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/20084/2016   (ii). Name of Project for which Forest Land is required : C/O Lachampur (Nakayal) Motor Road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : New Construction Road brief detail as per report praptra no 1 page no 1 attached. Muck disposal is not required Cheak the muck disposal plan uploaded sepretally   (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) : 29.55   (viii). Area of forest land proposed for diversion(in ha.): 1.08   (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 : Office of the Executive Engineer, Provincial Division , Public Works Division, Nainital   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Nainital   (vi). Pin : 263002   (vii). Landmark : NIL   (viii). Email address : eepdpwdntl@gmail.com   (ix). Landline Telephone No. : 5942-235572   (x). Fax No. : 5942-233549   (xi). Mobile No. : 9411115445   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: govind   (ii). Middle Name: singh   (iii). Last Name: janoti   (iv). Gender: Male   (v). Designation: Assistant Engineer   (vi). Address 1: Office of the Executive Engineer, Provincial Division , Public Works Division, Nainital   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Nainital   (x). Tehsil: NIL   (xi). Pin: 263001   (xii). Landmark: NIL   (xiii). Email Address: eepdpwdntl@gmail.com   (xiv). Landline Telephone No.: 5942-235572   (xv). Fax No.: 05942233549   (xvi). Mobile No.: 9412930018   (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.Haldwani1.080
Total1.080
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Nainital1.080
Total1.080
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Lachampur (Nakel)1.080
Total 1.08 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1motor road1.080
Total 1.08 0
C. Maps of forest land proposed to be diverted
Division 1. : Haldwani
  (i). Area of forest land proposed to be diverted(in ha.) : 1.08   (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).
1.1.08    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): 20   (iii). Temporary Employment(Number of person-days): 50
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? : Yes
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. : Pauri Garhwal
  (a). Village: juaa   (b). Area(in ha.): 2.16   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 1047,1054   (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
1Authority Letter
2Report, Financial and Addministrative approval Proforma
3Govt. Order Part I&II , Financial and Addministrative approval
4Alignment, Joint Inspection Report
5Cert. of Cancelation of alternate alignment, Digital map, Cert. of alignment
6Cert. of noalternate land, minimum demand of forest land , land schduled, project length and width certficate, bar chart
7Cert. of land sutability for compansatry plantation, bar chart, estimate of compansatry plantation
8Cert. of affected trees in civil soyam land/van panchayat land/nap land, and their summary, no of trees
9Cert. of 10 year compansatry plantation, list of value of affected trees from the project, and summary
10Cert. for plantation both side of road, expenditure bearing of plantation, road side plantation certificate, estimate of plantation planning, maintinance of 1 yr. plantation
11Cert. of oak trees affected , cert. of affected trees from reserve forest/forest land/nap land
12Cert. of no part of national park and wildlife centuary in the project, cert. of air distance from national park and wildlife centuary, cert. of minimum falling trees, cert. of muck disposal
13NOC of Cheif conservator of forest of UK, report, no of beat, range and sub forest office in project area
14Cert. of addl. forest officer of forest of UK, year wise financial target of the project
15Cert. of addl. forest officer of forest Part II, site inpection report, cert. of no voilation of forest land, NOC of villagers aam sabha
16Cert. of work not started , FRA
17Geologist report, task force certificate, and cet. of valid standard condition
18cert. of non mythological/histoarical/religous place on the project, cert. of complaince of standard condition, complaince of task force and geological report and suggtion and approval
19cert. of non voilance of wildlife and vagetation, avilablity of carosin oil/rasoee gas to labour, cert. of vanifisery villagers family and village, cert. of yearly lease rent of affected forest land, summary of NPV value
20cert. of cost bearing of RCC piller, fact sheet, cert. of cost bearing of increase value of NPV, cost of lease period of forest land occupied for the project
21cert. issued by divisonal forest officer about tree not affected, Annexure VI B, Annexure VI C, form 22, form 24, cert. of lay out plan for building, cert. of catch ment area treetment plan
22Muck disposal plan
23Acknowledgement Slip
24Muck Disposal not required for this project ceti. submitted earliar
25Part I II III IV V uploaded certified copy
26Reply of querry raised by DFO
27objection sheet
28land suitability
29objection sheet 26.12.2016
30objection no .9 on dated 26.12.2016
31objection remove sheet on dated 26.12.2016
32Reply of nodal letter dt 20-06-2017 total 12 page uploaded today 27-06-2017
33Reply of nodal letter dt 20-06-2017 total 1 page uploaded today 27-06-2017
34Revised objection remove sheet
35New Revised objection remove sheet