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/45577/2020   (ii). Name of Project for which Forest Land is required : Extention of Umatta Barsali Mouna Motor road to Bairfala Kanda   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The proposed road is for providing connectivity to village barsali , mouna ,chamali lga umatta ,bairfala & kanda maikhura . The road is located in Block-Karanprayag of District Chamoli   (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) : 300   (viii). Area of forest land proposed for diversion(in ha.): 2.015   (ix). Non-forest land required for this project(in ha.): 2.656   (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 WORKS DEPARTMENT   (ii). Address1 : Provincial Division, PWD, Karanprayag, Distt.-Chamoli (Uttarakhand)   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Chamoli   (vi). Pin : 246444   (vii). Landmark : NIL   (viii). Email address : eepdpwdkpg@gmail.com   (ix). Landline Telephone No. : 1363-244204   (x). Fax No. : 1363-244204   (xi). Mobile No. : 9412974296   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Mayank   (ii). Middle Name: NIL   (iii). Last Name: Tiwari   (iv). Gender: Male   (v). Designation: Assistant Engineer   (vi). Address 1: Provincial Division, PWD, Karanprayag, Distt.-Chamoli (Uttarakhand)   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Chamoli   (x). Tehsil: NIL   (xi). Pin: 246444   (xii). Landmark: NIL   (xiii). Email Address: eepdpwdkpg@gmail.com   (xiv). Landline Telephone No.: 1363-244204   (xv). Fax No.: 01363244204   (xvi). Mobile No.: 9410332205   (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.Badrinath,Gopeshwar2.0152.656
Total2.0152.656
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Chamoli2.0152.656
Total2.0152.656
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1kaleshwer gram panchayat1.2381.073
2umatta gram panchayat0.7771.583
Total 2.015 2.656
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1muck dumping00.726
2Road2.0151.93
Total 2.015 2.656
C. Maps of forest land proposed to be diverted
Division 1. : Badrinath,Gopeshwar
  (i). Area of forest land proposed to be diverted(in ha.) : 2.015   (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).
1.2.015    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): 100
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. : Chamoli
  (a). Village: mouna   (b). Area(in ha.): 4.055   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 1387,1392,1401,1402,1403,1599   (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
1barchart
2enviroment
3fact sheet
4geologist certi..
5historical certi
6minimum cutting of tree certi...
7no voilation taken place FRA 1980
8site suteblity for C A certi...
9Task force recommendation Report
10Undertakoing regarding no animal will be effected adversely by the projec
11list of tree
12kharasa detail of revenue
13reserve forset formet
14parisisty 1-6...
15ertificate of no other alternative land available and minimumvalue of forest land.
16Certificate work has not been started reg
17no objection Certificate from villegers
18MOU
19Of administrative and financial approval government order
20National park / wildlife sanctuary certificate
21Performa of comperision between identified alingment
22civil society land transfer certificate
23Rate list of tree
24C A land khasra detail
25muck dumping site photographs
26Picture plan similar to the disposal of debris produced from the project
27Certificate of depositing the amount of tree plantation above C A on double degraded forest
28Burning wood cooking gas etc.made availablet to the workers working in the construction of the project
29Certificate of proper tree planting scheme in the vacant space
30aapati nirakaran
31joint inspection
32dumping yard details
33parisisty 1st
34letter
35Existing road approval letter
36distence certificate
37npv certificate
38estimate
39aapti nirakaran
40Land schedule
41Aapati nirakaran