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/7706/2014   (ii). Name of Project for which Forest Land is required : Berat Beran to Bagot motor road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : This Road will connect Bairat Beran to Baungad habitation which starts from Bairat and it ends at Baungad.The length of road is 4.040 Km,and passes through civil soyam forest and nap land in which 1.440 hectares of Civil soyam land is required.   (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) : 244.94   (viii). Area of forest land proposed for diversion(in ha.): 1.44   (ix). Non-forest land required for this project(in ha.): 2.196   (x). Total period for which the forest land is proposed to be diverted(in years): 50
A-2. Details of User Agency
  (i). Name : P.M.G.S.Y Didihat   (ii). Address1 : P.M.G.S.Y Didihat   (iii). Address2 : Didihat   (iv). State : Uttarakhand   (v). District : Pithoragarh   (vi). Pin : 262542   (vii). Landmark : P.M.G.S.Y   (viii). Email address : eepmgsydidihat@rediffmail.com   (ix). Landline Telephone No. : 5964-232036   (x). Fax No. : 5964-   (xi). Mobile No. : 9456590705   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Gurpreet   (ii). Middle Name: NIL   (iii). Last Name: Singh   (iv). Gender: Male   (v). Designation: Assistant Engineer   (vi). Address 1: P.M.G.S.Y Didihat   (vii). Address 2: P.M.G.S.Y Didihat   (viii). State: Uttarakhand   (ix). District: Pithoragarh   (x). Tehsil: NIL   (xi). Pin: 262542   (xii). Landmark: P.M.G.S.Y   (xiii). Email Address: eepmgsydidihat@rediffmail.com   (xiv). Landline Telephone No.: 5964-232036   (xv). Fax No.: 5964232036   (xvi). Mobile No.: 7251999486   (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.Pithoragarh1.442.196
Total1.442.196
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Pithoragarh1.442.196
Total1.442.196
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Udyura,Tana,Baungad,Vokal katia1.442.196
Total 1.44 2.196
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
111.442.196
Total 1.44 2.196
C. Maps of forest land proposed to be diverted
Division 1. : Pithoragarh
  (i). Area of forest land proposed to be diverted(in ha.) : 1.44   (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).
1.1.44    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 ?: No
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. : Pithoragarh
  (a). Village: udyura   (b). Area(in ha.): 2.88   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 1520,1695,1724,1726   (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
1Short Narrative and importance (A-2.1)
2Administrative and financial sanction (A-2.2)
3Joint inspection Report (A-2.3)
4Comparison Detail(A-2.4)
5Mang Nuinitam (A-2.5)
6Land Schedule (A-2.6)
7Length and width detail (A-2.7)
8Bar Chart (A-2.8)
9Compansatory Afforestation Scheme (A-2.9)
10Sthal Upyukt (A-2.10)
11Bear the cost of CA (A-2.11)
12Road side estimate (A-2.12)
13Bear the coste by user agency (A-2.13)
14Details of trees (A-2.15)
15Felling of oak trees (A-2.16)
16Falling of minimum trees (A-2.18)
17Muck disposal scheme(A-2.19)
18Ariel distance (A-2.20)
19no violation certificate (A-2.23)
20NOC of aam Sabha (A-2.24)
21work has not been started (A-2.25)
22Geologist report (A-2.28)
23Taske force (A-2.29)
24Standard conditions (A-2.30)
25sharto ke Anupalan ka latter (A-2.31)
26Geologist and taske force certificate (A-2.32)
27No historical monument will be effected (A-2.33)
28No animal will be effected (A-2.34)
29providing kerosene and other fuel certificate (A-2.35)
30benifitted villages (A-2.36)
31NPV calculations (A-2.37)
32NPV jama krane ka latter (A-2.38)
33lease rent And cost of forest ka latter (A-2.39)
34Demarcation of land (A-2.41)
35To bear the cost of Demarcation of land (A-2.42)
36Fact sheet (A-2.44)