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/37699/2018   (ii). Name of Project for which Forest Land is required : Construction of Village Amotha to Dola Highschool Link Road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Construction of Village Amotha to Dola Highschool Link Road (Van Panchayat Forest 1.665 hect). This road connect to Devipura saud Motor Road and reduce the 80 Km Length for these Villages.   (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) : 54.6   (viii). Area of forest land proposed for diversion(in ha.): 1.665   (ix). Non-forest land required for this project(in ha.): 0   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : PWD RAMNAGAR   (ii). Address1 : Construction Division, Ramnagar (Nainital)   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Nainital   (vi). Pin : 244715   (vii). Landmark : NIL   (viii). Email address : eecdrmr@rediffmail.com   (ix). Landline Telephone No. : 5947-254591   (x). Fax No. : 5947-254591   (xi). Mobile No. : 9411161148   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Others
A-3. Details of Person Making Application
  (i). First Name: Mahendra   (ii). Middle Name: NIL   (iii). Last Name: Kumar   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: Construction Division, Ramnagar (Nainital)   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Nainital   (x). Tehsil: Ramnagar   (xi). Pin: 244715   (xii). Landmark: NIL   (xiii). Email Address: eecdrmr@rediffmail.com   (xiv). Landline Telephone No.: 5947-254591   (xv). Fax No.: 05947254591   (xvi). Mobile No.: 9412023055   (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.Ramnagar1.6650
Total1.6650
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Nainital1.6650
Total1.6650
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Amotha0.47250
2Riyaad Malla1.19250
Total 1.665 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Muck Dumping00
2Amotha, Riyaad Malla1.6650
Total 1.665 0
C. Maps of forest land proposed to be diverted
Division 1. : Ramnagar
  (i). Area of forest land proposed to be diverted(in ha.) : 1.665   (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).
1.1.665    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: No   (a). Reason for not providing such map: Other
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): 2500
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. : Nainital
  (a). Village: Bagad Talla   (b). Area(in ha.): 3.3   (c). Copy of KML file of the patch:     View File   (d). Khasra details: Other   (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
1Check List
2Fact Sheet
3Justification
4Gov of India
5Joint Inspection Report
6Land Secdule
7Tree Cutting Certificate
8Certificate of National Park
9Topo Sheet of Road
10Joint Inspection CA Land
11Map of CA Land
12Estimate of Plantation
13Importance of Compensatory Plantation Certificate
14Bar Chart
15Plantation of Rickt Place
16Estimate of Road Side Plantation
17No Effected Tree Certificate
1810 Time Plantation Certificate
19Aam Sabha
20FRA
21Length and Width Certificate
22Vakalpik Samrakhen Certificate
23Work not Start Certificate
24Geologist Report
25Task Foce/Geologist Certificate
26Wild Animal Not effected Certificate
27Minimum Land Demand Certificate
28No Relegios and Historical Certificate
29Village, Family, Population profitable Certificate
30Dugunay Avatan Amount Submitted Certificate
31Environmental Certificate
32Valuation of Forest Land Certificate
33NPV Certificate
34No Important Place Certificate
35Muck Disposal
36NOC Certificate
37Standard Condition
38RCC Certificate
39Lay Out Plane
40Gairvaniki Compansatory Plantation Certificate
41Minimum Land Certificate
42Explosive No Use Certificate
43Certificate of Coocking Gas
44Forest Land Adhiniyam 1980
45Minimum Tree Cutting Certificate
46Check List Certificate
47Nirast Samrakhen Tree list Certificate
48
49Require Document Submited
50EDS DT 10.02.2020 Arial Distance
51EDS DT 10.02.2020 Bar Chart
52EDS DT 10.02.2020 CA Site suitability Certificate
53EDS DT 10.02.2020 Geo Refrance Map GPS Map
54EDS DT 10.02.2020 Geo Refrance Map GPS Map
55EDS DT 10.02.2020 Joint Inspection For CA Land
56EDS DT 10.02.2020 Justification sign by DFO
57EDS DT 10.02.2020 Land Schedule
58EDS DT 10.02.2020 MoU
59EDS DT 10.02.2020 Non Incumbrance Certificate
60EDS DT 10.02.2020 NPV Calculation
61EDS DT 10.02.2020 Onwership Proof
62EDS DT 10.02.2020 Topo CA
63EDS 10.02.2020 Topo Road
64EDS Dt. 10.02.2020 Forwarding Letter
65EDS Dt 10.02.2020 CA Scheme
66EDS Dt 10.02.2020 CA Site Suitability Certificate
67EDS Dt. 10.12.2020
68EDS 24.12.2020 Forwarding
69EDS 24.12.2020 Arial Distance Certificate
70EDS Dt 18.03.2021 No Effected Tree Certificate
71EDS Dt 18.03.2021 SDM Report about CA Area
72EDS Dt 18.03.2021 CA Scheme
73EDS Dt 18.03.2021 Work Not Started Certificate by DFO
74EDS Dt 18.03.2021 Muck Disposal Documents
75EDS 18.03.2021 Forwarding letter
76EDS 19.07.2021 New CA Schame
77EDS 19.07.2021 New Forwarding
78Forwarding Letter
79Line Plan