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/35451/2018
(ii). Name of Project for which Forest Land is required :
Madmanley Dobans KM10 to Dhaulkanda
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Madmanley Dobans M/R KM 10 to Dhaulkanda Motor Road starts from Madmanley Dobans M/R KM 10. to Dhaulkanda. Total length of road is 10.00 KM, and construction cost is 603.27 lacs. This road will connect habitation named Dhaulkanda.
(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) :
603.27
(viii). Area of forest land proposed for diversion(in ha.):
6.23
(ix). Non-forest land required for this project(in ha.):
3.73
(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 WORK DEPARTMENT
(ii). Address1 :
I.D. PWD PMGSY Pithoragarh
(iii). Address2 :
Sarswati Sadan Pithoragarh
(iv). State :
Uttarakhand
(v). District :
Pithoragarh
(vi). Pin :
262501
(vii). Landmark :
Sarswati Sadan Pithoragarh
(viii). Email address :
eepmgsypithoragarh1@rediffmail.com
(ix). Landline Telephone No. :
5964-226685
(x). Fax No. :
5964-5964
(xi). Mobile No. :
9412150060
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
Nagendra
(ii). Middle Name:
NIL
(iii). Last Name:
Bahadur
(iv). Gender:
Male
(v). Designation:
Executive Engineer
(vi). Address 1:
I.D. PWD PMGSY Pithoragarh
(vii). Address 2:
Sarswati Sadan Pithoragarh
(viii). State:
Uttarakhand
(ix). District:
Pithoragarh
(x). Tehsil:
Pithoragarh
(xi). Pin:
262501
(xii). Landmark:
Sarswati Sadan Pithoragarh
(xiii). Email Address:
eepmgsypithoragarh1@rediffmail.com
(xiv). Landline Telephone No.:
5964-226685
(xv). Fax No.:
5964226685
(xvi). Mobile No.:
9411521847
(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.
Pithoragarh
6.23
3.73
Total
6.23
3.73
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Pithoragarh
6.23
3.73
Total
6.23
3.73
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Dhaulkanda
6.23
3.73
Total
6.23
3.73
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Road
5.27
3.73
2
Muck Dumping
0.96
0
Total
6.23
3.73
C.
Maps of forest land proposed to be diverted
Division 1. : Pithoragarh
(i). Area of forest land proposed to be diverted(in ha.) :
6.23
(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.
6.23
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):
18000
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. : Pithoragarh
(a). Village:
Dhaulkanda
(b). Area(in ha.):
4.54
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
102,84
(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
1
Prativedan
2
G.O
3
100 VARKSHO CARTIFICATE
4
BYAY VAHAN CARTIFICATE
5
FACT SHEET
6
HAWAI DURI CARTIFICATE
7
MINIMUM BARKSHO CARTIFICATE
8
NOC DFO BANZ BARKSHO CARTIFICATE
9
TEMPRARY ALIGNMENT CARTIFICATE
10
PATH VARKSHROPAN CARTIFICATE
11
ORDER OFFICE
12
OTHER DOCUMENT
13
VAN SARNRAKSAN ADHINIYAM 1980 CARTIFICATE
14
WORK STARTED CARTIFICATE
15
GEOLOGICAL REPORT
16
TASK FORCE SHEET
17
MANAK SHARTE CARTIFICATE
18
BHU BAIGYANIK CARTIFICATE
19
DHARMIK PAURANIK CARTIFICATE
20
VANY JEEV CARTIFICATE
21
MITTI TEL,RASHOI GAIS CARTIFICATE
22
LABHANWIT POPULIATON CARTIFICATE
23
NPV JAMA CARTIFICATE
24
VAN BHUMI LEEZ CARTIFICATE
25
RCC PILLERO CARTIFICATE
26
PARYOKTA AGENCY DETAIL
27
LEEZ RANT CARTIFICATE
28
MINIMUM FOREST LAND CARTIFICATE
29
PATH VARKSHAROPAN PRAKALAN
30
OWNERSHIP
31
CA MAP
32
DM NOC
33
Aerial Distance certificate
34
Site Inspection Report (SIR)
35
Point wise answers of the questions raised from Govt of India.
36
In reply to EDS Dated - 19 November 2019.
37
Core network.
38
Topo sheet indicating location of Dhaulkanda.
39
Point wise answers of the questions raised from Govt of India. dt 18/12/2019
40
DLC meeting proceeding.
41
10 Years CA Scheme New
42
joint inspection new
43
Objection Removed
44
Justification Certificate of Road (new)
45
Length and Width Detail of Road (new)
46
Land Schedule (new)
47
Bar Chart (new)
48
Site Suitability Certificate (new)
49
Effected trees list (new)
50
Muck Disposal Plan (new)
51
NPV estimate (new)
52
Point wise answers of the questions raised from Govt of India. dt 31-07-2020
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