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/40805/2019   (ii). Name of Project for which Forest Land is required : New Construction of Chandak to Dhari Motor Road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : New Construction Of Chandak to Dhari Motor Road . This project started from Chandak to Dhari m/r Km 2.00 and goes Dungri village by passing Dhari. There are two villages benefited by this project having more than 300 population.   (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) : 2.59   (viii). Area of forest land proposed for diversion(in ha.): 1.911   (ix). Non-forest land required for this project(in ha.): 2.589   (x). Total period for which the forest land is proposed to be diverted(in years): 100
A-2. Details of User Agency
  (i). Name : PUBLIC WORK DEPARTMENT   (ii). Address1 : PD PWD PITHORAGARH GHANTAKARAN DISTT PITHORAGARH 262501   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Pithoragarh   (vi). Pin : 262501   (vii). Landmark : NEAR POST OFFICE   (viii). Email address : harishbathyal99@gmail.com   (ix). Landline Telephone No. : 5964-225115   (x). Fax No. : 5964-225115   (xi). Mobile No. : 9412144099   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Sunil   (ii). Middle Name: Kumar   (iii). Last Name: Kohali   (iv). Gender: Male   (v). Designation: EXECUTIVE ENGINEER   (vi). Address 1: PD PWD PITHORAGARH GHANTAKARAN DISTT PITHORAGARH 262501   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Pithoragarh   (x). Tehsil: Pithoragarh   (xi). Pin: 262501   (xii). Landmark: NEAR POST OFFICE   (xiii). Email Address: pwdpithoragarh@gmail.com   (xiv). Landline Telephone No.: 5964-225115   (xv). Fax No.: 05964225115   (xvi). Mobile No.: 9412144099   (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.Pithoragarh1.9112.589
Total1.9112.589
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Pithoragarh1.9112.589
Total1.9112.589
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Paun0.85250
2Dhari0.42850
3Dhari Joshi0.271.867
4Dungari0.360
Total 1.911 1.867
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road1.58341.867
2Muck Dumping0.32760
Total 1.911 1.867
C. Maps of forest land proposed to be diverted
Division 1. : Pithoragarh
  (i). Area of forest land proposed to be diverted(in ha.) : 1.911   (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).
1.1.911    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): 32075
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. : Pithoragarh
  (a). Village: Papdev   (b). Area(in ha.): 3.822   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 1083,1084,1085,1086,1087,1171,1172   (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
1Administrative and financial sanction
2Preliminary Joint Inspection report
3Comparative chart showing statement of both alignment or alternate sit explored for the proposed project and reason for their rejection
4Certificate 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.
5Undertaking by User agency to bear the cost of roadside/ gap filling plantation
6felling of Oak trees
7If felling of trees is not involved , certificate by D.F.O. in this regard
8Certificate of felling minimum trees during the project work
9wheather project area is a part of national park or sanctuary and areal distance of the project
10If the project area is within the National Park or Sanctuary need recommendation of State NBWL
11No voilation has taken place, FC Act 1980.
12Certificate work has not been started reg.
13Geologist Report
14Task Force Report
15Certificate by user agency for complying the condition imposed in standard condition.
16Certificate by User Agency for complying the condition imposed in geologist Report
17Certificate by User Agency for complying the condition imposed in Task Force recommendation in hill areas
18No historical / monumental or relegeous place will be effected certificate reg.
19Undertaking to provide alternative fuelwood, kerosene or LPG to labours involved in project.
20Benefited villages/ Families/ Population Certificate
21NPV calculation certificate as per Hon'ble Supreem court increases the rates of NPV.
22Cost of the forest land and lease rent certificate by DM
23certificate of lease period by user agency
24Undertaking of user agency to bear the cost for dimarcation work
25Other documents
26Perfoma 2
27perfoma 3
28Documents related with CA area by revenue department
29Authority letter
30all objection removed as per instruction
31objection removed point wise
32suitability for CA
33hard copy submission letter
34objection removed
35objection removed
36Site Inspection Report of CF for felling of Oak trees
37objection removed as per instruction 22.01.2021
38objection removed as per instruction and all format uploaded in Form A, Part I.
39A short narrative and importance of the project
40Land schedule
41category wise land length, width and area in Ha
42Bar chart
43Compensatory Afforestation scheme in civil and soyam land 10 years
44Muck disposal Scheme
45All objection removed as per instruction dt. 11.11.2021
46Detail of trees with their scientific name
47objection removed as per instruction 17.05.2022