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/37687/2018   (ii). Name of Project for which Forest Land is required : Road from km 3.20 of Raiagar Chaurmanya road to Koteshwar Chacharet.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Road starts from Raiagar Chaurmanya road and connect to vill Koteshwar, Chacharet. By the const. of road the villagers of Koteshwar, Chacharet will be benefitted as their agri-income will increase by saving in transportation charges, easy accessibility.the road will provide facilities to the piligs   (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) : 63.9   (viii). Area of forest land proposed for diversion(in ha.): 2.385   (ix). Non-forest land required for this project(in ha.): 2.404   (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.Pithoragarh2.3852.404
Total2.3852.404
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Pithoragarh2.3852.404
Total2.3852.404
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1kotesgwar1.440.523
2Chacharet0.9451.881
Total 2.385 2.404
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
101 Road2.3852.115
2Muck Disposal koteshwar00.253
3Muck Disposal chacharet00.036
Total 2.385 2.404
C. Maps of forest land proposed to be diverted
Division 1. : Pithoragarh
  (i). Area of forest land proposed to be diverted(in ha.) : 2.385   (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).
1.2.385    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): 32400
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: koteshwar   (b). Area(in ha.): 4.77   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 16,31,36,37,41,180,182,274,305,,494,715,717,718,720,729,735,801,868,889,890,905,906,931,949,1110,1114,1226,1269,1285,1306,1315,1316,1321,1324,1396,1315,1496,1634,1635,1636,1673,1686,1697,1707,1814,185   (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
1Qus Ans
2Short narrative and importance of the project
3Administrative and financial sanction
4Details of the trees with their scientific name
5Details of the trees
6Details of the trees
7Details of the trees
8Details of the trees
9Details of the trees
10Details of the trees
11Whether project area is a part of national park or sanctuary and airal distance
12No voilation has taken place ; FC act 1980 reg
13NOC from local gram sabha
14NOC from local gram sabha
15Certificate work has not been started
16Geologist report
17Task Force report
18Standard Condition
19Certificate by user agency for complying the condition imposed in standard condition
20Certificate by user agency for complying the condition imposed in Geologist report;
21No historical /monumental or relegeous place will be effected certificate
22Benefited vallages /Families /population certificate.
23NPV calculation
24Undertaking of payment of npv
25certificate of lease period.
26undertaking of user agency to bear the cost for demarcation work.
27check list /Fact sheet
28qus ans 25/06/2019
29Received letter 24.09.2019
30Acknowladgement slip 26.10.2019
31Hard copy Receving latter
32Hard copy Receving latter 22.11.2019
33qus Ans latter 3.6.2020
34photo ca land
35Specification
36Barchart
37Land schedule
38Qus Ans Latters
39Muck disposal scheme new
40qus Ans 29.12.2020