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/46607/2020   (ii). Name of Project for which Forest Land is required : New construction of motor road from Pangkatara to Khalar under developmental Betalghat of Vidhan Sabha constituency of Nainital district under state plan   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Motor road started from village Pangkatara and it will connect village Khalar at km 3.00 . From this motor road village pangkatara and Khalar will benefited in terms of medical as well as educational also market center will be near .   (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) : 43.5   (viii). Area of forest land proposed for diversion(in ha.): 1.71   (ix). Non-forest land required for this project(in ha.): 0.99   (x). Total period for which the forest land is proposed to be diverted(in years): 100
A-2. Details of User Agency
  (i). Name : EE CD NAINITAL   (ii). Address1 : Construction division, P.W.D. Nainital   (iii). Address2 : Construction division, P.W.D. Nainital   (iv). State : Uttarakhand   (v). District : Nainital   (vi). Pin : 263002   (vii). Landmark : Near L.D.A. office, Nainital   (viii). Email address : eecdnainitalpwd@rediffmail.com   (ix). Landline Telephone No. : 5942-235079   (x). Fax No. : 5942-235703   (xi). Mobile No. : 9719471059   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Sanjay   (ii). Middle Name: Kumar   (iii). Last Name: Pandey   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: Construction division, P.W.D. Nainital   (vii). Address 2: Construction division, P.W.D. Nainital   (viii). State: Uttarakhand   (ix). District: Nainital   (x). Tehsil: NIL   (xi). Pin: 263001   (xii). Landmark: Near L.D.A. Office, Nainital   (xiii). Email Address: eecdnainitalpwd@rediffmail.com   (xiv). Landline Telephone No.: 5942-235079   (xv). Fax No.: 05942235079   (xvi). Mobile No.: 9719471059   (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
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
1InprincipleFP/UK/ROAD/8248/20148B/UCP/06/91/2018/FC/22971.191.1917 Feb 2021
Total 1.19 1.19
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.Nainital1.710.99
Total1.710.99
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Nainital1.710.99
Total1.710.99
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Khalar1.710.99
Total 1.71 0.99
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Construction of motor road1.330.77
2Muck Disposal0.380.22
Total 1.71 0.99
C. Maps of forest land proposed to be diverted
Division 1. : Nainital
  (i). Area of forest land proposed to be diverted(in ha.) : 1.71   (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).
1.1.71    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): 4888
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. : Nainital
  (a). Village: chhimi matela   (b). Area(in ha.): 3.42   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 1324, 1372, 1375   (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
1Copy of doucument in support of the competence/authority of the person making this application to make application on behalf of the user agency.
2Copy of Survey of India Toposheet indicating boundary of forest Land proposed to be diverted
3copy of the Geo-referenced map of the forest land proposed to be diverted prepared by using GPS
4Note containing justification for locating the project in forest land
5Certificate by DM- Forest right act 2006 reg
6Survey of India Toposheet in 1:50000 scale indicating location of the land identified for creation of compensatory afforestation: signed by DFO
7Colored copy of the google map showing the land identified for C.A.
8If non-forest or Revenue forest land is required to be provided by User Agency and If non-forest or Revenue forest land is required to be provided by User Agency
9A short narrative and importance of the project
10Administrative and Financial sanction
11Preliminary joint incpection report ( by user agency forest department , revenue department etc.
12Comperative chart showing statement of both alignment or alternate site explored for the proposed project and reasons for their rejection duly contersigned by DFO
13Certificate from the DM that no alternative suitable non- forest land is available for the project in question and the demand of the forest land for the project is parest minimum.
14Land schedule
15Category wise (R.F. civil soyan, Van panchayat and private nap land, notified forest land etc ) Land length, width and area in Ha.
16Bar Chart with index
17Certificate regarding, suitability of indentified land for comensatory afforestatin by DFO
18Undertaking by the user agency to bear the cost of compensatory afforestation duly counter signed by the DFO
19Undertaking by the user agency to bear the cost of road side / gap filling plantation
20Details of the trees with their scientific name in RF civil soyam, Van panchayat , Private Notified land and in nap land should be mentioned ( with valuation of the trees to be felled) ( 0-10 dia trees will be mentioned as saplings)
21Felling of oak tree ( if involves inspection report of the concerning CF has to be provided
22Certificate of felling minimum trees during the project work
23Muck disposal scheme
24Whather project area is a part of National Park or sanctuary and airal distance of the project from National Park or sanctuary signed by DFO
25No vailation has taken place. FC act 1980 reg.
26NOC from local Gram Sabhas
27Certificate work has not been started reg.
28Geologidy report
29Task force report
30Standard Condition
31Certificate by user agency for complying the condition imposed in standard condition
32Certificate by user agency for complying the condition imposed in geologist report / Task force recommendation in hill areas
33No historical /monumental or relegeous place will be effected certificate reg.
34Undertaking regarding no animal will be effected adversely by the project
35Undertaking to provide alternative fuelwood kerosene or LPG to labour involeved in project
36Benefited villages/ Families / Population certificate
37NPV calculation certificate as per Hon'ble Supreme Court / MoEF order by DFO
38Demarcation of land to be diverted
39front page
40bhag foram -1
41Original hard copy submitted Nodal/DFO vied Receiving letters