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/41149/2019   (ii). Name of Project for which Forest Land is required : New Construction of Lachair to Katyani Motor Road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : New Construction of Lachair to Katyani Motor Road started from Km 4.00 of Lachair Chirali M/R and goes to Katyani. There are 8 Tok villages connected by this project with 662 population. By this road two Block head quaters ( MUNAKOT & KANALICHINA) will be joined. This Motor road is used as bypass   (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) : 621.6   (viii). Area of forest land proposed for diversion(in ha.): 5.6   (ix). Non-forest land required for this project(in ha.): 5.2   (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.Pithoragarh5.65.2
Total5.65.2
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Pithoragarh5.65.2
Total5.65.2
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Kharkgaon0.810.0675
2Setigaon0.65250.36
3Garhgaon0.33750.6075
4Giradi0.0451.62
5Baskhet0.1350.81
6Patkeshwar0.9450.72
7Serad1.46250
8Mankot1.21251.015
Total 5.6 5.2
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1ROAD5.50175.2
2MUCK DUMPING0.09830
Total 5.6 5.2
C. Maps of forest land proposed to be diverted
Division 1. : Pithoragarh
  (i). Area of forest land proposed to be diverted(in ha.) : 5.6   (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).
1.5.6    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): 71040
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: One
District 1. : Pithoragarh
  (a). Village: Kharkdoli   (b). Area(in ha.): 11.2   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 4500,4569,4574,4577,4579,4581,4625   (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
1A short narrative and importance of the project
2Administrative and Financial sanction
3Preliminary Joint Inspection Report
4Comperative Chart
5Certificate from The DM that no alternate suitable non forest land is available for the project
6Land Schedule
7Category wise land length, width and area
8Bar Chart
9Certificate regarding suitability of identified land for CA
10Undertaking by the user agency to bear the cost of CA
11Undertaking by the user agency to bear the cost of Road side/ Gap filling plantation
12Details of the trees with their scientific name
13Felling of Oak trees
14If felling of trees is not involved certificate by dfo
15Certificate of felling minimum tress
16Muck Disposal Scheme
17Arial distance certificate
18If the project area is within 10km radius of national park N/P or sanctuary, certificate of CCF wildlife
19If the project falling within the national park or sanctuary , needs recommandation of NBWL
20No voilation taken place , FC act 1980
21NOC from local Gram Sabhas
22Certificate work has not been started
23Geologist Report
24Task Force Report
25Certificate by User Agency for complying the condition imposed in standard condition
26Certificate by user agency for complying the condition imposed in geologist report
27Certificate by user agency for complying the condition imposed in Task force
28No historical / Monumental or religeous place will be effected
29Undertaking regarding no animal will be effected
30Undertaking to provide alternative fuelwood, kerosene or LPG to labours
31Benefited villagers/ families/ population certificate
32NPV calculation certificate
33Undertaking of payment of NPV
34Cost of the forest land and lease rent certificate by DM
35Certificate of lease period by agency
36Undertaking of user agency to bear the cost of demarcation work
37Perfoma 2
38Perfoma 3
39Check list
40CA map given by revenue department
41objection removed as per instruction
42objection removed a per instruction
43objection removed as per instruction
44objection removed pointwise
45receiving letter of CF
46all objection removed
47Site inspection Report of CF for felling of Oak tree
48Site Visit of DFO for MDF and VDF in CA.
49Objection removed as per instruction.
5010 year plantation scheme with new rate
51All objection removed as per instruction 22.06.2022
52DFO SIR for CA land
53All objection removed as per instruction