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/23279/2016   (ii). Name of Project for which Forest Land is required : Lohali to Thuwablock Motor Road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Proposed road is 9.90 Km beneficiary villages ulgor, Thuwablock provide connectivity to market places and provide facility to villagers for convene of vegetables and fruits from village to market   (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) : 592   (viii). Area of forest land proposed for diversion(in ha.): 4.9875   (ix). Non-forest land required for this project(in ha.): 1.9425   (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   (ii). Address1 : ID, PMGSY Jeolikot (Nainita)   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Nainital   (vi). Pin : 263127   (vii). Landmark : NIL   (viii). Email address : eepmgsyjyolikot@rediffmail.com   (ix). Landline Telephone No. : 5942-224034   (x). Fax No. : 5942-224034   (xi). Mobile No. : 8449853418   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Kishan   (ii). Middle Name: Singh   (iii). Last Name: Bisht   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: ID, PMGSY Jeolikot (Nainita)   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Nainital   (x). Tehsil: Nainital   (xi). Pin: 236001   (xii). Landmark: NIL   (xiii). Email Address: eepmgsyjyolikot@rediffmail.com   (xiv). Landline Telephone No.: 5942-224034   (xv). Fax No.: 05342224034   (xvi). Mobile No.: 7251999547   (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.Nainital4.98751.9425
Total4.98751.9425
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Nainital4.98751.9425
Total4.98751.9425
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Lohali0.54250
2Ulgor0.7350
3Thuwa block3.710
4Thuwa,Ulgore01.9425
Total 4.9875 1.9425
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road construction4.98751.9425
Total 4.9875 1.9425
C. Maps of forest land proposed to be diverted
Division 1. : Nainital
  (i). Area of forest land proposed to be diverted(in ha.) : 4.9875   (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).
1.4.9875    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): 35520
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. : Nainital
  (a). Village: Harinaga Hartola   (b). Area(in ha.): 9.975   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 302   (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
1A short narrative and importance of the project..
2Administrative and Financial sanction
3Preliminary Joint Inspection report (by user agency, forest department, revenue department etc.)
4Comperative chart showing statement of both alignment or alternate site explored for the proposed project and reasons for their rejection duly countersigned by DFO.
5Comperative chart showing statement of both alignment or alternate site explored for the proposed project and reasons for their rejection duly countersigned by DFO.
6Certificate from the DM that no alternative suitable non-forest land is available for the project in question and the demand of the forest land for the project is barest minimum.
7Comperative chart showing statement of both alignment or alternate site explored for the proposed project and reasons for their rejection duly countersigned by DFO.
8Comperative chart showing statement of both alignment or alternate site explored for the proposed project and reasons for their rejection duly countersigned by DFO.
9Certificate from the DM that no alternative suitable non-forest land is available for the project in question and the demand of the forest land for the project is barest minimum
10Land schedule (for RF signed by DFO and civil soyam, Van panchayat and private nap land signed by DM).
11Category wise (RF,civil soyam, Van panchayat and private nap land, Notified forest land etc.) land length, width and area in Ha.
12Bar Chart with index (counter signed by DFO).
13Compensatory afforestation scheme in Civil and Soyam land (10 years) by DFO
14Certificate regarding suitability of indentified land for Comensatory Afforestation by DFO
15Details of the trees with their scientific name in RF, Civil Soyam, Van Panchayat, Private Notified land and in Nap Land should be mentioned (with valuation of the trees to be felled ) (0-10 dia trees will be mentioned as saplings).
16Felling of Oak trees (if involves, inspection report of the concerning CF has to be provided).
17Certificate of felling minimum trees during the project work.
18Whather project area is a part of National Park or sanctuary and airal distance of the project from National Park or sanctuary signed by DFO
19NOC from local Gram Sabhas. (pdf file).
20Certificate- work has not been started reg
21Geologist Report
22Task Force report.
23Certificate by user agency for complying the condition imposed in Standard Condition
24No historical/monumental or relegeous place will be effected certificate reg. imposed in Standard Condition
25Undertakoing regarding no animal will be effected adversely by the project
26Undertading to provide alternative fuelwood, kerosene or LPG to labours involved in project.
27Benefited villages/Families/Population Certificate.
28NPV calculation certificate as per Hon'ble Supreem court /MoEF orders by DFO
29Undertaking of payment of NPV, if Hon'ble Supreem Court increses the rates of NPV (by user agency)
30Cost of the forest land and lease rent certificate by DM.
31Demarcation of land to be diverted
32Undertaking of user agency to bear the cost for dimarcation work
33Non-availibility of non-forest land for compensatory afforastation certificate by Chief seceratary
34Check list/Fact sheet
35Muck disposal Plan and Noc of Land owners.
36sir,the reply of Quarry asked by your end attached with PDF File for your necessary action
37regarding ltr No 2044 Dt 18.09.17
38Sir, Hard copy (orignal) submitted to Nodel on 8/6/17 Personally,copy of forwarding attached
39DFO Site inspection report
40Joint inspection report
41VLP
42CA Land utilization certificate
43Reply of user Agency
44EDS reply point wise
45Reply of EDS dated 18.05.18
46NPV
47DSS analysis 07 ha out fo 9.9 proposed falls in MDF
48muck Dumping yard
49EDS Reply point wise on dt 25-09-18