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/23185/2016   (ii). Name of Project for which Forest Land is required : Construction of Moniyabhiyol-Gumchi-Bhanar-Bhumiyagad-Dhar ki Toli-Sabji-Bhaiskhal-Bholathal motor road in District Bageshwar (CM Ghosna-872/2014)   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Proposal for diversion of 4.259 ha. forest land for construction of motor road.detail narrative attached form-11 (2.1) in additional enclosure.   (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) : 212.1   (viii). Area of forest land proposed for diversion(in ha.): 4.259   (ix). Non-forest land required for this project(in ha.): 2.593   (x). Total period for which the forest land is proposed to be diverted(in years): 100
A-2. Details of User Agency
  (i). Name : PROVINCIAL DIVISION PWD BAGESHWAR   (ii). Address1 : Provincial Division PWD Bageshwar   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Bageshwar   (vi). Pin : 263642   (vii). Landmark : Kathayatbara   (viii). Email address : pdpwdbgr@gmail.com   (ix). Landline Telephone No. : 5963-220006   (x). Fax No. : NIL   (xi). Mobile No. : 9412023055   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Nawal   (ii). Middle Name: Kishor   (iii). Last Name: Diwedi   (iv). Gender: Male   (v). Designation: Assistant Engineer   (vi). Address 1: Provincial Division PWD Bageshwar   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Bageshwar   (x). Tehsil: Bageshwar   (xi). Pin: 263642   (xii). Landmark: Kathayatbara   (xiii). Email Address: pdpwdbgr@gmail.com   (xiv). Landline Telephone No.: 5963-220006   (xv). Fax No.: 05963220006   (xvi). Mobile No.: 9719974196   (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.Bageshwar4.2592.593
Total4.2592.593
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Bageshwar4.2592.593
Total4.2592.593
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Ayartoli0.5961.064
2Wajula3.6631.529
Total 4.259 2.593
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road4.1912.593
2Muck Disposal0.0680
Total 4.259 2.593
C. Maps of forest land proposed to be diverted
Division 1. : Bageshwar
  (i). Area of forest land proposed to be diverted(in ha.) : 4.259   (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).
1.4.259    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): 21900
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: Sumgar   (b). Area(in ha.): 8.518   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 1   (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
1Short Narrative
2Administrative and Financial Sanction
3Joint Inspection
4Comperative chart showing statement of both aligment
5Cetificate from the DM
6Land Schedule
7Category wise land length, width and area in Ha.
8Bar Chart with Index
9Compensatory afforestation scheme in civil and soyam land
10undertaking by the user agency to bear the cost of compensatory afforestation duly counter signed by the DFO
11Road side/gap filling plantation estimate
12Undertaking by the user agency to bear the cost of Road side/gap filling plantation
13Details of the trees
14Felling of oak trees
15certificate of felling minimum trees during the project work
16Whather Project area is a park of National Park or sancturay and arial distance of the project
17If the project area is within 10Km radius of N/P
18FC Act 1980 reg.
19NOC from local gram sabhas.
20Certificate work has not been started reg.
21Geologist Report
22Task force report
23Standard Condition
24Certificate by user agency for complying the condition imposed in geologist report/task force
25No historical/ monumental
26No animal will be effected adversely by the poroject
27undertaking to provide alternative fuelwood, kerosene of LPG to labours involved in project
28Benefited Villages
29NPV Calculation certificate as per Hon'ble supereem courtllages
30Undertaking of Payment of NPV
31Check list/Fact Sheet
32acknowledgement slip submited by DFO Bageshwar.
33objection 27.12.2017 removed by EE latter No 2148/2EVB, Dt. 24.08.2017 Hard copy submitted by CF Almora received in 30.08.2017
34objection 02.04.2018 removed by EE latter No 996/2EVB, Dt. 24.04.2018
35objection 07.07.2018 removed by EE latter No 1838/2EVB, Dt. 10.07.2018
36objection 23.08.2018 removed by EE latter No 2382/2EVB, Dt. 04.08.2018
37objection 08.11.2018 removed by EE latter No 226/2EVB, Dt. 29.01.2019
38Muck Disposal
39objection 22.04.2019 removed by EE latter No 1924/2EVB, Dt. 26.07.2019
40objection removed vide this letter no. 3047/2E.wa.bhoo. dtd 26.11.2019
41objection 14.01.2020 removed by EE latter no 1793/2EVB, Dt. 30.07.2020