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/20224/2016   (ii). Name of Project for which Forest Land is required : Margaon-Jaspur-Chamiyari to Ulan motor road.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The Total length of road is 9.00 Km. This road will connect PipalKhanda, Gamri, Chandpur, Halgaon and Ulan villages. There are 3.5490 Hect. Reserve Forest in this motor road.   (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) : 113.22   (viii). Area of forest land proposed for diversion(in ha.): 4.879   (ix). Non-forest land required for this project(in ha.): 2.272   (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.Uttarkashi4.8792.272
Total4.8792.272
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Uttarkashi4.8792.272
Total4.8792.272
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Pipalkhanda0.2190
2Gamri2.2391.109
3Chandpur01.162
4Ulan2.4210
Total 4.879 2.271
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1road4.53251.7675
2Muckdisposal 10.34650.36
3Muckdisposal 200.08
Total 4.879 2.2075
C. Maps of forest land proposed to be diverted
Division 1. : Uttarkashi
  (i). Area of forest land proposed to be diverted(in ha.) : 4.879   (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).
1.4.879    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): 1000
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. : Uttarkashi
  (a). Village: Indra   (b). Area(in ha.): 9.758   (c). Copy of KML file of the patch:     View File   (d). Khasra details: khasra no.-1727 -0.989 ha. 1749 - 4.127 ha. 1750 - 4.642 ha.   (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
1Certificate for level difference
2Administrative and financial sanction
3Note containing justification for locating the Project in forest land (FCA)
4Site Inspection report not below the rank of DCF
5Preliminary joint inspection report
6land shedule
7Category wise land length_width and area in Ha
8Details of trees with their scientific name in RF_Civil Soyam_Van panchyat_Privite Notified land and in Naap land
9Certificate for felling minimum trees during the Project work
1011 Certificate for airial distance from National park or Sanctuary
11Bar Chart with Index
12Compensatory afforestation scheme in civil and soyam land (ten times)
13Certificate for to bear the cost of CA
14Comperative chart showing statement of both Alignment or alternate site explored for the proposed project and reason for their rejection
15Alignment Chart
16Certificate- work has not been started reg
17Geologist report
18Certificate for complying the condition imposed in Geologist report_task force recommendation in hill areas
19Task Force Certificate
20Undertaking regarding no animal will be effected adversely by the project
21No historical monumental or relegeous place will be effected certificate reg
22No voilation has taken place FC Act 1980 reg
23Benefited villages Families Population certificate
24Certificate for Enviorment sanction
25Cost of the forest land and lease rent certificate
26Undertaking of payment of NPV if Hon'ble Supreem Court increases the rates the NPV
27NPV calculation certificate as per Hon'ble Supreem Court
28Certificate for non Isthal Vishist special place
29Undertaking to provide alternative fuel wood Kerosene or LPG to labours involved in project
30Muck Disposal Plan
31Certificate for complying the condition imposed in standard condition
32Check List and Fact Sheet
33prativedan
34Density of vegetation
35ALL Obejection removing Letters an closed
36objection clear letter
37anya koi vekalpik bhoomi nhi ha
38objection clear letter
39Letter
40letter objection clear