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/36039/2018   (ii). Name of Project for which Forest Land is required : Construction of Tawamod to Kot amori Motar Road.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : This subject road will facilitate connectivity to kot Amodi vilage with NH-09 and further to Headquarter Champawat and Tanakpur Thus this road will pave path for transportation of agricultural product and will also benefit as far as health issue of the population is concerned .This road will provide   (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) : 0.4   (viii). Area of forest land proposed for diversion(in ha.): 0.565   (ix). Non-forest land required for this project(in ha.): 0.245   (x). Total period for which the forest land is proposed to be diverted(in years): 100
A-2. Details of User Agency
  (i). Name : PUBLIC WORK DEPARTMENT   (ii). Address1 : Prov. Div. P.W.D. office Champawat distt- champawat   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Champawat   (vi). Pin : 262523   (vii). Landmark : Near Main Post Office   (viii). Email address : eechampawat@gmail.com   (ix). Landline Telephone No. : 5965-230034   (x). Fax No. : 5965-230034   (xi). Mobile No. : 9412044730   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Anupam   (ii). Middle Name: NIL   (iii). Last Name: Rai   (iv). Gender: Male   (v). Designation: Assistant Engineer   (vi). Address 1: Prov. Div. P.W.D. office Champawat Distt- Champawat   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Champawat   (x). Tehsil: Champawat   (xi). Pin: 262523   (xii). Landmark: Near Main Post Office   (xiii). Email Address: eechampawat@rediffmail.com   (xiv). Landline Telephone No.: 5965-230034   (xv). Fax No.: 05965230034   (xvi). Mobile No.: 9412044730   (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.Champawat0.5650.245
Total0.5650.245
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Champawat0.5650.245
Total0.5650.245
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Kot amori0.5650.245
Total 0.565 0.245
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road0.4550.245
2muck disposal0.1099990
Total 0.564999 0.245
C. Maps of forest land proposed to be diverted
Division 1. : Champawat
  (i). Area of forest land proposed to be diverted(in ha.) : 0.565   (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).
1.0.565    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): 3000
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?: 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
1No dues form Aamsabha.
2Memorandum of understanding between agency and villagers.
3A short narrative and importace of the project.
4Financial and gevernment sanction order.
5Joint inspection Report.
6Both alignment details and comparative chart of alignment.
7Certificate for no optional land available.
8Land Schedule details.
9Length and width details of proposal.
10Bar chart showing different kind of land.
11Road side plantation.
12Certificate for bearing all expenditure on road side plantation.
13Estimate of 100 trees plantation by DFO.
14Conservator certificate related to cutting of Oak trees.
15Certificate for minimum no of trees will be cut.
16Muck disposal details.
17Certificate of National park.
18No violation of forest act-1980.
19Certificate for theat work is not started.
20Geologist report in details.
21Task force certificate.
22Certificate for fulfilling standard condition.
23Certificate foraccepting geologist suggestion.
24Certificate for religious, historical etc.
25Lease and rent certificate..
26Certificate for no effect on wild life.
27Certificate for availability of cooking gas and other fuel.
28List of villages/families benefited by proposal.
29Estimate of NPV.
30Additional cost of NPV due to increase of rate.
31Estimate for RCC pillar using for denationg boundary.
32others. (Part 1,2,3,4 etc)
33Index.
34query removal letter.
35addminnistrive approval of the project.
36The certificate of aerial distance of the project.
37land schedule.
38query removal letter.
39query removal letter.
40details of trees their species
41query removal letter dated 09.09.19
42query removal dated 07 nov 19 for on line objections dated 28.09.19
43query removal letter dated 14 Jan 2020
44Query removal letter dated 21 march 2020
45Query removal letter dated on 16-05-2020
46querry removal letter dated 20 jul 2020
47query removal dated 26 dec 20