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/55006/2020
(ii). Name of Project for which Forest Land is required :
New construction of Jajardeval To Mulagarh Motor Raod
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
New Construction of Jajardeval to Mulagarh Keli ( Seli) Motor Road under CM declaration in Pithoragarh. Salmora, Mulagarh and Gadhan villages will be benefited by the project . Total accepted length= 4.00km
(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) :
2072000000
(viii). Area of forest land proposed for diversion(in ha.):
0.9
(ix). Non-forest land required for this project(in ha.):
2.7
(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 :
PD PWD PITHORAGARH GHANTAKARAN DISTT PITHORAGARH 262501
(iii). Address2 :
NIL
(iv). State :
Uttarakhand
(v). District :
Pithoragarh
(vi). Pin :
262501
(vii). Landmark :
NEAR POST OFFICE
(viii). Email address :
harishbathyal99@gmail.com
(ix). Landline Telephone No. :
5964-225115
(x). Fax No. :
5964-225115
(xi). Mobile No. :
9412144099
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
Sunil
(ii). Middle Name:
Kumar
(iii). Last Name:
Kohali
(iv). Gender:
Male
(v). Designation:
EXECUTIVE ENGINEER
(vi). Address 1:
PD PWD PITHORAGARH GHANTAKARAN DISTT PITHORAGARH 262501
(vii). Address 2:
NIL
(viii). State:
Uttarakhand
(ix). District:
Pithoragarh
(x). Tehsil:
Pithoragarh
(xi). Pin:
262501
(xii). Landmark:
NEAR POST OFFICE
(xiii). Email Address:
pwdpithoragarh@gmail.com
(xiv). Landline Telephone No.:
5964-225115
(xv). Fax No.:
05964225115
(xvi). Mobile No.:
9412144099
(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.
Pithoragarh
0.9
2.7
Total
0.9
2.7
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Pithoragarh
0.9
2.7
Total
0.9
2.7
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
SALMORA
0
0.18
2
MULAGARH
0
2.385
3
GADHAN
0.9
0.135
Total
0.9
2.7
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Road
0.8284
2.7
2
MUCK DUMPING
0.0716
0
Total
0.9
2.7
C.
Maps of forest land proposed to be diverted
Division 1. : Pithoragarh
(i). Area of forest land proposed to be diverted(in ha.) :
0.9
(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.
0.9
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):
27200
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?:
Not Applicable
(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:
Not Applicable
Additional information Details
Documents
S.No
Documents
Remarks
1
A short narrative and importance of the project
2
Administrative and Financial sanction
3
Preliminary Joint Inspection Report
4
Comperative Chart
5
Certificate from The DM that no alternate suitable non forest land is available for the project
6
Land Schedule
7
Category wise land length, width and area
8
Bar Chart
9
Compensatory afforestation scheme in Civil And Soyam land
10
Certificate regarding suitability of identified land for CA
11
Undertaking by user agency to bear the cost of Road side/ gap filling plantation
12
Details of the trees with their scientific name
13
Felling of Oak trees
14
If felling of trees is not involved certificate by dfo
15
Certificate of felling minimum tress
16
Muck Disposal Scheme
17
Whether project area is a part of National Park or Sanctuary and areal distance certificate of teh project from Askot Wildlife Sanctuary
18
If the project area is within 10km radius of national park N/P or sanctuary, certificate of CCF wildlife
19
If the project falling within the national park or sanctuary , needs recommandation of NBWL
20
No voilation taken place , FC act 1980
21
NOC from Local Gram Sabhas
22
Certificate work has not been started
23
Geologist Report
24
Task Force Report
25
Certificate by User Agency for complying the condition imposed in standard condition
26
Certificate by user agency for complying the condition imposed in Geologist Report/ Task force
27
No historical / Monumental or religeous place will be effected
28
Undertaking regarding no animal will be effected
29
Undertaking to provide alternative fuelwood, kerosene or LPG to labours
30
Benefited villagers/ families/ population certificate
31
NPV calculation certificate as per Hon'ble Supreem court
32
Undertaking of payment of NPV
33
Cost of the forest land and lease rent certificate by DM
34
Certificate of lease period by agency
35
Demarcation of Land to be diverted
36
Undertaking of User Agency to bear the cost for demarcation work
37
performa 2
38
performa 3
39
check list/ fact sheet
40
objection removed as per instruction 21122020
41
Authenticate copy of Part I,II,III with submission letter
42
Authenticate copy of Part I,II,III with submission letter
43
mulagarh objection removed as per attached letter 12042021
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