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/38305/2019
(ii). Name of Project for which Forest Land is required :
Construction of Ghansali Ghuttu km 13 to Kothar village M/R
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
This project will provide connectivity to the village Kothar having population 405.The road will be beneficial for the villagers to take their agricultural and dairy products to the nearby market place which will generate employment. It will provide connnectivity to nearest school and hospitals.
(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) :
218.65
(viii). Area of forest land proposed for diversion(in ha.):
1.818
(ix). Non-forest land required for this project(in ha.):
1.377
(x). Total period for which the forest land is proposed to be diverted(in years):
99
A-2.
Details of User Agency
(i). Name :
EEPMGSYTEHRI
(ii). Address1 :
EE PMGSY III NEW TEHRI
(iii). Address2 :
NIL
(iv). State :
Uttarakhand
(v). District :
Tehri Garhwal
(vi). Pin :
249001
(vii). Landmark :
NEAR BSNL OFFICE
(viii). Email address :
eepmgsy3tehri@gmail.com
(ix). Landline Telephone No. :
1376-232160
(x). Fax No. :
1376-
(xi). Mobile No. :
9411137521
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
Mohd
(ii). Middle Name:
NIL
(iii). Last Name:
Aamir
(iv). Gender:
Male
(v). Designation:
AE
(vi). Address 1:
EEPMGSYIII NEW TEHRI
(vii). Address 2:
NIL
(viii). State:
Uttarakhand
(ix). District:
Tehri Garhwal
(x). Tehsil:
Tehri
(xi). Pin:
249001
(xii). Landmark:
BSNLOFFICE
(xiii). Email Address:
eepmgsy3tehri@gmail.com
(xiv). Landline Telephone No.:
1376-232160
(xv). Fax No.:
NIL
(xvi). Mobile No.:
9410903506
(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.
Tehri,New Tehri
1.818
1.377
Total
1.818
1.377
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Tehri Garhwal
1.818
1.377
Total
1.818
1.377
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Kothar
1.818
1.377
Total
1.818
1.377
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Road construction (RF)
0.8925
1.305
2
Road construction (Revenue Forest)
0.7875
0
3
Muck dumping (RF)
0.12
0.072
4
Muck dumping (Revenue Forest)
0.018
0
Total
1.818
1.377
C.
Maps of forest land proposed to be diverted
Division 1. : Tehri,New Tehri
(i). Area of forest land proposed to be diverted(in ha.) :
1.818
(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.
1.818
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):
13812
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. : Tehri Garhwal
(a). Village:
Kothar
(b). Area(in ha.):
3.636
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
112, 2293, 2484, 112
(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
Fact Sheet
2
Project Report
3
joint inspection report
4
Topo Sheet (revenew department)
5
Certificate work not started
6
Details of trees & species in forest & civil land
7
Whether the project area is apart of national park or sanctuary & areal distance of the project from wild life national park or sanctuary
8
NOC from local gram sabha
9
FRA
10
Geologist report
11
Certificate of no historical monument or relegious place
12
Certificate of providing keroceen, LPG to the labours involved in project construction
13
Certificate of benifited villages population families
14
Compansatory afforstation scheme in forest land (10 years) by DFO
15
Muck Disposal plan and Estimate with coordinates
16
Muck disposal NOC from concerned land owners
17
Certificate from user agency regarding NPV
18
Boundary from RCC pillar amount and certicate from UR
19
Certificate of lease period from user agency
20
Certificate of compliance with forest reservation act 1980 by user agency
21
Certificate of compliance with environment ministry and permission for use of explosives
22
Administrative approval
23
Certificate of no form to wild life plantation during construction
24
Task for Certificate
25
Certificate of following the standerds fixed by forest department
26
Certificate of following the direction of geologist, district task force
27
Certificate of no construction within netional park wild life sanctuary
28
rate list of affected trees (forest land) by the project
29
Certificate of project not coming under 10 Km range from national park
30
Certificate from user agency regarding NPV amount
31
Reply of EDS Dated 06-08-2019
32
EDS Letter Dated 22.08.2019
33
Quarriy letter 26.09.2019
34
EDS 3-10-2019 reply letter
35
Note for justification of project
36
Bar chart
37
Performa-2(UA-DFO-Part1)
38
Reply of EDS dated 4-01-2020
39
Aerial distance certificate given by IT cell.
40
Alternative Alignment comparative chart
41
Land Schedule_Bar Chart
42
CA MAP
43
CA Toposheet
44
MOU for CA land
45
Ownership proof CA land
46
Non encumbrance
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