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/8286/2014   (ii). Name of Project for which Forest Land is required : Construction of Jinoli-Tari-Sakdina motor road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Road is proposed from km 2.50 of previously constructed Simalkha-Sakdina motor road in 6.650 km length under SCSP. Gram Sakdina, Tari, Jinoli and Khalar will be directly benefited by motor road and Education, as well as Medical facility will be enhance.   (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) : 210   (viii). Area of forest land proposed for diversion(in ha.): 1.6275   (ix). Non-forest land required for this project(in ha.): 0   (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.Nainital1.62750
Total1.62750
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Nainital1.62750
Total1.62750
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Khalar Component-90.3150
2Sakdina1.14450
3Jinoli0.1680
Total 1.6275 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Construction of motor road1.3950
2muck dumping0.23250
Total 1.6275 0
C. Maps of forest land proposed to be diverted
Division 1. : Nainital
  (i). Area of forest land proposed to be diverted(in ha.) : 1.6275   (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).
1.1.6275    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): 3   (iii). Temporary Employment(Number of person-days): 2500
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: Two
District 1. : Nainital
  (a). Village: Putgawan   (b). Area(in ha.): 1.6275   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 1799, 2174/3447   (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
11.9- If non-forest or Revenue forest land is required to be provided by User Agency ? A copy of ownership proof and No objection certificate
22.1- A short narrative and importance of the project
32.2- Administrative and Financial sanction
42.4- Comperative chart showing statement of both alignment or alternate site explored for the proposed project and reasons for their rejection duly contersigned by DFO
52.5- Certificate 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.
62.6- Land schedule ( for RF signed by DFO and civil soyam, Van pahchayat and private nap land signed by DM)
72.7- Category wise (R.F. civil soyan, Van panchayat and private nap land, notified forest land etc ) Land length, width and area in Ha.
82.8- Bar Chart with index
91.10- Copy of Mou/agreement executed between the present owner and the User Agency.
102.11- Undertaking by the user agency to bear the cost of compensatory afforestation duly counter signed by the DFO
112.12- Road side / gap filling plantation estimate
122.13- Undertaking by the user agency to bear the cost of road side / gap filling plantation ( by user agency )
132.15- Details of the trees with their scientific name in RF civil soyam, Van panchayat , Private Notified land and in nap land should be mentioned
142.16- Felling of oak tree ( if involves inspection report of the concerning CF has to be provided
152.18- Certificate of felling minimum trees during the project work
162.19- Muck disposal scheme
172.20- Whather project area is a part of National Park or sanctuary and airal distance of the project from National Park or sanctuary signed by DFO And 2.21- If the project area is within 10 Km radius of N/P or Centuary, Comments/ No objection certificate of CCF wild life has to be provided
182.23- No vailation has taken place. FC act 1980 reg.
192.24- NOC from local Gram Sabhas
202.27- Certificate work has not been started reg.
212.28- Geologidy report ( Govt. approved Geologist )
222.29- Task force report
232.30- Standard Condition and 2.31- Certificate by user agency for complying the condition imposed in standard condition
242.32- Certificate by user agency for complying the condition imposed in geologist report / Task force recommendation in hill areas
252.33- No historical /monumental or relegeous place will be effected certificate reg.
262.34- Undertaking regarding no animal will be effected adversely by the project
272.35- Undertaking to provide alternative fuelwood kerosene or LPG to labour involeved in project
282.36- Benefited villages/ Families / Population certificate
292.41- Demarcation of land to be diverted and 2.42- Undertaking of user agency to bear the cost for demarcation work
302.44- Check list / Fact sheet
31Attachment
32Front Page
33wide letter no 962/18mg date 05.04.2018
34wide letter no 1726/18mg date 21.06.2018
35objection removed wide letter no 2297/18mg date 01.08.2018
362.10- Certificate regarding, suitability of indentified land for comensatory afforestatin by DFO
372.3- Preliminary joint incpection report ( by user agency forest department , revenue department etc.
382.9- Compensatory afforestation scheme in civil and soyam land ( 10 year
391.1 Authority Letter new
40blank proforma part II,III,IV and V
41objection removed wide letter no 3124/18mg date 12.10.2018