certificate
30Additional cost of NPV due to increase of rate.
31Lease and rent certificate.
32Estimate for RCC pillar using for denoting boundary.
33Fact sheet.
34co-ordinate of proposed road.
35Geoligiist Report.
36NOC Gramsabha.
37query removal letter.
38query removal letter.
39Query rrmoval letter.
40query removal letter.
41query removal letter.
42query removal letter. 30-04-2019
43ownership proof
44non encumbrance certificate
45Aerial distance
46degraded forest land has been provided by Forest Dept.
47MoU
48New Non Encumbrance
49New Ownership
50Query Removal 02.10.2019
51New format for MDF VDF in CA signed by DFO
52EDS 13jan2020
53EDS 13jan2020
54EDS 13jan2020 removal letter
55CA Land Format.
56Query Removal Letter as on dated 22-05-2020.
57CA Scheme & Certificate
58query removal letter date 31-03-2021
59query removed letter
60query removed letter 29-06-2021
61Query removed letter no 1203/2C date 17-08-2021
62Query removed letter
63EDS Dated 20-11-2021
64query removal letter. 25-01-2022
65query removed letter
66query removed
67query removed letter 04-06-2022
68query removed letter
69Query removed letter
70Query removed letter
71query removed letter
72querey removed letter
73querey removed letter
74querey removed letter
75querey removed letter
76querey removed letter
77querey removed letter
78query removed letter
79Query removed letter 27-07-2023
80Query removed letter
81query removed letter
82Query removed Letter