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/47302/2020   (ii). Name of Project for which Forest Land is required : Construction of KOTGAON (NAITWAR) to KALAP motor road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Kotgaon (naitwar) to kalap motor road is sanctioned under P.M.G.S.Y. to connect village kalap and kumala having population more then 250. The road is important for connectivity and for transportation of cash crops ie apple which is the main cash crop of these village.   (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) : 820   (viii). Area of forest land proposed for diversion(in ha.): 11.115   (ix). Non-forest land required for this project(in ha.): 2.745   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : PMGSY MORI   (ii). Address1 : PIU MORI PMGSY Works, Near SBI Bank Mori, Uttarkashi   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Uttarkashi   (vi). Pin : 249185   (vii). Landmark : SBI   (viii). Email address : piumoriforest@gmail.com   (ix). Landline Telephone No. : 135-73234355   (x). Fax No. : 135-   (xi). Mobile No. : 8800353169   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Others
A-3. Details of Person Making Application
  (i). First Name: Ashish   (ii). Middle Name: NIL   (iii). Last Name: Kumar   (iv). Gender: Male   (v). Designation: Junior Engineer   (vi). Address 1: PIU MORI PMGSY Works, Near SBI Bank Mori, Uttarkashi   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Uttarkashi   (x). Tehsil: Mori   (xi). Pin: 249185   (xii). Landmark: NIL   (xiii). Email Address: kala.rawat@gmail.com   (xiv). Landline Telephone No.: 135-73234355   (xv). Fax No.: NIL   (xvi). Mobile No.: 8800353169   (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.Govind Pashu Vihar,Purola11.1152.745
Total11.1152.745
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Uttarkashi11.1152.745
Total11.1152.745
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Kumala1.2811.125
2Kalap7.2691.62
3forest land kalap (Comp. No.- 1,2,3,4,5)2.5650
Total 11.115 2.745
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1For Road Work10.7552.745
2For Muck Dumping(Civil Soyam)0.360
Total 11.115 2.745
C. Maps of forest land proposed to be diverted
Division 1. : Govind Pashu Vihar,Purola
  (i). Area of forest land proposed to be diverted(in ha.) : 11.115   (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).
1.11.115    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): 5466
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?: 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? : Yes   (a). Whether Project or a part thereof is located within a Protected Area ? : No   (ii). Status of approval of the Standing Committee of National Board for the Wildlife(NBWL) to the Project : Approval obtained   (a). MoEF File No : 6-2/2020WL   (b). Copy of approval of Standing of the NBWL:   (c). Date of Approval : 11 Jun 2020
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 ?: No   (iii) . Reason for not providing Non-Forest Land: Others
Additional information Details
Documents
S.No Documents
Remarks
1Prativedan
2Financial and Administrative Approoval
3Joint inspection report
4Comparison between identified alignment
5minimum forest land use certificate
6land schedule
7Project area informaton related certificate
8Bar chart
9Work not started certificate
10Tree Diawise details
11Trees cost Details
12Banjh Tree Details
13Tree Affected Certificate
14Minimum Tree felling Certificate
15Air distance Certificate
16Village NOC Certificate
17Form 31
18Form 32
19Geologist suggest certificate
20Geologist suggested Compliance certificate
21task force certificate
22certificate of acceptance standard condition
23Certificate of historical importance and absence
24Certificate of non-availability of wildlife and vegetation
25Certificate to provide cooking gas and kerosene oil
26population related certificate
27forest land lease rant certificate
28CA Land Suitability certificate
29Road site plantation
30NPV increase Cost Certificate
31Certificate of demarcation of forest land demarcated by boundary pillars
32Certificate of lease term
33No voilance certificate
34CAT plan certificate
35Environmental clearance certificate
36Certificate for renewal of expired things
37Path tree planting
38Part 1 Certificate
39Objection removed
40fact sheet
41partivedan
42certificate of cmmnmnt of NBWL
43WILDLIFEMITIGATION PLAN
44QUARRY LTTR
45Tree actually to be cut certificate
46CA Scheme
47Muck Disposal Plan
48Revised CA suitabillity certificate
49NPV Cost Certificate