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/21822/2016
(ii). Name of Project for which Forest Land is required :
Maroda Banali Motor Road Km 3.00 to Kund Motor Road
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
The projects is for Fresh road construction (Road length- 8.125 km - Stage- I). Road goes through forest, civil soyam,nap and van panchayat land and meet the habitation in Km 8. The road will benefit village Kund (Population-256) and will be helpful for socio-economic of the habitation.
(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) :
940.5
(viii). Area of forest land proposed for diversion(in ha.):
5.1415
(ix). Non-forest land required for this project(in ha.):
0.702
(x). Total period for which the forest land is proposed to be diverted(in years):
99
A-2.
Details of User Agency
(i). Name :
PMGSY ID IIND NEW TEHRI
(ii). Address1 :
Executive Engineer PMGSY ID-2 New Tehri
(iii). Address2 :
NIL
(iv). State :
Uttarakhand
(v). District :
Tehri Garhwal
(vi). Pin :
249001
(vii). Landmark :
Tehri Dam
(viii). Email address :
eepmgsytehri2@rediffmail.com
(ix). Landline Telephone No. :
1376-232321
(x). Fax No. :
1376-232321
(xi). Mobile No. :
9412394673
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
Rajendra
(ii). Middle Name:
Prasad
(iii). Last Name:
Pant
(iv). Gender:
Male
(v). Designation:
Executive Engineer
(vi). Address 1:
Executive Engineer PMGSY ID-2 New Tehri
(vii). Address 2:
NIL
(viii). State:
Uttarakhand
(ix). District:
Tehri Garhwal
(x). Tehsil:
Tehri
(xi). Pin:
249001
(xii). Landmark:
Tehri Dam
(xiii). Email Address:
eepmgsytehri2@rediffmail.com
(xiv). Landline Telephone No.:
1376-232321
(xv). Fax No.:
01376232321
(xvi). Mobile No.:
7055613645
(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.
Narendranagar,Munikireti
1.113
0.279
2.
Mussoorie
4.0285
0.423
Total
5.1415
0.702
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Tehri Garhwal
5.1415
0.702
Total
5.1415
0.702
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Banali Gaon
0.402
0
2
Hatwal Gaon
0.021
0
3
Mathiyan Gaon
0.711
0.279
4
kund
4.0075
0.423
Total
5.1415
0.702
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Road
5.1415
0.702
2
Muck Disposal
0
0
Total
5.1415
0.702
C.
Maps of forest land proposed to be diverted
Division 1. : Narendranagar,Munikireti
(i). Area of forest land proposed to be diverted(in ha.) :
1.113
(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.
1.113
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:
Division 2. : Mussoorie
(i). Area of forest land proposed to be diverted(in ha.) :
4.0285
(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.
4.0285
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):
24000
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:
Two
District 1. : Tehri Garhwal
(a). Village:
Kund
(b). Area(in ha.):
10.283
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
1485,1513
(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
1 Fact Sheet
2
2 Project Report & Index-A short narrative and importance of the project
3
4 Performa-2 (UA-DFO-Part I & II)
4
5 Governent Order of Road
5
6 Dite Inspection Report -(by user agency, forest department, revenue department etc
6
7 TOPO SHEETdepartment, revenue department etc
7
8 Alternate Allignment
8
9 Land schedule (for RF signed by DFO and civil soyam, Van panchayat and private nap land Including Bar Chart)
9
10 Certificate- work has not been started by UA
10
11 Details of Tress & Species In Forest Land, Civil Soyam and Amount (Saklana Range, Narendranagar-Munikireti and Raipur Range, Mussoriee)
11
12 Whether project area is a part of National Park or sanctuary and airily distance of the project from Wild Life and National Park or sanctuary
12
13 NOC from local Gram Sabhas
13
15 Forest Regulation Act - Signed by DM
14
16 Certificate of Tribal and Schedule caste & Region
15
17 Geologist Report (Govt approved Geologist)
16
18 Certificate of Task Force & Specification Implimentation
17
19 Certificate of No historical monumental or religeous place will be effected and Undertaking to provide alternative fuelwood, kerosene or LPG to labours involved in project
18
20 Benefited villages, Families, Population or Habitation Certificate
19
21 Land Schedule Signed by DM
20
22 Compensatory afforestation scheme in Civil and Soyam land (10 years) by DFO
21
23 Undertaking by the User Agency to bear the cost of Road side & gap filling plantation
22
24 Muck Disposal Plan and Estimate including Drawing with Coordinates
23
25 Muck Disposal NOC from Concerned land owners
24
27 Boundary from RCC Pillar Amount and certificate from UA
25
28 Certificate of Lease period from User Agency
26
29 Certificate of Compliance with Forest resevation Act 1980 by User Agency
27
30 Certificate of Compliance with Environment Ministry and Permission for use of Explosives
28
Administrative Approval
29
NPV Certificate
30
31
All querries remove
32
CA Land certificate
33
Non eccumbrance certificate
34
Parptra 43 certificate
35
querries are removed
36
querries are removed
37
querry letter
38
Arial Distance
39
querry letter related to arial distance
40
41
42
letter no-1086/12-1 16/9/2019
43
recieving if hard copy submittion
44
Upyogita parmanptra
45
querry removal letter
46
reciving of querries letter
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