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/45918/2020   (ii). Name of Project for which Forest Land is required : Construction of Chaturkot- Kafalta M/R   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The Proposed road starts from km 23.00 of SH-64 i.e. Champawat-Manch-Tamli M/R. It's sanctioned length is 6.00 Km .This Road will connect two villages Malla Kafalta and talla Kafalta and native people will be connected with district head champawat & there will be upliftment in Socio-economic status   (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) : 74.3   (viii). Area of forest land proposed for diversion(in ha.): 3.455   (ix). Non-forest land required for this project(in ha.): 1.015   (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 : Prov. Div. P.W.D. office Champawat distt- champawat   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Champawat   (vi). Pin : 262523   (vii). Landmark : Near Main Post Office   (viii). Email address : eechampawat@gmail.com   (ix). Landline Telephone No. : 5965-230034   (x). Fax No. : 5965-230034   (xi). Mobile No. : 9412044730   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Anupam   (ii). Middle Name: NIL   (iii). Last Name: Rai   (iv). Gender: Male   (v). Designation: Assistant Engineer   (vi). Address 1: Prov. Div. P.W.D. office Champawat Distt- Champawat   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Champawat   (x). Tehsil: Champawat   (xi). Pin: 262523   (xii). Landmark: Near Main Post Office   (xiii). Email Address: eechampawat@rediffmail.com   (xiv). Landline Telephone No.: 5965-230034   (xv). Fax No.: 05965230034   (xvi). Mobile No.: 9412044730   (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.Champawat3.4551.015
Total3.4551.015
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Champawat3.4551.015
Total3.4551.015
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Malla kafalta2.9930.735
2Talla kafalta0.4620.28
Total 3.455 1.015
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road3.1851.015
2Muck Disposal0.270
Total 3.455 1.015
C. Maps of forest land proposed to be diverted
Division 1. : Champawat
  (i). Area of forest land proposed to be diverted(in ha.) : 3.455   (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).
1.3.455    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): 2500
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?: No   (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 ?: Yes   (a). Reason Category: CA Will be raised on degraded forest land as well as on land provided by User Agency   (b). Degraded forest area on which CA has to be raised by forest department(in ha.): 6.91   (c). Area of non-forest or Revenue forest land required to be provided by User Agency for raising Compensatory Afforestation(in ha.): NIL   (iii) . Reason for not providing Non-Forest Land: Others
Additional information Details
Documents
S.No Documents
Remarks
1Short narrative and importance of the project.
2Preliminary joint inspection report.
3Comperative chart showing statement of both alignment or alterate site explored for th e proposed.
4Certificate from the DM that no alternative suitable non forest land is available.
5Land schedule.
6Category wise brekup.
7Adminstrative and Financial sanction.
8Bar chart.
9C.A. Scheme.
10Certificate Regarding.
11Undertaking by the user agency to bear the cost of C.A.
12Road side/gap filling plantation estimate.
13Undertaking by the user agency to bear the cost of Road side/ gap filling plantation.
14Certificate of fellin g minimum trees during th e project work.
15Muck disposal scheme.
16Whather project area is a part of National Park or sanctuary and airaul.
17No voilation has take a place.
18Noc from laocal Gram sabhas.
19Certificate work has not been started.
20Geo. report.
21Task force.
22Standrad condition and certificate by user agency for complying the conditon.
23Ceritficate by user agency for complyin the condition imposed in geologist report/task force.
24No historical/monumental or relegeoue place.
25Undertaking regarding no anmial will be effecte adversely by the project.
26Undertaking to provide alternative fuelwood,Kerseno.
27Benefied village/Families/Population certificate.
28NPV calculation certificate .
29Undertaking of payment of NPV.
30Demarcation of land to be diverted and Undertaking of user agency to berr the cost .
31check list.
32fact sheet.
33others main.
34Aerial Distance
35EDS 12june20 Query removed
36Query removed letter 10-5-2021
37Details of the trees with their scientfic name in RF,Civil soyam.
38Query removed letter date 21-03-2022
39query removed letter -13.5.22
40query removed letter
41query removed letter
42removed Query date 24-05-2024
43removed Query
44query removed letter no 3360/2 lh date 26-12-2024
45removed query