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/49082/2020   (ii). Name of Project for which Forest Land is required : Walmara to Satarh(kahedgaon) MR Stage I under PMGSY   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : This Project benefit for village Kahedgaon (with population of 556) to connect with Motor road. The construction of this road local people & above villager will be able to connect with district roads, hospital, school district head quarter and other routes.   (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.): 0.9331   (ix). Non-forest land required for this project(in ha.): 3.92   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : PIU SULT PMGSY   (ii). Address1 : near indian gas agency   (iii). Address2 : chaukhutiya   (iv). State : Uttarakhand   (v). District : Almora   (vi). Pin : 263656   (vii). Landmark : NIL   (viii). Email address : piusultpmgsy@gmail.com   (ix). Landline Telephone No. : 0-   (x). Fax No. : 0-   (xi). Mobile No. : 6201031641   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Others
A-3. Details of Person Making Application
  (i). First Name: aditya   (ii). Middle Name: kumar   (iii). Last Name: mandal   (iv). Gender: Male   (v). Designation: EE   (vi). Address 1: near indian gas agency   (vii). Address 2: chaukhutiya   (viii). State: Uttarakhand   (ix). District: Almora   (x). Tehsil: Chaukhutia   (xi). Pin: 263656   (xii). Landmark: NIL   (xiii). Email Address: piusultpmgsy@gmail.com   (xiv). Landline Telephone No.: 0-   (xv). Fax No.: NIL   (xvi). Mobile No.: 7872151666   (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.Almora0.93313.92
Total0.93313.92
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Almora0.93313.92
Total0.93313.92
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1tamadhon0.59652.263
2kehargaon0.33661.657
Total 0.9331 3.92
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1road0.93313.57
2Muck00.35
Total 0.9331 3.92
C. Maps of forest land proposed to be diverted
Division 1. : Almora
  (i). Area of forest land proposed to be diverted(in ha.) : 0.9331   (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).
1.0.9331    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): 12000
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? : Yes
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 ?: Not Applicable   (iii) . Reason for not providing Non-Forest Land: Others
Additional information Details
Documents
S.No Documents
Remarks
1No alternative suitable non-forest land is available for the project and that demand is barest to the minimum
2Aerial Distance from Wildlife sanctuary/National Prak
3Certificate of falling minimum of trees during the project work
4Certificate that no historical monumental or religious place will be affected
5Administrative and financial Sanction of the Project.
6Tree Details
7Undertaking to provide alternative fuel wood ,kerosene or LPG to labourers involved in the projectUndertaking to provide alternative fuel wood ,kerosene or LPG to labourer involved in the project
8Undertaking regarding no animal will be affected side plantation
9Preliminary Joint Inspection report
10Undertaking by the User Agency to bear the cost of road side plantation
11Undertaking by the User Agency to bear the cost of CA
12Land Schedule
13Certificate regarding enclosure of Muck disposal scheme
14Lenght and Width Details of the Road
15Estimates of RCC piller for demarcation of Fores
16Certificate that no violation of the FA 1980 has taken place
17Certificate for Not staring the work
18NPV Calculation certificate
19Check list/Fact sheet
20Reply of EDS dt 28.08.2020
21Bar Chart
22Reply of EDS dt 03.11.2020
23Benefited Village(s) ,Families, Population Certificate
24certificate to follow the conditions imposed by task force & geologist report
25Geologist and Task force recommendation
26standard operating procedures will be followed
27Understanding of payment of NPV,if Honable Supreme Court increases the rates of NPV
28Muck Disposal Scheme
29CA Scheme for 170 trees plantation
30Reply of EDS dt 06.03.2021