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/40897/2019   (ii). Name of Project for which Forest Land is required : Construction Of Danda Guveen (Gram Sabha Guveen) Motor Road in Bironkhal Block, District Pauri Garhwal, Uttarakhand   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : in District Pauri Garhwal, Construction of Danda Guveen Motor Road from Maithanaghat- Gween- Banwasa- Rasiyamahadev Motor Road Village Danda Gween Connecting through this road will avail the basic facilities of health education and market for their agricultural products.   (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) : 120   (viii). Area of forest land proposed for diversion(in ha.): 0.99   (ix). Non-forest land required for this project(in ha.): 2.61   (x). Total period for which the forest land is proposed to be diverted(in years): 100
A-2. Details of User Agency
  (i). Name : PWD   (ii). Address1 : CD PWD BAIJRO   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Pauri Garhwal   (vi). Pin : 246278   (vii). Landmark : NIL   (viii). Email address : eepwdbaijro@rediffmail.com   (ix). Landline Telephone No. : 1348-267116   (x). Fax No. : 1348-267116   (xi). Mobile No. : 9756885708   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: anil   (ii). Middle Name: kumar   (iii). Last Name: negi   (iv). Gender: Male   (v). Designation: amin   (vi). Address 1: cd pwd baijro   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Pauri Garhwal   (x). Tehsil: Thali Sain   (xi). Pin: 246278   (xii). Landmark: NIL   (xiii). Email Address: anilkumarbaijro@gmail.com   (xiv). Landline Telephone No.: 1348-267116   (xv). Fax No.: 01348267116   (xvi). Mobile No.: 9761180526   (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.Garhwal,Pauri0.992.61
Total0.992.61
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Pauri Garhwal0.992.61
Total0.992.61
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Danda Guveen0.8821.89
2Tandola0.1080.72
Total 0.99 2.61
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road0.991.74
2Muck Disposal00.87
Total 0.99 2.61
C. Maps of forest land proposed to be diverted
Division 1. : Garhwal,Pauri
  (i). Area of forest land proposed to be diverted(in ha.) : 0.99   (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).
1.0.99    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): 40000
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
12.1 Short narrative and importance of the project.
22.2 Government Order
32.3 Joint Inspection
42.4 Comparative Chart
52.5 Certificate from DM
62.6Land Schedule
72.7 Category Wise Land
82.8 Bar Chart
92.9 Compensatory Afforestation Scheme
102.10 Certificate Regarding suitability
112.11 Undertaking by the user agency to bear the cost
122.12 Roadside Plantation by User Agency
132.16 Felling of Oak trees
142.15 Details of trees
152.17 If Felling of trees is not involved
162.18 Certificate for felling minimum trees
172.19 Muck Disposal Scheme
182.20 Whether project area is a part of National Park
192.23 Non Violation
202.24 NOC from Local gram sabhas
212.25 Lay out plan
222.26 Component wise Details
232.27 Certificate work has not been started
242.28 Geologist Report
252.29 Task Force Report
262.30 Certificate by user agency for complying the condition imposed in staandard condition
272.30 Certificate by user agency for complying the condition imposed in Geologist report
282.32 No historical/ religeous place will be affected
292.33 Undertaking regarding no animal will be effected
302.34 Undertaking to provide alternative fuelwood
312.35 Benefitted Villages (Population)
322.36 NPV calculation
332.37 Undertaking of payment of NPV
342.38 Cost of forest land (Certificate by DM
352.39 Certificate of lease period by user agency
362.40 Demarcation of land
372.41 Undertaking of user agency to bear the cost for demarcation work
382.43 Check List/fact Sheet
392.1 Note For Justification (New)
40Removal Of Objections.
412.20 Certificate regarding aerial distance from National park or Sanctuary.
422.15 No of tree's