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/19093/2016
(ii). Name of Project for which Forest Land is required :
Construction of Quidagaon (Dubad) motor road from Km. 07 of Dhunaghat-Bhingrara-Reetha sahib motor road.
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
This project will connect to Quidagaon and Niloti Village which situated at the remote area of district Champawat. Approximate 365 no of population will be benefited by this project. This road provide better health & education facility to the villagers and will also provide a good market for their c
(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) :
46.8
(viii). Area of forest land proposed for diversion(in ha.):
2.6
(ix). Non-forest land required for this project(in ha.):
2.17
(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.
Champawat
2.6
2.17
Total
2.6
2.17
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Champawat
2.6
2.17
Total
2.6
2.17
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Brushkhola
0
0.07
2
Niloti
2.254
0.7
3
Dubad
0.346
1.4
Total
2.6
2.17
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Raod
2.38
2.17
2
Muck disposal
0.219745
0
Total
2.599745
2.17
C.
Maps of forest land proposed to be diverted
Division 1. : Champawat
(i). Area of forest land proposed to be diverted(in ha.) :
2.6
(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.
2.6
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):
20000
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. : Champawat
(a). Village:
Pal vilaon compartment 10
(b). Area(in ha.):
5.2
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
Pal vilaon compartment 10
(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
1
Index containing which file is attached and which is not required.
2
A short narrative and importance of the project.
3
Administrative and Financial sanction.
4
Preliminary Joint inspection report. (User agency, forest dep, revenue dep. etc)
5
Comperative chart showing statement of both alignment reasons for their rejection duly.
6
Certificate from the DM that no alternative suitable non-forest land is available for the project.
7
Land schedule.
8
Category wise land length, width and area in Ha.
9
Bar Chart with index.
10
Undertaking by the user agency to bear the cost of CA.
11
Road side/gap filling plantation estimate.
12
Undertaking by the user agency to bear the cost of road side/gap filling plantation.
13
Estimate of 100 trees plantation by DFO.
14
Details of the trees with their scientific name if RF, civil soyam van panchayat, private notified land and in nap land.
15
Felling of oak trees.
16
Certificate of felling minimum trees during the project work.
17
Muck disposal scheme.
18
Geographical map showing dumping zone
19
Whather project area is a part of national park or sanctuary and airal distance of the project form national park or sanctuary.
20
Certificate of no violation has taken place, FC act 1980
21
NOC from local Gram Sabha.
22
Certificate work has not been started.
23
Geologist report in details.
24
Task force certificate.
25
Certificate for fulfilling standard condition and complying the condition imposed in standard condition.
26
Certificate for Certificate for complying the condition imposed in geologist report/task force recommendation.
27
Certificate for no historical/monumental or religious place will be effected.
28
Undertaking regarding no animal will be effected adversely by the project.
29
Certificate of, to provide alternative fuel wood, Kerosene or LPG
30
Certificate for benefited villages/families/population
31
NPV calculation certificate as per Hon'ble supreme court/MoEF orders.
32
Undertaking of payment of NPV, if Hon'ble supreme court increases the rate of NPV.
33
Lease rent certificate.
34
Demarcation of land to be diverted and Undertaking of user agency to bear the cost for demarcation work.
35
Check list/Fact sheet.
36
Forms which are filled by user agency.
37
Co-ordinats of the road which will constructed.
38
Hard copy submitted to CF
39
Hard Copy Submitted to Nodal office & C.F.
40
Certificate gramsabha Niloti.
41
Certificate NPV.
42
Certificate of No trees Realated.
43
Part 1,2,3,4 & 5.
44
Query removal letter.
45
query realated letter.
46
query realated letter.
47
query removal letter.
48
query removal letter.
49
VLC Certificate
50
Query Removal letter.
51
Query removal letter.
52
CA scheme new.
53
Certificate.
54
Query removal letter.
55
query removal letter.
56
query removal letter.
57
query remoal letter. dated 21-02-2019
58
Query Remove 09-10-2019 Agaist EDS 02-08-2019
59
Ca Sceme Attached
60
Query removed Against dated 02-08-2019 Against 09-10-2019
61
Query removal letter as on dated 04/05/2020
62
Query removal letter dated on 18-05-2020
63
Removed Quarry date 01-01-2021
64
Qurery removed letter 15-07-2021
65
EDS 22-11-2021
66
Removed Quarry date 25-01-2022
67
Query removed letter 11-05-2022
68
query removed letter new
69
query removed letter
70
query removed letter
71
query removed letter
72
removed query
73
Query removed letter 24-01-2023
74
query removed letter
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