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/28919/2017
(ii). Name of Project for which Forest Land is required :
Bageshwar Kapkot Tejam MR Km 33 to Kiroli MR
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
This Road will link the villagers with kiroli . 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 932 population of villages kiroli and farshali . It will l Proposal for div
(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) :
168
(viii). Area of forest land proposed for diversion(in ha.):
2.25
(ix). Non-forest land required for this project(in ha.):
2.25
(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
2.25
2.25
Total
2.25
2.25
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Bageshwar
2.25
2.25
Total
2.25
2.25
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Kiroli
1.25
1
2
Farshali
1
1.25
Total
2.25
2.25
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Road
2.088
2.25
2
Muck Disposal
0.162
0
Total
2.25
2.25
C.
Maps of forest land proposed to be diverted
Division 1. : Bageshwar
(i). Area of forest land proposed to be diverted(in ha.) :
2.25
(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.
2.25
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):
6500
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:
Badiyakot civil
(b). Area(in ha.):
4.5
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
110
(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
Task force
2
Alignment
3
querry removed letter
4
Prativedan
5
civil soyam
6
queerry removed letter 01-05-2018
7
Joint verification
8
querry removed letter dt 05-07-2018
9
Querry removed letter dt 26-07-2018
10
querry removed letter dated 30-08-2018
11
Tree details
12
CA certificate
13
CA scheme
14
inspection report
15
Non forest certificate
16
NPV certificate
17
querry removed letter dated 20-11-2018
18
querry removed letter dated 21-12-2018
19
querry letter
20
querry removed letter dt 25-02-2019
21
Adminstrative approval
22
CA cost certificate
23
DFO site inspection report
24
geologist report
25
Land shadule revised
26
Muck disposal plan
27
NPV cost certificate
28
part i,ii,iii,iv
29
VLC farshali palli certificate
30
work not stat certificate
31
querry state govt letter
32
querry removed letter dt 26-04-2019
33
hard copy receving letter nodal office
34
querry letter
35
dfo site inspection report
36
querry removed letter dt 04-07-2019
37
Aerial distance certificate
38
Benefited population certificate
39
npv coct certificate
40
hard copy recrving letter nodal office
41
barchart revised
42
road width and length
43
querry removed letter dt 06-09-2019
44
receving letter hard copy nodal office
45
Query removed of letter No. 981 Dtd. 10.10.2019
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