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/40370/2019   (ii). Name of Project for which Forest Land is required : Extention of Sem-Mukhem M.R. up to Sem Nagraja Temple under state sector.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : this motor road connect paturi village with sem nagaraja mandir(a pilgrimage-5th dham).this road will sereve the purpose of relegious benefit.this road is demanded by many peoples and representatives since long time.   (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) : 367.5   (viii). Area of forest land proposed for diversion(in ha.): 8.803   (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): 999
A-2. Details of User Agency
  (i). Name : EXECUTIVE ENGINEER PD PWD UTTARKASHI   (ii). Address1 : PD PWD UTTARKASHI NEAR VISWANATH CHOWK   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Uttarkashi   (vi). Pin : 249193   (vii). Landmark : NEAR VISWANATH CHOWK   (viii). Email address : kunwarvikrampanwar@gmail.com   (ix). Landline Telephone No. : 1374-222108   (x). Fax No. : 1374-222108   (xi). Mobile No. : 8191918418   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Virendra   (ii). Middle Name: singh   (iii). Last Name: chauhan   (iv). Gender: Male   (v). Designation: Assistant Engineer   (vi). Address 1: PD PWD UTTARKASHI   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Uttarkashi   (x). Tehsil: Dunda   (xi). Pin: 249193   (xii). Landmark: VISHWANATH CHOWK   (xiii). Email Address: kunwarvikrampanwar@gmail.com   (xiv). Landline Telephone No.: 137-222108   (xv). Fax No.: 0137222108   (xvi). Mobile No.: 9412363817   (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.Uttarkashi8.8030
Total8.8030
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Uttarkashi8.8030
Total8.8030
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Paturi8.8030
Total 8.803 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road Construction Reserve forest4.690
2Road Construction Civil land2.3130
3Dumping Yard 10.450
4Dumping Yard 20.450
5Dumping Yard 30.450
6Dumping Yard 40.450
Total 8.803 0
C. Maps of forest land proposed to be diverted
Division 1. : Uttarkashi
  (i). Area of forest land proposed to be diverted(in ha.) : 8.803   (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).
1.8.803    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): 2000
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?: Yes   (a). Copy of Cost-Benefit analysis:
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: Six
District 1. : Uttarkashi
  (a). Village: Dang, Baun   (b). Area(in ha.): 17.606   (c). Copy of KML file of the patch:     View File   (d). Khasra details: Village Dang No. 94m Rakwa 4.356, No. 92 Rakwa 3.134, No. 477m Rakwa 4.126, Village Baun No. 411 Rakwa 3.655, No. 5358 Rakwa 1.624, No. 1548 Rakwa 1.354   (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
1Barchart
2Geologistreport
3Jointinspection
4Landschedule
5Muckdisposal
6NPVcertificate
7Arial Distance Certificate
8Checklist
9Comperative
10Tree Certificate
11Muck Disposal Certificate
12No Alternative
13No Religious certificate
14No work started certificate
15Oak Tree Certificate
16Specific site Certificate
17Tree Certificate
18Tree list Index
19EDS 08.07.19
20Sanction GO.
21eds 26.9.19
22eds 10.10.2019
23eds 30.10.2019
24benefited village certificate
25eds 25.11.2019
26hard copy submitted receiving letter
27eds 04.08.2020
28Muck Disposal Capacity Plan
29eds 14.09.2020
30new muck disposal plan
31muck disposal plan signed by dfo
32eds
33EDS 05.03.2021
34EDS20.5.22
35eds 5.5.22
36eds 09-11-2022
37eds 20.03.2023
38eds 09-11-2022
39eds 21-09-2023
40eds 20-06-2024
41EDS Dt. 28-08-2024