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/20179/2016   (ii). Name of Project for which Forest Land is required : Malli-Bandhangaon motor road to Thaula to Maad motor road.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : A new road of 10 km long is sanction to connect Maad vill. to Block Headquarter under S.Sector. After the Alingment Survey, the road length found 10 km to connect Maad. Presently Maad vill. not connected with the road. After construction of this road, village Maad will be connected.   (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) : 62.42   (viii). Area of forest land proposed for diversion(in ha.): 8.346   (ix). Non-forest land required for this project(in ha.): 0.21   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : EXECUTIVE ENGINEER   (ii). Address1 : Construction Division PWD, Chinyalisaur   (iii). Address2 : Uttarkashi   (iv). State : Uttarakhand   (v). District : Uttarkashi   (vi). Pin : 249196   (vii). Landmark : NIL   (viii). Email address : eecdpwd_uki@rediffmail.com   (ix). Landline Telephone No. : 1371-237084   (x). Fax No. : NIL   (xi). Mobile No. : 9412959004   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: suresh   (ii). Middle Name: Kumar   (iii). Last Name: tomar   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: Construction Division, P.W.D., Chinyalisaur   (vii). Address 2: Uttarkashi   (viii). State: Uttarakhand   (ix). District: Uttarkashi   (x). Tehsil: NIL   (xi). Pin: 249196   (xii). Landmark: NIL   (xiii). Email Address: eecdpwd_uki@rediffmail.com   (xiv). Landline Telephone No.: 1371-237084   (xv). Fax No.: 01371237084   (xvi). Mobile No.: 7579186700   (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.Uttarkashi8.3460.21
Total8.3460.21
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Uttarkashi8.3460.21
Total8.3460.21
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Maad8.3460
2thaula00.21
Total 8.346 0.21
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road6.7710.21
2Muck Disposal1.5750
Total 8.346 0.21
C. Maps of forest land proposed to be diverted
Division 1. : Uttarkashi
  (i). Area of forest land proposed to be diverted(in ha.) : 8.346   (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).
1.8.346    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): 400
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?: Yes   (a). Copy of Cost-Benefit analysis:
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. : Uttarkashi
  (a). Village: Kumrara   (b). Area(in ha.): 16.692   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 5001   (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
1Partiveden
2Certificate for level difference
3Administrative and financial sanction
4Note containing justification for locating the Project in forest land (FCA)
5Site Inspection report not below the rank of DCF
6Preliminary joint inspection report
7Land Shedule
8Category wise land length_width and area in Ha
9Details of trees with their scientific name in RF_Civil Soyam_Van panchyat_Privite Notified land and in Naap land
10Certificate for felling minimum trees during the Project work
11Certificate for airial distance from National park or Sanctuary
12Bar Chart with Index
13Certificate for bear the cost of road side_gap filling Plantation
14Certificate for to bear the cost of CA
15Certificate for to bear the cost of CA
16project length and width certificate
17Comperative chart showing statement of both Alignment or alternate site explored for the proposed project and reason for their rejection
18Certificate- work has not been started reg
19Geologist report
20Certificate for complying the condition imposed in Geologist report_task force recommendation in hill areas
21Task Force Certificate
22Undertaking regarding no animal will be effected adversely by the project
23No historical monumental or relegeous place will be effected certificate reg
24No voilation has taken place FC Act 1980 reg
25Benefited villages Families Population certificate
26Certificate for Enviorment sanction
27Cost of the forest land and lease rent certificate
28Undertaking of payment of NPV if Hon'ble Supreem Court increases the rates the NPV
29NPV calculation certificate as per Hon'ble Supreem Court
30Certificate for non Isthal Vishist special place
31Undertaking to provide alternative fuel wood Kerosene or LPG to labours involved in project
32Muck Disposal Plan
33Certificate for complying the condition imposed in standard condition
34Check List
35density certificate
36Forwading letter
37letter
38revised rates of NPV
39SUITABILITY CERTIFICATE
40NEw FRA
41Forwading Letter
42forwading Letter