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/9017/2014   (ii). Name of Project for which Forest Land is required : Construction of Sarpata Chanuli Kota Basot Motor Road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The road named Sarpata Chanuli Kota Basot Sanction by G.O. no. 2491/III(2)/06-36(Pra. Aa.)/06 dated 19-07-2006 for length of 8.50 Km. for Rs. 160.20 lacs by the construction of this motor road benefitted villages are Sarpata, Chanuli, Kota and Kotali etc.   (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) : 160.2   (viii). Area of forest land proposed for diversion(in ha.): 0.537   (ix). Non-forest land required for this project(in ha.): 7.113   (x). Total period for which the forest land is proposed to be diverted(in years): 300
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.Almora0.5377.113
Total0.5377.113
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Almora0.5377.113
Total0.5377.113
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Sarpata0.11.8
2Kota0.0451.647
3Kunjhana0.0451.416
4Chanuli0.1182.25
5Souray0.2290
Total 0.537 7.113
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
10-111mtr0.09990
2111-1611mtr01.35
31611-1671mtr0.0540
41671-1721mtr00.045
51721-1741mtr0.0180
61741-2241mtr00.45
72241-2291mtr0.0450
82291-4791mtr02.25
94791-4841mtr0.0450
104841-6441mtr01.44
116441-6491mtr0.0450
126491-8244mtr01.5777
138244-8500mtr0.22770
Total 0.5346 7.1127
C. Maps of forest land proposed to be diverted
Division 1. : Almora
  (i). Area of forest land proposed to be diverted(in ha.) : 0.537   (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).
1.0.537    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): 63   (iii). Temporary Employment(Number of person-days): 168
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
1A Short narrative and importance of the project.
2Administrative and Financial sanction.
3Preliminary inspection report.
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 alternate 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 arewa in Hac.
8Bar chart
9Road side/ gap filling plantation estimate.
10Undertaking by the user agency to bear the cost of road side/ gap filling plantation.
11Estimate of trees plantation by DFO.
12Undertaking by user agency to bear the cost of compensatory afforestation countersigned by DFO.
13Details of the trees with their scientific name.
14Certificate of felling minimum trees during the project work.
15Muck disposal scheme
16Photo of Muck disposal yard.
17Whather project area is a part of National Park or sanctuary and arial distance of the project from National Park or sanctuary signed by DFO.
18No voilation has taken place, FC Act 1980 reg.
19NOC from local Gram Sabhas.
20Certificate work has not been started reg.
21Geologist Report.
22Task force report.
23Details of Manak shartain and certificate by user agency for complying the condition imposed in Manak shartain.
24Certificate by user agency for complying the condition imposed in geologist report/ Task force recommendation in hill areas.
25No historical/ monumental or relegious place will be effected certificate reg.
26Undertaking regarding no animal will be effected adversly by the project.
27Undertaking to provide alternative fuelwood, kerosene or LPG to labours involved in project.
28Benefited villageres/ Families/ Population certificate.
29NPV calculation certificate as per Hon'ble supreme court/ MOEF order by DFO.
30Undertaking of payment of NPV, if Hon'ble supreme court increase the rates of NPV.
31Undertaking of the User agency to bear the cost for dimarcation work.
32Check list/ Fact sheet and Additional certificates.
33Objection removal of letter no. memo/12-1(2) dt. 21-04-2016
34Objection removal letter by 1850/36c dated 04-08-16 in ref. of your letter no. memo/12-1 dated 20-07-16
35Objection removed by letter no. memo/36c dated 01-10-2016 in ref of your letter no. memo/12-1(2) dated 29-09-16