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/38545/2019
(ii). Name of Project for which Forest Land is required :
Construction of CC Road Gajari Pandey Golju Mandir in Kotabagh Block District Nainital
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Construction of CC Road Gajari Pandey Golju Mandir in Kotabagh Block District Nainital (Van Panchayat Forest Land 0.360 hect) At present no other way for Golju Mandir. After Construction this Road related villagers will be benefited.
(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) :
0.5
(viii). Area of forest land proposed for diversion(in ha.):
0.36
(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.
Ramnagar
0.36
0
Total
0.36
0
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Nainital
0.36
0
Total
0.36
0
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Pandey Gaon (Gajari)
0.36
0
Total
0.36
0
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
GPandy Gaon (Van Panchayat)
0.36
0
Total
0.36
0
C.
Maps of forest land proposed to be diverted
Division 1. : Ramnagar
(i). Area of forest land proposed to be diverted(in ha.) :
0.36
(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.
0.36
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):
100
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
1
Check List
2
Fact Sheet
3
Prativadan
4
Justification
5
Govt of India G.O.
6
Scientific Name
7
Joint Inspection Report
8
Site Inspection Report
9
Land Schedule
10
Tree Cutting Certificate
11
Bajh Tree Cutting Certificate
12
National Park and Wild Life Century Certificate
13
Topo Sheet
14
Geo Refrance Sheet
15
Compansatry Plantation Amount Aklan
16
Compansatry Plantation Importance Certificate
17
Bar Chart
18
Rikt Place Plantation Certificate
19
Dus Guna Plantation Certificate
20
NOC Aam Sabha
21
FRA
22
DM Certificate
23
Length and Width Certificate
24
Geological Report
25
Geological and District Task Force Report
26
Task Force Certificate
27
No effect Wild Animal Certificate
28
Minimum Forest Land Demand Certificate
29
Religious and Historical Place Certificate
30
Village Family Population Benefit Certificate
31
Duguna Avatan Compensatory Plantation Amount Submitted Certificate
32
Estimate
33
Environment Certificate
34
Forest Land Cost Certificate
35
NPV Certificate
36
No Special Place Certificate
37
Muck Dumping
38
Standard Condition
39
RCC Pillar Praklan
40
Lay Out Plan
41
Minimum Tree Cutting Certificate
42
No Violance Forest Land Act 1980
43
Gairvaniky Compensatory Plantation Certificate
44
Minimum Land Certificate
45
Coocking Gas Certificate
46
Blasting Certificate
47
Cancel Alingment Effected Tree List
48
Check List Certificate
49
Khatoni
50
Require Document Submitted
51
Require Document Submitted
52
Require Document submitted
53
Require Document Submitted
54
EDS Dt. 19.11.2019 Topo Sheet, Geo Refrence map And Google Map Counter Sign by D.M.
55
EDS Dt. 19.11.2019 Topo Sheet Counter Sign by D.M.
56
EDS Dt. 19.11.2019 Geo Refrence map Counter Sign by D.M.
57
EDS Dt. 19.11.2019 Google Map Counter Sign by D.M.
58
EDS 15.09.2020 Arrial Distance
59
EDS Dt. 15.09.2020 Forwarding Letter for Arrear Distance
60
EDS 26.10.2020
61
EDS 26.10.2020 Arial Distance Certificate
62
EDS Dt. 26.10.2020 Distance Certificate
63
EDS Dt. 26.10.2020 Forwarding Letter
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