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/37472/2018
(ii). Name of Project for which Forest Land is required :
Haliyadov,Lachhima,Okharani,Nachni Moter Road
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
This road connects most remote areas of Pithoragarh distt. By construction of road backward, undeveloped areas will come to main stream of life. Proposed road will provide alternate route to munsyari in case of thal munsyari main road blocked due to natural calamities
(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) :
178
(viii). Area of forest land proposed for diversion(in ha.):
4.981
(ix). Non-forest land required for this project(in ha.):
5.076
(x). Total period for which the forest land is proposed to be diverted(in years):
200
A-2.
Details of User Agency
(i). Name :
EE TY DIV PWD BERINAG
(ii). Address1 :
PWD Berinag
(iii). Address2 :
Distt Pithoragarh
(iv). State :
Uttarakhand
(v). District :
Pithoragarh
(vi). Pin :
262531
(vii). Landmark :
NIL
(viii). Email address :
eepwdberinag@rediffmail.com
(ix). Landline Telephone No. :
5964-244622
(x). Fax No. :
5964-244622
(xi). Mobile No. :
9997036788
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
Binod
(ii). Middle Name:
Kumar
(iii). Last Name:
Sinha
(iv). Gender:
Male
(v). Designation:
Executive Engineer
(vi). Address 1:
PWD Berinag
(vii). Address 2:
Distt Pithoragarh
(viii). State:
Uttarakhand
(ix). District:
Pithoragarh
(x). Tehsil:
Berinag
(xi). Pin:
262531
(xii). Landmark:
NIL
(xiii). Email Address:
eepwdberinag@gmail.com
(xiv). Landline Telephone No.:
5964-244622
(xv). Fax No.:
NIL
(xvi). Mobile No.:
9410351218
(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
4.981
5.076
Total
4.981
5.076
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Pithoragarh
4.981
5.076
Total
4.981
5.076
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Mandoli
2.281
0.419
2
unisirtoli
1.17
0.63
3
Chilkiiya
1.53
2.97
Total
4.981
4.019
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
01 Road
4.981
4.019
2
Muck Disposal Mandoli
0
0.358
3
Muck Disposal unisirtoli
0
0.558
4
chilkiya
0
0.141
Total
4.981
5.076
C.
Maps of forest land proposed to be diverted
Division 1. : Pithoragarh
(i). Area of forest land proposed to be diverted(in ha.) :
4.981
(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.
4.981
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):
43200
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:
uni sertoli
(b). Area(in ha.):
9.962
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
16,38,393,686,769,768,1244,1361,1427,1509,1691,1724,1872,1927,2346,2487,2556,2559,2563,2676,2689,2691,28922831,2835,3094,3125,3149,3518,3580,3917,4023,4182,4329,4510,4005,4003,4053,4146,4159,3796,3733
(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
Administrative and selection
2
Bar chat with index
3
Category wise rf civil soyam,banpanchayat, and private nap land etc
4
certficate regarding suitably and identfied land
5
cost of the forest land and lease rent certificate
6
detail of the trees with ther scientific name in rf civl soam ban panchyat private notified land and nap land
7
Geologist report
8
Muck dispoel plan
9
Reason for using forest land for the project
10
short narative and importance of project
11
undertaking by the user agencyto ber the cost of compensatory afforeststion
12
cheek list
13
Preliminary Joint inspection report (user agency
14
Certificate from the Dm
15
Land schedule Banpanchayat Civil soam
16
Category wise Land length width and area in hac
17
Certificate regarding suitability of Identified land for Compensatory afforesatation
18
Undertaking by the user agency To bear the cost of Compensatory afforesatation
19
Road side /gap filling plantation estimate
20
Undertaking by the user agency To bear the cost of road side / gap filling plantation
21
Details of the trees with their scientific name
22
Filling of oak trees concerning CF has to be provide.
23
Certificate of filling minimum trees during the project work.
24
Whether project area is a part of national park or sanctuary and airal distance
25
No voilation has taken place ; FC act 1980 reg
26
Certificate work has not been started
27
Task Force report
28
Standard Condition
29
Certificate by user agency for complying the condition imposed in Geologist report
30
No historical /monumental or relegeous place will be effected certificate
31
Undertaking regarding no animal will be effected adversely by the project
32
undertaking to provide alternative fuelwood
33
Benefited vallages /Families /population certificate.
34
NPV calculation
35
Undertaking of payment of npv
36
CF Almora Hard copy Receving Latter
37
Receved latters 17-08-2019
38
hiliya dov Qustion Ans 11.9.2019
39
Aeril distance
40
tree list
41
Qus Ans 9/10/2019
42
Qus Ans letter 11.06.2020
43
Qus Ans
Print