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/33492/2018   (ii). Name of Project for which Forest Land is required : New construction of pokhar -Gewali(BHilang) motor Road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : CONSTRUCTION OF THIS NEW ROAD HELPS THE DEVELOPMENT FOR VILLAGER.IT ALSO HELPS IN THE DEVELOPMENT OF AGRICULTURAL ACTIVITIES AND ALSO HELP IN THE INSPECTION OF RESERVE FOREST BY THE FOREST DEPARTMENT.   (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) : 800   (viii). Area of forest land proposed for diversion(in ha.): 6.405   (ix). Non-forest land required for this project(in ha.): 1.057   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : PUBLIC WORKS DEPARTMENT GHANSALI   (ii). Address1 : OFFICE OF EXECUTIVE ENGINEER TEMP. DIV. PWD GHANSALI UTTRAKHAND   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Tehri Garhwal   (vi). Pin : 249155   (vii). Landmark : NIL   (viii). Email address : eepwdghansali@rediffmail.com   (ix). Landline Telephone No. : 1379-258327   (x). Fax No. : 1379-1379   (xi). Mobile No. : 7533944842   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: BIRENDRA   (ii). Middle Name: SINGH   (iii). Last Name: BASERA   (iv). Gender: Male   (v). Designation: ASST.ENGINEER   (vi). Address 1: C/O EXECUTIVE ENGINEER TEMP. DIV PWD GHANSALI, TEHRI GARHWAL, UTTARAKHAND   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Tehri Garhwal   (x). Tehsil: NIL   (xi). Pin: 249155   (xii). Landmark: NIL   (xiii). Email Address: eepwdghansali@rediffmail.com   (xiv). Landline Telephone No.: 1379-258327   (xv). Fax No.: 01379258327   (xvi). Mobile No.: 9012475006   (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
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
1Under Processing at State GovernmentFP/UK/ROAD/47739/20201.0850
Total 1.085 0
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.Tehri,New Tehri6.4051.057
Total6.4051.057
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Tehri Garhwal6.4051.057
Total6.4051.057
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1pokhar0.4550.859
2Gewali5.950.198
Total 6.405 1.057
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1For muck dumping in nap Land at x,s - 0/3-500.016
2For muck dumping in nap Land at x,s - 0/400.107
3For muck dumping in nap Land at x,s - 0/16-1800.016
4For muck dumping in nap Land at x,s - 0/2600.063
5For muck dumping in nap Land at x,s - 0/2700.09
6Gewali-92.4850
7Gewali-80.5950
8Gewali-70.8050
9Gewali-61.9250
10Sour-010.140
11civil soyam pokhar0.1610
12civil soyam jundana0.2940
Total 6.405 0.292
C. Maps of forest land proposed to be diverted
Division 1. : Tehri,New Tehri
  (i). Area of forest land proposed to be diverted(in ha.) : 6.405   (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).
1.6.405    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): 20000
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. : Tehri Garhwal
  (a). Village: pokhar civil   (b). Area(in ha.): 12.81   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 1877,1643,1645,1680,1681,1683,1693,1723,1725,1727,1750,1764,1766,1768,1770,1771,1772,1774,2007,2008,2028,2037,2043,2049,2050,2053,2070,2078,2080,2145,2177,2179,2181,2197,2457,2506,2551,2552,2554,2558,   (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
1A short narrative and importance of the project
2A short narrative and importance of the project,Administrative and Financial sanction
3Preliminary Joint Inspection report
4Comparative chart
5Certificate from the DM that no alternative suitable non-forest land is available for project
6Land schedule
7Category wise (RF,civil soyam,Van panchayat and privet nap land, Notified forest land etc.) land length, width and area in Ha
8Bar chart with index
9Certificate regarding suitability of identified land for Compensatory Afforestation by DFO
10Undertaking by the user agency to bear the cost of compensatory afforestation duly counter signed by the DFO
11Falling of Oak Trees
12If falling of tree is not involved
13Certificate of felling minimum trees during the project work
14Muck disposal scheme
15WatherProject area Is not Part Of National Park Or Sanctuary
16In The Project Area Is Within 10 K.M Radios Of N/P Or Centuary Comments/No Objection Certificate Of CCE Wild Life Has To Be Provided
17No Violation Has Taken Place,FC Act 1980 Reg
18Noc From Local Gram Sabha’s
19Certificate Work Has Not Been Started Reg
20Geologist report (Govt Approved Geologist)
21Task Force Certificate
22Certificate By user Agency For Complying The Condition Imposed In Standard Condition
23Certificate By User Agency For Complying The Condition Imposed In Geologist Report/Task Force Recommendation In Hill Areas
24No Historical / Monumental Or Religious Place Will Be Effected Certificate Reg
25No Historical / Monumental Or Religious Place Will Be Effected Certificate Reg
26Benefited Village/Families/Population Certificate
27NPV Calculation Certificate As Per Hon’bleSupreme Court/MOEF Orders By DFO
28Undertaking Of Payment Of NPV If Hon’ble Supreme Court Increase The Rates Of NPV (By User Agency)
29Certificate Br Lease Period By user A Agency
30Demarcation Of Land To Be Diverted
31Check List/Fact Sheet/Other Important Detail.
32Bhu arjan certificate by DM
33Compensatory afforestion scheme
34Road side/gap filling plantation estimate.
35Revised CA scheme
36Revised Gap filing scheme
37Objection remove letter
38Objection remove letter
39Revised Cost benefit
40justification and objection remove letter
41reply of 53 REC Minutes of meeting