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/23224/2016   (ii). Name of Project for which Forest Land is required : Construction of Rikhari-Wachham motor road Km 40 to Kuwari in District-Bageshwar   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : This Road will link the villagers with kuwari road. Presently the foot track is very narrow and steep witch is the course of trouble for the villagers to come down and up for there necessary needs to fullfill . The total no of 950 population of villages Kilpara ,Vilup and Kuwari willbe benfited .   (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) : 1400   (viii). Area of forest land proposed for diversion(in ha.): 19.084   (ix). Non-forest land required for this project(in ha.): 2.393   (x). Total period for which the forest land is proposed to be diverted(in years): 100
A-2. Details of User Agency
  (i). Name : PMGSY   (ii). Address1 : RES PMGSY Kapkot   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Bageshwar   (vi). Pin : 263642   (vii). Landmark : Kathayatbara   (viii). Email address : eepmgsykapkot@rediffmail.com   (ix). Landline Telephone No. : 5963-220127   (x). Fax No. : 5963-220127   (xi). Mobile No. : 9897839748   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: GIRISH   (ii). Middle Name: CHANDRA   (iii). Last Name: KHOLIYA   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: RES PMGSY KAPKOT   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Bageshwar   (x). Tehsil: NIL   (xi). Pin: 263642   (xii). Landmark: Kathayatbara   (xiii). Email Address: eepmgsykapkot@rediffmail.com   (xiv). Landline Telephone No.: 5963-220127   (xv). Fax No.: 05963220127   (xvi). Mobile No.: 9897839748   (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.Bageshwar19.0842.393
Total19.0842.393
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Bageshwar19.0842.393
Total19.0842.393
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1badiyakot0.9480
2kilpara12.8481.968
3kuwari5.2880.425
Total 19.084 2.393
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road18.6682.393
2Muck Disposal0.4160
Total 19.084 2.393
C. Maps of forest land proposed to be diverted
Division 1. : Bageshwar
  (i). Area of forest land proposed to be diverted(in ha.) : 19.084   (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).
1.19.084    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): 30000
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?: No   (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) . Reason for not providing Non-Forest Land: Others
Additional information Details
Documents
S.No Documents
Remarks
1Short Narrative
2Joint Inspection
3Comperative chart showing statement of both aligment
4Cetificate from the DM
5Category wise land length, width and area in Ha.
6undertaking by the user agency to bear the cost of compensatory afforestation duly counter signed by the DFO
7Road side/gap filling plantation estimate
8undertaking by the user agency to bear the cost of road side/gap filling plantation
9Felling of oak trees
10certificate of felling minimum trees during the project work
11Whather Project area is a park of National Park or sancturay and arial distance of the project
12If the project area is within 10Km radius of N/P
13FC Act 1980 reg.
14NOC from local gram sabhas.
15Certificate work has not been started reg.
16Geologist Report
17Task force report
18Standard Condition
19Certificate by user agency for complying the condition imposed in geologist report/task force
20No historical/ monumental
21No animal will be effected adversely by the poroject
22undertaking to provide alternative fuelwood, kerosene of LPG to labours involved in project
23Benefited Villages
24Undertaking of Payment of NPV
25Check list/Fact Sheet
26objection removed by EE latter No 60, Dt. 26.04.2017 Hard copy submitted by Nodal Dehradun on Dt. 27.09.2017
27joints inspection report
28new tree details
29querry removed letter
30receving letter cf office
31querry removed letter dt 07-02-2019
32receving letter dfo office
33receving letter cf office
34querry removed letter dt 15-04-2019
35querry removed letter dt 28-06-2019
36Revised Aeriel distance certificate
37querry removed dt 19-07-2019
38benefited population
39querry removed letter dt 07-08-2019
40new MDP PLAN
41Land schedule
42queries removed latter on dated13.012020
43Adminstrative approval.
44revised CA Scheme.
45revised bar chart
46Site Suaitability Certificatei
47DFO SIR
48Revised NVP CALCULATION
49DFO CA SITE Inspection certificate.
50Query removed latter on dated 22.02.2020