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/20005/2016   (ii). Name of Project for which Forest Land is required : Construction of Darimkhet-Kanyalikot Motor road (Length 5.00)   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : This road is proposed to be constructed from Pandrapali Harwar(PMGSY) MR Km. 24 to Darmkhat to Kanyalikot By the construction of this road Darmkhat and Sayaldiga(Kanyalikot) villages having total population 1597 (as per 2001 census) Road is one of the most needful infrastructure for the living/deve   (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) : 230   (viii). Area of forest land proposed for diversion(in ha.): 1.98   (ix). Non-forest land required for this project(in ha.): 2.52   (x). Total period for which the forest land is proposed to be diverted(in years): 100
A-2. Details of User Agency
  (i). Name : PWDKAPKOT   (ii). Address1 : C.D.P.W.D.KAPKOTE   (iii). Address2 : BAGESHWAR   (iv). State : Uttarakhand   (v). District : Bageshwar   (vi). Pin : 263642   (vii). Landmark : Kapkot   (viii). Email address : cdpwdkapkot@gmail.com   (ix). Landline Telephone No. : 5963-253385   (x). Fax No. : 5963-253385   (xi). Mobile No. : 9639377012   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Sanjay Kumar Pandey   (ii). Middle Name: Kumar   (iii). Last Name: Pandey   (iv). Gender: Male   (v). Designation: E.E.   (vi). Address 1: C.D.P.W.D.KAPKOTE   (vii). Address 2: BAGESHWAR   (viii). State: Uttarakhand   (ix). District: Bageshwar   (x). Tehsil: Kapkot   (xi). Pin: 263642   (xii). Landmark: kapkot   (xiii). Email Address: cdpwdkapkot@gmail.com   (xiv). Landline Telephone No.: 5963-253385   (xv). Fax No.: 05963253385   (xvi). Mobile No.: 9719471059   (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.Bageshwar1.982.52
Total1.982.52
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Bageshwar1.982.52
Total1.982.52
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Darimkhet0.81.1
2Kanyalikot1.181.42
Total 1.98 2.52
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Ban Bhoomi0.540
2Civil Land1.440
3Nap Land(Muck Disposal)02.52
Total 1.98 2.52
C. Maps of forest land proposed to be diverted
Division 1. : Bageshwar
  (i). Area of forest land proposed to be diverted(in ha.) : 1.98   (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).
1.1.98    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): 13500
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: Poling Civil   (b). Area(in ha.): 3.6   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 2   (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
1A short narrative and importance of the project
2Certificate from the DM that no alternative suitable non forest
3Administrative and Financial sanction
4Preliminary Joint Inspection report
5Preliminary Joint Inspection report
6Comperative chart showing statement
7Alignment report
8NOC from local Gram Sabhas
9Certificate from the DM that no alternative suitable non forest land is available for the project in question and the demand
10Land schedule for RF signed by DFO and civil soyam Van
11Category wise RFcivil soyam Van panchayat and private nap land
12Bar Chart
13Compensatory afforestation scheme in Civil and Soyam land 10 YEAR
14Compensatory afforestation scheme in Civil and Soyam land 10 YEAR
15Certificate reg suitability of indentified land for Comensatory
16Undertaking by the User Agency to bear the cost of compensatory
17Road side gap filling plantation estimate
18Details of the trees with their scientific name in RF Civil Soyam
19II ALIGEMENT TREE DETAIL
20Felling of Oak trees (if involves, inspection report of the concerning
210 10 dia trees & RATE
22Undertaking by the User Agency to bear the cost of Road side
23Certificate of felling minimum trees during the project work
24Muck disposal scheme
25Whether project area is a part of National Park or sanctuary and airal
26Geologist Report
27NPV calculation certificate as per Hon ble Supreem court
28Undertaking of payment of NPV, if Hon'ble Supreem Court increses
29Undertaking to provide alternative fuelwood, kerosene or LPG to
30Benefited villages /Families/ Population certificate
31No voilation has taken place, FC Act. 1980 reg
32Certificate- work has not been started reg
33Task Force report
34Manak Shartain
35eds 12-01-2017
36certificate of Aerial distance
37Justification
38Eds Dated 26-11-2019
39Eds Dated 19-08-2020
40Eds Dated 21-11-2020
41Eds Dated 12-04-2023_2023
42Eds Dated 12-04-2023_2023
43Eds Dated 12-04-2023_2023
44eds dated 17-06-2023
45Eds Dated 27-07-2023
46Eds Dated 14-08-2023
47Eds Dated 21-09-2023