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/28915/2017
(ii). Name of Project for which Forest Land is required :
Bageshwar Kapkot Tejam MR Km 57 to Badhi Panyali MR
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Proposal for diversion of 3.42 ha. forest land for construction of motor road.detail narrative attached form-11 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) :
386.25
(viii). Area of forest land proposed for diversion(in ha.):
3.42
(ix). Non-forest land required for this project(in ha.):
0.18
(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.
Bageshwar
3.42
0.18
Total
3.42
0.18
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Bageshwar
3.42
0.18
Total
3.42
0.18
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Badhi Panyali
3.42
0.18
Total
3.42
0.18
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Muck
0.75
0
2
Road
2.67
0.18
Total
3.42
0.18
C.
Maps of forest land proposed to be diverted
Division 1. : Bageshwar
(i). Area of forest land proposed to be diverted(in ha.) :
3.42
(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.
3.42
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):
16000
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?:
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
1
Category wise land length, width and area in Ha.
2
certificate of felling minimum trees during the project work
3
Certificate work has not been started reg
4
Fact Sheet
5
undertaking to provide alternative fuelwood, kerosene of LPG to labours involved in project
6
Task force report
7
No animal will be effected adversely by the poroject
8
anusuchi civil soyam
9
querry removed letter 01-05-2018
10
road width and length
11
querry removed letter dt 05-07-2018
12
joint verification
13
Querry removed letter dt 26-07-2018
14
querry removed letter dated 30-08-2018
15
Tree details
16
querry removed letter dated 18-12-2018
17
querry removed letter dt 07-02-2019
18
Administrative approval
19
Barchart
20
CA cost certificate
21
DFO site inspection report
22
geologist report
23
Land shadule
24
Minimum forest land certificate
25
Non forest land certificate
26
NPV cost certificate
27
part i,ii,iii,iv
28
work not start certificate
29
state govt querry
30
querry removed letter dt 26-04-2019
31
hard copy receving letter
32
Part ii
33
Part v
34
querry letter
35
querry removed letter dt 27-05-2019
36
Aerial distance certificate
37
querry letter RO office
38
querry removed letter dt 30-07-2019
39
Core network certificate
40
Distance certificate
41
Habitation code certificate
42
Population certificate
43
receving letter nodal office
44
querry removed letter dt 25-09-2019
45
new end point dist. latter on date 23.12.2019
46
new CA Secheme on date 23.12.2019
47
benefited village certificate.23.12.2019
48
Queries removed latter on date 23.12.2019
49
New muck disposal plan
50
New CA site suitability certificate
51
NVP Calculation
52
DFO CERTIFICATE
53
DM,DFO, CERTIFICATE
54
query removed latter on dated 21.05.2020
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