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/31090/2017   (ii). Name of Project for which Forest Land is required : Diversion of forest land for construction of Champawat bypass in Tanakpur Pithoragarh NH 125 (New 09) under Chardham Project.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Diversion of forest land for construction of Champawat bypass in Tanakpur Pithoragarh NH 125 (New 09) under Chardham Project.   (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) : 14485.968   (viii). Area of forest land proposed for diversion(in ha.): 8.94   (ix). Non-forest land required for this project(in ha.): 16.951   (x). Total period for which the forest land is proposed to be diverted(in years): 100
A-2. Details of User Agency
  (i). Name : MINISTRY OF ROAD TRANSPORT AND HIGHWAYS   (ii). Address1 : 84,Vasant Vihar Phase -II, P.O new Forest, Dehradun   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Dehradun   (vi). Pin : 248001   (vii). Landmark : Near Kali Mandir   (viii). Email address : piu.dehradun.morth@gmail.com   (ix). Landline Telephone No. : 135-2769935   (x). Fax No. : 135-   (xi). Mobile No. : 9456313430   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Central Government
A-3. Details of Person Making Application
  (i). First Name: Leeladhar   (ii). Middle Name: NIL   (iii). Last Name: Mathela   (iv). Gender: Male   (v). Designation: Executive Engineer, NH Divisio   (vi). Address 1: Vill- Patan Patni, PO- Lohaghat, District- Champawat   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Dehradun   (x). Tehsil: Dehradun   (xi). Pin: 248001   (xii). Landmark: Vill- Patan Patni, PO- Lohaghat   (xiii). Email Address: nhlohaghat@gmail.com   (xiv). Landline Telephone No.: 596-5234076   (xv). Fax No.: 05965234076   (xvi). Mobile No.: 9410160504   (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.Champawat8.9416.951
Total8.9416.951
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Champawat8.9416.951
Total8.9416.951
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Chaukuni bora00.218
2Chaukuni pandey00.12
3nagar gaon00.77
4latoli0.121.52
5funger0.241.93
6chauki2.645.851
7kaflang0.242.38
8lista01.3
9ghatku block RF1.20
10shaktipur0.960.77
11punethi2.760.29
12rakdi fulara0.240.451
13muck disposal0.541.351
Total 8.94 16.951
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1road8.415.24
2bridge00.36
3dumping0.541.351
Total 8.94 16.951
C. Maps of forest land proposed to be diverted
Division 1. : Champawat
  (i). Area of forest land proposed to be diverted(in ha.) : 8.94   (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).
1.8.94    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): 36500
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?: Not Applicable   (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 ?: Not Applicable   (iii) . Reason for not providing Non-Forest Land: Not Applicable
Additional information Details
Documents
S.No Documents
Remarks
1Certificate by DM- Forest Right Act-2006(in MoEF revised prescribed form) (pdf file)
2Survey of India Toposheet in 1:50,000 scale indicating location of the land identified for creation of Compensatory Afforestation: signed by DFO (pdf file).
3Colored copy of the geo refrence map showing the land identified for CA. (kml file ) signed by DFO (pdf file).
4A short narrative and importance of the project.. (pdf file).
5Administrative and Financial sanction (pdf file).
6Preliminary Joint Inspection report (by user agency, forest department, revenue department etc.) (pdf file).
7Certificate 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. (pdf file).
8Land schedule (for RF signed by DFO and civil soyam, Van panchayat and private nap land signed by DM). (pdf file) .
9Category wise (RF,civil soyam, Van panchayat and private nap land, Notified forest land etc.) land length, width and area in Ha. (pdf file).
10Bar Chart with index (counter signed by DFO). (pdf file).
11Compensatory afforestation scheme in Civil and Soyam land (10 years) by DFO (pdf file).
12Certificate regarding suitability of indentified land for Comensatory Afforestation by DFO (pdf file).
13Undertaking by the User Agency to bear the cost of compensatory afforestation duly counter signed by the DFO (pdf file).
14Road side/gap filling plantation estimate (by DFO) (pdf file).
