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/29571/2017   (ii). Name of Project for which Forest Land is required : Road Construction Work in Haldwani Bypass Road To Halduchor Indian Oil Depot in Lalkuan Constituency Distt Nainital Under C.M. Announcement No. 310/2013   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Proposal has been made for construction of Motor road Haldwani Bypass Road To Halduchor Indian Oil Depot in Lalkuan Under C.M. Announcement No. 310/2013. This road will provide connectivity to population of 15 villages. Road shall beneficial for Farmers and Students of the villagers.   (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) : 57   (viii). Area of forest land proposed for diversion(in ha.): 12.33   (ix). Non-forest land required for this project(in ha.): 0   (x). Total period for which the forest land is proposed to be diverted(in years): 100
A-2. Details of User Agency
  (i). Name : EXECUTIVE ENGINEER CD PWD HALDWANI   (ii). Address1 : Construction Division, P.W.D., Tikonia, Haldwani   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Nainital   (vi). Pin : 263139   (vii). Landmark : Nainital Road   (viii). Email address : ee_ndhal@rediffmail.com   (ix). Landline Telephone No. : 5946-223352   (x). Fax No. : 5946-223352   (xi). Mobile No. : 8393821705   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Others
A-3. Details of Person Making Application
  (i). First Name: Ashok   (ii). Middle Name: NIL   (iii). Last Name: Kumar   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: P.W.D. Colony, Tikoniya, Haldwani   (vii). Address 2: Construction Division, P.W.D., Tikonia, Haldwani   (viii). State: Uttarakhand   (ix). District: Nainital   (x). Tehsil: Haldwani   (xi). Pin: 263139   (xii). Landmark: Nainital Road   (xiii). Email Address: ee_ndhal@rediffmail.com   (xiv). Landline Telephone No.: 5946-223352   (xv). Fax No.: 05946223352   (xvi). Mobile No.: 7830202555   (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.Tarai East,Haldwani12.330
Total12.330
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Nainital12.330
Total12.330
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Hatikhal1.50
2Kishanpur Sakuliya20
3Halduchor Jaggi1.250
4Kharakpur1.330
5Durgapalpur Parma20
6Bachchi Dharma Halduchor2.50
7Halduchor Dauliya1.750
Total 12.33 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Construction of Road12.330
Total 12.33 0
C. Maps of forest land proposed to be diverted
Division 1. : Tarai East,Haldwani
  (i). Area of forest land proposed to be diverted(in ha.) : 12.33   (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).
1.12.33    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): 62470
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?: 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: Babiyad   (b). Area(in ha.): 24.66   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 3007, 4061, 4062   (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
1Administrative and Financial sanction.
2Joint Inspection report.
3Comperative chart showing statement of both alignment or alternate site explored for the proposed project
4DM Certificate that no alternative suitable non-forest land is available for the project and the demand of the forest land is barest minimum.
5Land Schedule.
6Category wise land length, width and area of the project.
7Bar Chart.
8Certificate regarding suitability of indentified land for Comensatory Afforestation by DFO.
9Undertaking by the User Agency to bear the cost of compensatory afforestation.
10Road side/gap filling plantation estimate.
11Undertaking by the User Agency to bear the cost of Road side /gap filling plantation
12Details of the trees to be felled.
13Certificate of not Felling of Oak trees.
14Certificate by DFO regarding felling of trees is not involved.
15Certificate of felling minimum trees during the project work.
16Muck disposal plan regarding certificate
17No violation has taken place, FC Act. 1980 reg.
18NOC from local Gram Sabhas.
19Certificate- work has not been started reg.
20Geologist Report.
21Task Force report.
22Certificate by user agency for complying the condition imposed in Standard Condition.
23Certificate by user agency for complying the condition imposed in geologist report/imposed in Standard Condition.
24No historical/monumental or religious place will be effected certificate reg.
25Undertaking regarding no animal will be effected adversely by the project.
26Undertaking to provide alternative fuel wood, kerosene or LPG to labours involved in project.
27Benefited villages/Families/Population Certificate
28NPV calculation certificate.
29Undertaking of payment of NPV, if Hon'ble Supreem Court increses the rates of NPV.
30Cost of the forest land and lease rent certificate by DM.
31Estimate of RCC pillars for demarcation of land to be diverted.
32Undertaking of user agency to bear the cost for demarcation work.
33Fact sheet.
34Sir/Medam, Objection Cleared and Sent
35Counting Tree
36Update UPV Letter
37Authority Letter
38
39Certificate is uploaded and objection is removed.
40Certificate is uploaded and objection is removed.
41Objection is cleared and certificate is uploded.
42Objection is cleared and certificate is uploaded.
43Objection is cleared and certificate is uploaded.
44Letter
45Letter
46Certificate of the project area is not the part of National park or sanctuary.
47Replying of GOI eds 8B/UCP/06/105/2020/FC/1231 Dated 10-9-2020
48Cost Benefit Analysis.
49Compensatory Afforestation scheme as per current rate.
50Aerial distance certificate.
51NOC / Comments of CFWL.
52NOC / Comments of CFWL.
53Replying of G.O.I. Eds 8B/UCP/06/105/2020/FC/2292 Dated 17-2-2021
54Please find Attachment
55Please find Attachment
56Please find attachment letter
57Please find attachment letter
58Please find Attachment
59Please Find Attachment