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/45326/2020   (ii). Name of Project for which Forest Land is required : Kotdwara-Satpuli-Jwalpa-Srinagar section (from Km 139.000 to 276.000) of NH -119 in the state of Uttrakhanand Section Form km 139.000 to 196.600   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Kotdwara-Satpuli-Jwalpa-Srinagar section (from Km 139.000 to 276.000) of NH -119 in the state of Uttrakhanand Section Form km 139.000 to 196.600   (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) : 56542   (viii). Area of forest land proposed for diversion(in ha.): 42.076   (ix). Non-forest land required for this project(in ha.): 34.814   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : MINISTRY OF ROAD TRANSPORT AND HIGHWAY CANAL ROAD DEHRADUN   (ii). Address1 : 46/1,Canal Road, Jakhan, Dehradun   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Dehradun   (vi). Pin : 248001   (vii). Landmark : NIL   (viii). Email address : romorthddn@gmail.com   (ix). Landline Telephone No. : 135-2738657   (x). Fax No. : 135-   (xi). Mobile No. : 8770529813   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Central Government
A-3. Details of Person Making Application
  (i). First Name: NAVNEET   (ii). Middle Name: NIL   (iii). Last Name: PANDEY   (iv). Gender: Male   (v). Designation: EXECUTIVE ENGINEER   (vi). Address 1: DHUMAKOT   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Dehradun   (x). Tehsil: Dehradun   (xi). Pin: 248001   (xii). Landmark: NIL   (xiii). Email Address: romorthddn@gmail.com   (xiv). Landline Telephone No.: 135-2738657   (xv). Fax No.: NIL   (xvi). Mobile No.: 9997976809   (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.Lansdowne42.07634.814
Total42.07634.814
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Pauri Garhwal42.07634.814
Total42.07634.814
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Pali tali5.0060.389
2Chopra0.2090.053
3Dova0.3220.579
4Ghaad0.1181.447
5Bairagaon1.4592.472
6Kulhad1.25310.477
7Satpuli Saindh1.6754.733
8Satpuli Mail1.4732.629
9Silath1.0491.218
10Aeta0.6190.299
11Ramagaon1.7681.679
12Dhargaon0.1381.125
13Rohenee Mali3.9961.008
14Bhadali Walli1.0940.991
15Palli malli0.7840.852
16Ghodi Badi0.2360
17Soliya5.9633.223
18Raitpur1.070.302
19Compartment No 120.1650
20Block fathepur Compartment No 112.5890
21Block fathepur Compartment No 54.3560
22Block fathepur Compartment No 63.3120
23Block fathepur Compartment No 42.7250
24Goum0.6971.338
Total 42.076 34.814
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Bridges0.05440
2Muck Disposal Area18.6090
3Road23.412634.814
Total 42.076 34.814
C. Maps of forest land proposed to be diverted
Division 1. : Lansdowne
  (i). Area of forest land proposed to be diverted(in ha.) : 42.076   (ii). Nature of the Project: Linear   (b). No. of Segments : Two
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).
1.42.076    View File
2.0    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): 55   (iii). Temporary Employment(Number of person-days): 4500
F. Displacement of People due to the Project, if any
  (i). Whether Project involves displacement?: Yes   (a). Total Number of families : 59   (b). Number of Scheduled Caste families : NIL   (c). Number of Schedule Tribes families : NIL   (d). Number of other families : 59   (ii). Copy of Rehabilitation and Resettlement Plan:   (a). Copy of approval to Ministry of Tribal Affairs,Government of India to Rehabilitation and Resettlement:
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?: 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
1NOC from gram panchayat
2Hardcopy submission receipts
3Query reply letter to DFO
4Check list with Page marking
5Prapatra 1 to 20
6Query Reply letter to DFO
7FRA Certificate
8Query reply letter submitted to DFO office. Receiving uploaded for acknowledgement.
9Tree list of Reserve Forest
10Query reply letter to DFO Regarding Hard copy Submission in 6 set
11Reclamation Plan for Kotdwar to Satpuli Road
12Tree list of Reserve Forest, Civil Soyam Land, Van Panchayat Forest land, Nap Land
13Reply letter to DFO
14Collector letter of CA Land
15Cost Benefits analysis
16FRA with VLC & SDLC
17we have signed and uploaded required document by DM Pauri & DFO Lansdown
18Bar Chart
19CA land Location with its Toposheet and Geo Map
20Joint Inspection Letter
21Tree List
22Gezzette Notification regarding NH declaration
23Copy of approval to Ministry of Tribal Affairs, Government of India to Rehabilitation and Resettlement:
24Reply letter of EDS Raised By MOEF
25Query no 6
26Query N 4, 5
27Query N 4, 5
28Certificate for work not to be Started Query No 17
29Toposheet Query No 2
30Geo_Map Query No 2
31Mentioning the national Highway numbers in force before the said notification Old NH number under colum 4 and New NH as per said notification
32Financial and Technical Sanctions AS per Query No 3
33Geologist Report as per Query No 17
34Muck Disposal area marked in Toposheet
35Muck Disposal area marked in Geo Reference
36IRO Query reply letter
37Reply letter against query from IRO and Collector letter
38Muck Disposal Quantity