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/18867/2016   (ii). Name of Project for which Forest Land is required : Construction of Kurur to Kundbagar Motor Road. (Length 1.00 Km)   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Construction of Kurur to Kundbagar Motor Road. (Length 1.00 Km). The proposed road is for providing connectivity to village Kurur, Mathkot with a population of 645 numbers. The road is located in Block-Ghat of District Chamoli   (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) : 12.6   (viii). Area of forest land proposed for diversion(in ha.): 0.81   (ix). Non-forest land required for this project(in ha.): 0   (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 WORKS DEPARTMENT   (ii). Address1 : Provincial Division, PWD, Karanprayag, Distt.-Chamoli (Uttarakhand)   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Chamoli   (vi). Pin : 246444   (vii). Landmark : NIL   (viii). Email address : eepdpwdkpg@gmail.com   (ix). Landline Telephone No. : 1363-244204   (x). Fax No. : 1363-244204   (xi). Mobile No. : 9412974296   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Mayank   (ii). Middle Name: NIL   (iii). Last Name: Tiwari   (iv). Gender: Male   (v). Designation: Assistant Engineer   (vi). Address 1: Provincial Division, PWD, Karanprayag, Distt.-Chamoli (Uttarakhand)   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Chamoli   (x). Tehsil: NIL   (xi). Pin: 246444   (xii). Landmark: NIL   (xiii). Email Address: eepdpwdkpg@gmail.com   (xiv). Landline Telephone No.: 1363-244204   (xv). Fax No.: 01363244204   (xvi). Mobile No.: 9410332205   (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.Badrinath,Gopeshwar0.810
Total0.810
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Chamoli0.810
Total0.810
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Kurur Gunth0.4160
2Mathkot Kundbagar0.3940
Total 0.81 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road0.810
2Muck Disposal00
Total 0.81 0
C. Maps of forest land proposed to be diverted
Division 1. : Badrinath,Gopeshwar
  (i). Area of forest land proposed to be diverted(in ha.) : 0.81   (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).
1.0.81    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): 21   (iii). Temporary Employment(Number of person-days): 141
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?: Not Applicable   (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 ?: Not Applicable   (iii) . Reason for not providing Non-Forest Land: Not Applicable
Additional information Details
Documents
S.No Documents
Remarks
1Front Page
2Work Section GO
3NOC_Van Panchayat
4Joint Inspection Report
5Alignment Comparison
6Certificate from the DM that no alternative suitable non-forest land is available
7Land_Schedule
8Project Lenght width
9Bar Chart
10Plantation of 10 Year & Muck Plantaiion Report
11Plantaion Site suitability & Road side Plantation Certificate
12Tree List & Valuation
13Oak Tree List
14Certificate of felling minimum trees during the project work
15Muck Disposal Plan
16Certificate of national Park Distance & no area of national park
17NOC from local Gram Sabhas
18No voilation has taken place FC Act 1980 reg
19Certificate of Work not Started
20Geologist Report
21Task Force Report
22Geologist reportTask force recommendation Report
23No historical monumental or relegeous place will be effected
24Undertakoing regarding no animal will be effected adversely by the project
25Benefited villages Families Population Certificate
2626 Fact sheet and Other Details
27Acknowledgement slip Attached
28Query Remove letter