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/34730/2018   (ii). Name of Project for which Forest Land is required : Pokhari-harishankar-chondi-rauta to Simlasu   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The proposed road/project length is 1.925km.It starts from 27th km of Udamanda-Sinau-Rauta PMGSY road to SIMLASU.The project will give easy acess to the people of village simlasu for their daily routine works.The project will give profit in acess to market for agriculture produce.   (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) : 22.73   (viii). Area of forest land proposed for diversion(in ha.): 1.18   (ix). Non-forest land required for this project(in ha.): 0.227   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : OFFICE OF THE EXECUTIVE ENGINEER CONSTRUCTION DIVISION PUBLIC WORKS DEPARTMENT POKHARI   (ii). Address1 : office of the executive engineer construction division public works department pokhari   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Chamoli   (vi). Pin : 246473   (vii). Landmark : NIL   (viii). Email address : eepwdpokhari@rediffmail.com   (ix). Landline Telephone No. : 1372-222156   (x). Fax No. : 1372-222156   (xi). Mobile No. : 8958611260   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Others
A-3. Details of Person Making Application
  (i). First Name: Sanjay Prasad Sinha   (ii). Middle Name: NIL   (iii). Last Name: NIL   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: office of the executive engineer, construction division, public works department, pokhari   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Chamoli   (x). Tehsil: Pokhari   (xi). Pin: 246473   (xii). Landmark: NIL   (xiii). Email Address: eepwdpokhari@rediffmail.com   (xiv). Landline Telephone No.: 1372-222156   (xv). Fax No.: NIL   (xvi). Mobile No.: 9411166945   (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.Kedarnath Wild Life Division,Gopeshwar1.180.227
Total1.180.227
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Chamoli1.180.227
Total1.180.227
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Simlasu1.180.227
Total 1.18 0.227
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road1.120.227
2Muck Dumping 10.030
3Muck Dumping 20.030
Total 1.18 0.227
C. Maps of forest land proposed to be diverted
Division 1. : Kedarnath Wild Life Division,Gopeshwar
  (i). Area of forest land proposed to be diverted(in ha.) : 1.18   (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).
1.1.18    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): 5000
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: Four
District 1. : Chamoli
  (a). Village: Simlasu   (b). Area(in ha.): 2.36   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 60,248,341,348,357   (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
1Copy of documents in support of the competence/authority of the person making this application to make application on behalf of the User Agency.
2Copy of Survey of India Toposheet indicating boundary of forest land proposed to be diverted.
3Scanned copy of the Georeferenced map of the forest land proposed to be diverted prepared by using GPS
4Note containing justification for locating the Project in forest land (pdf file).
5Certificate regarding suitability of indentified land for Comensatory Afforestation by DFO (pdf file).
6Undertaking by the User Agency to bear the cost of compensatory afforestation duly counter signed by the DFO (pdf file).
7Road side/gap filling plantation estimate (by DFO) (pdf file). afforestation duly counter signed by the DFO (pdf file).
8Undertaking by the User Agency to bear the cost of Road side /gap filling plantation (by user agency) (pdf file)
9Felling of Oak trees (if involves, inspection report of the concerning CF has to be provided). (pdf file).
10Certificate of felling minimum trees during the project work. (pdf file) .
11Muck disposal scheme (in prescribed format) (pdf file).
12Whather 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)
13No voilation has taken place, FC Act. 1980 reg. (pdf file).
14Geologist Report (Govt. approved Geologist). (pdf file).
15Task Force report.
16Certificate by user agency for complying the condition imposed in Standard Condition (pdf file).
17Certificate by user agency for complying the condition imposed in geologist report/Task force recommendation in hill areas (excluding drinding water.
18No historical/monumental or relegeous place will be effected certificate reg. (by DM/DFO) (pdf file).
19Undertakoing regarding no animal will be effected adversely by the project. (Pdf file).
20Undertading to provide alternative fuelwood, kerosene or LPG to labours involved in project. (Pdf file).
21Benefited villages/Families/Population Certificate. (pdf file).
22Undertaking of payment of NPV, if Hon'ble Supreem Court increses the rates of NPV (by user agency)
23Cost of the forest land and lease rent certificate by DM. (pdf file).
24Undertaking of user agency to bear the cost for dimarcation work (pdf file).
25Check list/Fact sheet . /Other imp details
26The Objection of EDS Date 18-07-2018 has been removed.
27Land Schedule
28Bar Chart
29NPV calculation certificate as per Hon'ble Supreem court /MoEF orders by DFO (pdf file).
30The Objection of EDS Date 31-07-2018 has been removed.
31The Objection of EDS Date 24-08-2018 has been removed.
32The Objection of EDS Date 10-09-2018 has been removed.
33The Objection of EDS Dated 07-01-2019 has been removed.
34tree List
35The Objection has been removed.
36CD PWD Pokhari Latter No 897/11C Date 31-07-2020 (hard Copy Latter)
37Proposals Latter
38Certificate- work has not been started reg. (pdf file).
39The Objection has been removed.
40CA Scheme
41EDS 30-04-2021
42The Objection has been removed.