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/8936/2014   (ii). Name of Project for which Forest Land is required : Construction of Gagas Udimahadev Selapani Bhikiyasain Marchula Motor Road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : For Construction of 40 km long Motor Road   (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) : 556   (viii). Area of forest land proposed for diversion(in ha.): 13.842   (ix). Non-forest land required for this project(in ha.): 18.202   (x). Total period for which the forest land is proposed to be diverted(in years): NIL
A-2. Details of User Agency
  (i). Name : EXECUTIVE ENGINEER   (ii). Address1 : Provincial Division P.W.D., Ranikhet   (iii). Address2 : Mall Raod Ranikhet   (iv). State : Uttarakhand   (v). District : Almora   (vi). Pin : 263645   (vii). Landmark : NIL   (viii). Email address : eepdrani@yahoo.com   (ix). Landline Telephone No. : 5966-220679   (x). Fax No. : NIL   (xi). Mobile No. : 7500540231   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Lalit   (ii). Middle Name: Kumar   (iii). Last Name: Goel   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: Provincial Division PWD, Ranikhet   (vii). Address 2: Mall Road Ranikhet   (viii). State: Uttarakhand   (ix). District: Almora   (x). Tehsil: NIL   (xi). Pin: 263645   (xii). Landmark: Ranikhet   (xiii). Email Address: eepdrani@yahoo.com   (xiv). Landline Telephone No.: 5966-220679   (xv). Fax No.: 05966220679   (xvi). Mobile No.: 9412919971   (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
1ApprovedFP/UK/ROAD/19725/20168B/UCP/06/173/2016/FC/19532.162.1629 Dec 201621 Feb 2018
Total 2.16 2.16
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.Almora13.84218.202
Total13.84218.202
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Almora13.84218.202
Total13.84218.202
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Bandran Bisht0.8220.9
2Bandran Basnal02.7
3Naagtale0.70.45
4Bhiney1.41.35
5Matwaas0.71.8
6Siswari0.70.9
7Tarad2.381.554
8Oneree3.290
9Chaunera02.25
10Nanhan Kota0.71.35
11Enahalua02.25
12Dugolibagh0.71.8
13Ameri1.40
14Malehari0.70
15Dyoni Gadhera0.350.898
Total 13.842 18.202
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Km 1 to 4013.84218.202
Total 13.842 18.202
C. Maps of forest land proposed to be diverted
Division 1. : Almora
  (i). Area of forest land proposed to be diverted(in ha.) : 13.842   (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).
1.13.842    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): 850   (iii). Temporary Employment(Number of person-days): 9000
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? : 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. : Almora
  (a). Village: Bandran Basnal   (b). Area(in ha.): 27.684   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 1, 3, 5, 6, 7, 65, 100, 104, 266, 384, 386, 397, 398, 426, 428, 440, 446, 464, 524, 552, 556, 563, 578, 393, 479   (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
1Report
2Administrative and Financial approval
3Preliminary joint inspection report signed by concerned departments.
4Comperative chart showing statement of both alignment or alternate site explored for the proposed project and reasons for their rejection duly countersigned by DFO.
5Certificate 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 barest minimum.
6Land schedule.
7Category wise land length, width and area in Ha.
8Bar chart with index.
9Compensatory afforestation scheme in civil and soyam land by DFO.
10Certificate regarding suitable of indentified land for compensatory afforstation countersigned by DM.
11Undertaking by the User agency to bear the cost of compensatory afforestation duly countersigned by DFO.
12Road side/ gap filling plantation estimate by DFO.
13Undertaking by the User Agency to bear the cost of road side/ gap filling plantation.
14Details of the trees with their scientific name.
15Felling of Oak tree is not involved, certifcate by DFO.
16Certificate of felling minimum trees during the project work.
17Muck disposal scheme countersigned by DFO.
18Muck disposal agreement and photos of land.
19weather project area is a part of National Park or sanctuary and arial distance of the Project from National Park or sancturary signed by DFO.
20No voilation has taken place, FC Act 1980 reg.
21NOC from local Gram Sabhas.
22Certificate work has not been started.
23Geologist Report.
24Task Force report
25Itemwise details of works. Standard rule
26Certificate by user agency for complying the condition imposed in Manak Shartain.
27Certificate by user agency for complying the condition imposed in geologist report/ Task force recommendation in hill areas.
28No Historical/ monumental or relegeous place will be effected certificate.
29Undertaking regarding no animal will be affected adversely by the project.
30Undertaking to provide alternate fuelwood, kerosene or LPG to labours involved in project.
31Benefited villages/ families/ Population certificate.
32NPV calculation certificate as per Hon'ble Supreem court/ MOEF orders by DFO.
33Undertaking of payment of NPV, if Hon'ble Supreem court increase the rates of NPV.
34Demarcation of land to be diverted.
35Undertaking of user agency to bear the cost for dimarcation work.
36Checklist/ Factsheet
37Land value at market rate certificate by DM
38Google map of the proposed site showing legal status of the proposed land and alternate examined for the project with legend.
39Compensatory afforestation scheme in civil and soyam land 10 years by DFO.