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/18757/2016   (ii). Name of Project for which Forest Land is required : Fatgali-Damoli-Malujhal-Ukhalso motor road in District Bageshwar (CM Ghosna-804/2014)   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Proposal for diversion of 4.103 ha. forest land for construction of motor road.detail narrative attached form-11 (2.1) in additional enclosure.   (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) : 148.5   (viii). Area of forest land proposed for diversion(in ha.): 4.103   (ix). Non-forest land required for this project(in ha.): 0.217   (x). Total period for which the forest land is proposed to be diverted(in years): 50
A-2. Details of User Agency
  (i). Name : PROVINCIAL DIVISION PWD BAGESHWAR   (ii). Address1 : Provincial Division PWD Bageshwar   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Bageshwar   (vi). Pin : 263642   (vii). Landmark : Kathayatbara   (viii). Email address : pdpwdbgr@gmail.com   (ix). Landline Telephone No. : 5963-220006   (x). Fax No. : NIL   (xi). Mobile No. : 9412023055   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Nawal   (ii). Middle Name: Kishor   (iii). Last Name: Diwedi   (iv). Gender: Male   (v). Designation: Assistant Engineer   (vi). Address 1: Provincial Division PWD Bageshwar   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Bageshwar   (x). Tehsil: Bageshwar   (xi). Pin: 263642   (xii). Landmark: Kathayatbara   (xiii). Email Address: pdpwdbgr@gmail.com   (xiv). Landline Telephone No.: 5963-220006   (xv). Fax No.: 05963220006   (xvi). Mobile No.: 9719974196   (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.Bageshwar4.1030.217
Total4.1030.217
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Bageshwar4.1030.217
Total4.1030.217
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1South Khabdoli1.1110
2Talar0.3770.035
3Kamol0.580.07
4Malujhal1.3850.07
5Okhalso0.650.042
Total 4.103 0.217
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road3.9830.217
2Muck Disposal0.120
Total 4.103 0.217
C. Maps of forest land proposed to be diverted
Division 1. : Bageshwar
  (i). Area of forest land proposed to be diverted(in ha.) : 4.103   (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).
1.4.103    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): 3   (iii). Temporary Employment(Number of person-days): 120
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. : Bageshwar
  (a). Village: kilpara   (b). Area(in ha.): 8.206   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 1   (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
1Short Narrative
2G.O.
3Joint Inspection
4Comperative Chart
5Certificate from the DM
6Land Schedule
7Category wise
8Bar Chart
9Compensatory afforestation scheme in civil and soyam land
10Certificate regarding
11Undrtaking by the user agency to bear the cost of compensatory afforestation duly counter signed by the DFO
12Road Side/Gap Filling
13Undertaking by the user agency to bear the cost of Road Side/Gap Filling
14Details of the trees
15Felling of Oak trees
16certificate of felling minimum tree during the project work.
17Muck Disposal scheme
18Whather project area is a part of National park
19CCF wild life has to be provided.
20Permission of Hon'ble supreme court/MoEF GoI.
21No Voilation has taken place, FC Act. 1980 reg.
22NOC from local Gram sabhas.
23Certificate work has not been started reg.
24Geologist Report
25Task Force report
26Standard condition
27geologist report/task force recommendation in hill areas
28No historical/monumental
29undertaking regarding no animal will be effected adversely by the project
30Undertaking to provide alternative fuelwood, kerosene or LPG to labours involved in project.
31Benefited village
32NPV calculation certificate as per Hon'ble supreem court
33Undertaking of Payment of NPV, if Hon'ble supreem cout increses the rates of NPV
34Check list/Fact sheet
35objection 09.09.2016 removed by EE Latter No2985/2EVB, Dt. 22.12.2016
36objection 25.01.2017 removed by DFO Bageshwar latter No 2045/12-1, Dt. 10.02.2017
37objection 25.01.2017 removed by EE latter No 256/2EVB, Dt. 03.02.2017, Hard copy submitted Nodal Dehardun 22.02.2017
38objection removed EE latter No 892/2EVB, Dt. 26.04.2017 Hard copy submitted DFO Bageshwar Dt. 26.04.2017
39objection 15.04.2017 removed by EE Latter No 1597/2EVB, Dt. 10.07.2017, Hard Copy submitted by Nodal Dehradun Dt. 13.07.2017
40objection 12.10.2017 removed by EE latter no 3082/2EVB, Dt. 21.12.2017
41objection 10.04.2018 removed by EE latter No 940/2EVB, Dt. 17.04.2018
42objection 30.05.2018 removed by EE latter No 1439/2EVB, Dt. 31.05.2018
43objection 02.06.2018 removed by EE latter No 1839/2EVB, Dt. 10.07.2018