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/39053/2019
(ii). Name of Project for which Forest Land is required :
Construction of Tanakpur Tawaghat M/R to Sigda Motor Road
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Tanakpur Tawaghat M/R to Sidga Motor Raod is proposed to connect 757 population with road of 8.250 km, which is estimated to connect the village with highway making the villagers accessible to social facilities such as road, school, hospital etc.
(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) :
518
(viii). Area of forest land proposed for diversion(in ha.):
3.9115
(ix). Non-forest land required for this project(in ha.):
4.3245
(x). Total period for which the forest land is proposed to be diverted(in years):
99
A-2.
Details of User Agency
(i). Name :
PMGSY LOHAGHAT
(ii). Address1 :
Executive Engineer PMGSY Lohaghat
(iii). Address2 :
NIL
(iv). State :
Uttarakhand
(v). District :
Champawat
(vi). Pin :
262524
(vii). Landmark :
NIL
(viii). Email address :
eepmgsylohaghat@rediffmail.com
(ix). Landline Telephone No. :
5965-234118
(x). Fax No. :
5965-0
(xi). Mobile No. :
9837021815
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
Deepika
(ii). Middle Name:
NIL
(iii). Last Name:
Bisht
(iv). Gender:
Female
(v). Designation:
Junior Engineer
(vi). Address 1:
Executive Engineer PMGSY Lohaghat
(vii). Address 2:
NIL
(viii). State:
Uttarakhand
(ix). District:
Champawat
(x). Tehsil:
Lohaghat
(xi). Pin:
262524
(xii). Landmark:
NIL
(xiii). Email Address:
eepmgsylohaghat@rediffmail.com
(xiv). Landline Telephone No.:
5965-234118
(xv). Fax No.:
NIL
(xvi). Mobile No.:
5965234118
(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.
Champawat
3.9115
4.3245
Total
3.9115
4.3245
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Champawat
3.9115
4.3245
Total
3.9115
4.3245
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Chhira Comp 22,23
3.7015
0
2
Sigda
0.21
4.3245
Total
3.9115
4.3245
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Road Construction
3.1115
3.4245
2
Muck Disposal
0.8
0.8999
Total
3.9115
4.3244
C.
Maps of forest land proposed to be diverted
Division 1. : Champawat
(i). Area of forest land proposed to be diverted(in ha.) :
3.9115
(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.
3.9115
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):
20000
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?:
No
(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:
Others
Additional information Details
Documents
S.No
Documents
Remarks
1
Non encumbarance
2
EDS Dated 13.03.2019
3
GO of Road
4
Comperative chart showing statement of both alignment or alternate site explored for the proposed project and reasons for their rejection duly countersigned by DFO' (pdf file)
5
Certificate from the DM that no alternative suitable non-forest land is available for the project in question and the demand of the forest land for the project is barest minimum
6
Land schedule (for civil soyam, Van panchayat and private nap land signed by DM). (pdf file)
7
Category wise (RF,civil soyam, Van panchayat and private nap land, Notified forest land etc.) land length, width and area in Ha. (pdf file)
8
Bar Chart with index (counter signed by DFQ)' (pdf file)
9
undertaking by the User Agency to bear the cost of compensatory afforestation duly counter signed by the DFo (pdf file)
10
Road side/gap filling plantation estimate (by DFO) (pdf file)
11
by the User Agency to bear the cost of Road undertaking side /gap filling plantation (by user agency) (pdf file)
12
Details of the trees with their scientific name in RF, Civil Soyam, Van Panchayat, Private Notified land and in Nap Land should be mentioned (with valuation of the trees to be felled ) (0-10 dia trees will be mentioned as saplings). (pdf file)Tree count
13
Felling of Oak trees (if involves, inspection report of the concerning CF has to be provided). (pdf file)
14
Certificate of felling minimum trees during the project work. (pdf file)
15
Whather project area is a part of National Park or sanctuary and airal distance of the project from National Park or sanctuary signed by DFO" (pdf file)
16
lf the project area is within 10 Km radius of N/P or Centuary, Comments/No objection certificate of CCF Wild Life has to be provided.
17
No voilation has taken place, FC Act. 1980 reg'
18
NOC from local Gram Sabhas' (pdf file)
19
Certificate- work has not been started reg. (pdf file)
20
Geologist Report (Govt. approved Geologist). (pdf file)
21
Task force report
22
Standard Condition
23
Certificate by user agency for complying the condition imposed in Standard Condition (pdf file)
24
Certificate by user agency for No historical/monumental or relegeous place will be effected certificate reg. (by DM/DFO) (pdf fite
25
Undertaking regarding no animal will be effected adversely by the project. (Pdf file)
26
Undertading to provide alternative fuelwood, kerosene or LPG to labours involved in project. (pdf file)
27
Benefited villages/Families/population Certificate. (pdf file)
28
Undertaking of payment of NpV, if Hon'ble Supreem Court increses the rates of NpV (by user agency) (pdf file)
29
Demarcation of land to be diverted (pdf file)
30
Undertaking of user agency to bear the cost for dimarcation work (pdf file)
31
certificate of tree felling
32
fax sheet
33
reply of EDS dated 17-06-2019
34
EDS dated 12-09-2019
35
Reply of EDS Dated 28-09-2019
36
joint inspection report
37
Land schedule (for RF signed by DFO
38
EDS dated 04/11/2019
39
Cost of the forest land and lease rent certificate by DM, (pdf file)
40
Reply of EDS dated 04-12-2019
41
NPV calculation sheet
42
EDS dated 31.01.2020
43
lf the project area is within 10 Km radius of N/P or Centuary, Comments/No objection certificate of CCF Wild Life has to be provided.
44
Muck disposal scheme (in prescribed format) (pdf file)
45
Certificate issued by DFO regarding VDF/MDF
46
Certificate Regarding. suitability of indentified land for Comensatory Afforestation by DFO (pdf file)
47
Compensatory afforestation scheme in Civil and Soyam land (10 years) bY DFO (Pdf file)
48
Reply Of EDS Dated 05-06-2020
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