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/29432/2017   (ii). Name of Project for which Forest Land is required : Bayana to Syaba motor road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : TO provide road connectivity for village syaba (population-366)minimum forest land route is selected because there is no any other forestless route to provide connectivity to syaba .construction of this road is necessary for the devlopmkent of villageres.   (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) : 300   (viii). Area of forest land proposed for diversion(in ha.): 3.318   (ix). Non-forest land required for this project(in ha.): 0.427   (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 ID UTTARKASHI   (ii). Address1 : ANUSHANDHAN COLONY JOSHIYARA UTTARKASHI   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Uttarkashi   (vi). Pin : 249193   (vii). Landmark : ANUSHANDHAN COLONY   (viii). Email address : eepmgsyuttarkashi@rediffmail.com   (ix). Landline Telephone No. : 1374-223804   (x). Fax No. : 1374-1374   (xi). Mobile No. : 9412903049   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Rajeev   (ii). Middle Name: kumar   (iii). Last Name: Goswami   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: P.M.G.S.Y (Irrigation Diviion)ANUSHANDHAN COLONY JOSHIYARA UTTARKASHI   (vii). Address 2: pin-249193   (viii). State: Uttarakhand   (ix). District: Uttarkashi   (x). Tehsil: Bhatwari   (xi). Pin: 249193   (xii). Landmark: ANUSHANDHAN COLONY   (xiii). Email Address: eepmgsyid@gmail.com   (xiv). Landline Telephone No.: 1374-223804   (xv). Fax No.: 01374223804   (xvi). Mobile No.: 9897354291   (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.Uttarkashi3.3180.427
Total3.3180.427
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Uttarkashi3.3180.427
Total3.3180.427
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1syaba3.3180.427
Total 3.318 0.427
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1ROAD3.3180
2muck disposal00.427
Total 3.318 0.427
C. Maps of forest land proposed to be diverted
Division 1. : Uttarkashi
  (i). Area of forest land proposed to be diverted(in ha.) : 3.318   (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).
1.3.318    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): 3700
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. : Uttarkashi
  (a). Village: syaba   (b). Area(in ha.): 6.636   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 31,44,227,238,242,273,309   (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
1introduction
2owner user agency
3FORM 2 user agency
4Total number of tree
5national park letter
6tree paatan
7environmental clearence certificate.
8Forest Land certificate.
9Order certificate.
10Bulding construction/water project lay out certificate.
11catchment treatment certificate.
12kalateet certificate.
13No special place certificate.
14pre construct motor road certificate.
15no used blasting material certificate.
16muck certificate.
17no other ulternate land certificate.
18Administration/financial clearence certificate.
19Joint inspaction certificate.
20ulternate alignment cancel certificate.
21Land sechdule certificate.
22Project length bidth certificate.
23Bar chart certificate.
24No objection certificate.
25Cost benifir certificate.
26tree list and rate certificate.
27Baanj tree certificate.
28minimum tree certificate.
29.
30.
31.no objection by villagers certificate
32Work not start certificate
33Geologist report
34Task force
35maanak shartain
36Dhaarmik poranik place
37.
38mitti ka tel
39NPV certificate
40leez certificate
41RCC piller
42leez certificate
43geo refrence map
44survey of india toposheet
45SIR report
46objection removel letter
4730.3 no objection letter by villegers
48muck disposal plan