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/43416/2019   (ii). Name of Project for which Forest Land is required : Construction of Tilwara Bhardar Syari to Syari Gaon Motor road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : After consturction of This raod Syari village will get connectivity of Motor road and also get education, social, health facilities   (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) : 12.6   (viii). Area of forest land proposed for diversion(in ha.): 0.1575   (ix). Non-forest land required for this project(in ha.): 0.64   (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 : PWD PROVINCIAL DIVISION RUDRAPRAYAG   (iii). Address2 : UTTARAKHAND   (iv). State : Uttarakhand   (v). District : Rudraprayag   (vi). Pin : 246171   (vii). Landmark : NIL   (viii). Email address : eepwd_rpg@rediffmail.com   (ix). Landline Telephone No. : 1364-233204   (x). Fax No. : 1364-0   (xi). Mobile No. : 9536748167   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Er Indrajit   (ii). Middle Name: NIL   (iii). Last Name: Bose   (iv). Gender: Male   (v). Designation: EXEUTIVE ENGINEER   (vi). Address 1: P.D. PWD RUDRAPRAYAG   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Rudraprayag   (x). Tehsil: Rudraprayag   (xi). Pin: 246171   (xii). Landmark: NIL   (xiii). Email Address: eepwd_rpg@rediffmail.com   (xiv). Landline Telephone No.: 1364-233204   (xv). Fax No.: NIL   (xvi). Mobile No.: 7500217670   (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.Rudraprayag0.15750.64
Total0.15750.64
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Rudraprayag0.15750.64
Total0.15750.64
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Syari Gaon0.15750.64
Total 0.1575 0.64
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1road0.15750.5425
2Muck dumping00.0525
3Muck dumping 200.045
Total 0.1575 0.64
C. Maps of forest land proposed to be diverted
Division 1. : Rudraprayag
  (i). Area of forest land proposed to be diverted(in ha.) : 0.1575   (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).
1.0.1575    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): 3979
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
1Cover page, Index, Report of project
2Certificate of Part I
3Certificate of Part II
4Certificate of Part III to V
5Financial letter of project (G.O.)
6Joint Survey reports
7Certificate for Calculation of Trees
8Certificate of alternate alignment, Certificate for Minimum demand of land
9Certificate of Land schedule, Certificate of length & width of project, Certificate of Bar chart
10Certificate of of Plantation on blank space of road, Certificate for details of trees, Certificate of Value of Land
11Certificate of Banj trees
12Certificate of trees not effecting of this project given by DFO, Certificate of Minimum falling of trees.
13Muck disposal plan and certificate, NOC for muck dumping of villagers
14Certificate of aerial distance, certificate of National park, certificate of ACT 1980, NOC of villagers.
15Certificate of Layout Plan, Certificate of work not started
16Geologist Report
17Task force certificates
18Comparative Alignment
19Certificate of Historical place, Certificate for No loss of wild life, Certificate of Kerosene, certificate of benefited villagers
20NPV Certificates and certificate of Value of Land
21Certificate of lease, certificate of RCC pillars
22Fact Sheet
23Certificate of Catchment treatment plan, Certificate of Place Importance, Certificate of CA for Ten Years, etc
24Employment Generation certificate
25On line web portal Part I
26On line web portal Part II
27On line web portal Part III
28Hard copy submitted to DFO letter attached