15Undertaking by the User Agency to bear the cost of Road side /gap filling plantation (by user agency) (pdf file)
16Estimate of 100 trees plantation by DFO ( less then 1.0 ha. cases ) (pdf file).
17Details 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). (pdf file) Tree count.
18Felling of Oak trees (if involves, inspection report of the concerning CF has to be provided). (pdf file).
19Certificate of felling minimum trees during the project work. (pdf file) .
20Muck disposal scheme (in prescribed format) (pdf file).
21Whather project area is a part of National Park or sanctuary and airal distance of the project from National Park or sanctuary signed by DFO. (pdf file).
22If the project area is within 10 Km radius of N/P or Centuary, Comments/No objection certificate of CCF Wild Life has to be provided. (pdf file) .
23If the Project falling within the National park or Sanctuary, needs recommendation of State Wild Life Board, National Board of Wild Life (NBWL) and permission of Hon'ble Supreme Court/MoEF GoI. (pdf file).
24No voilation has taken place, FC Act. 1980 reg. (pdf file).
25NOC from local Gram Sabhas. (pdf file).
26Component wise details of construction work. (pdf file) .
27Certificate- work has not been started reg. (pdf file).
28Geologist Report (Govt. approved Geologist). (pdf file).
29Task Force report.
30Certificate by user agency for complying the condition imposed in Standard Condition (pdf file).
31Certificate by user agency for complying the condition imposed in geologist report/Task force recommendation in hill areas (excluding drinding water.
32No historical/monumental or relegeous place will be effected certificate reg. (by DM/DFO) (pdf file).
33Undertakoing regarding no animal will be effected adversely by the project. (Pdf file).
34Undertading to provide alternative fuelwood, kerosene or LPG to labours involved in project. (Pdf file).
35Benefited villages/Families/Population Certificate. (pdf file).
36NPV calculation certificate as per Hon'ble Supreem court /MoEF orders by DFO (pdf file).
37Undertaking of payment of NPV, if Hon'ble Supreem Court increses the rates of NPV (by user agency) (pdf file).
38Cost of the forest land and lease rent certificate by DM. (pdf file).
39Certificate of Lease period by user agency. (pdf file) .
40Demarcation of land to be diverted (pdf file).
41Undertaking of user agency to bear the cost for dimarcation work (pdf file)
42Check list/Fact sheet .
43Copy of documents in support of the competence/authority of the person making this application to make application on behalf of the User Agency
44Note containing justification for locating the Project in forest land (pdf file).
45Certificate by DM- Forest Right Act-2006(in MoEF revised prescribed form) (pdf file)
46Cost to benefit
47Objection remove letter and map
48Objection rectified
49Objection rectified
50Objection rectified
51Letter for removal of objection.
52Copy of MOM of 10th meeting of oversite committee and CE RO, MoRTH Dehradun letter attached for sanctioning of said forest proposal.
53COPY OF MOM OF 10TH OVERSITE COMMITTEE MEETING AND CE RO, MoRTH DEHRADUN LETTER ATTACHED FOR SANCTIONING FOREST PROPOSAL.
54Copy of MOM of 10th meeting of oversite committee and CE RO, MoRTH Dehradun letter attached for sanctioning of said forest proposal.
55objection remove wide letter no 1599/6C dated 07.12.2022
56CA Geo map.
57CA land toposheet.
58Hard copy submitted to DFO Champawat.
59objection remove wide letter no 1649/6C dated 20.12.2022 with all enclosures.
60prarup-19
61Objection remove vide letter no 1672/6C dated 24.12.2022
62objection remove letter 553/NH date 2-6-2023
63EDS Reply dt 27.07.2023
64objection remove letter no 1375/ char dham pariyojna date 14/12/2023
65Survey of India Toposheet in 1:50,000 scale indicating location of the land identified for creation of Compensatory Afforestation: signed by DFO (pdf file).
66objection remove letter.
67objection remove letter.
68Letter for removal of objection.
69objection remove wide letter no. 625/6C dated 30.05.2024
70Hard copy submited.
71Objection remove letter RO dated 22/08/2024 reply EE no. 1444/Chardham/ dated 23/09/2024
72Objection remove by letter no. 1444 dated 23/09/2024