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/9590/2015   (ii). Name of Project for which Forest Land is required : DT Road to Kumarkot Motor Road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : To provide road connectivity for village-Kumarkot(Population-485) and Thandi (population-886). forest land is required because there is no any other route to provide connectivity to Kumarkot. After Construction of road villagers can bring their cash crops to nearer market 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) : 300   (viii). Area of forest land proposed for diversion(in ha.): 1.89   (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): 99
A-2. Details of User Agency
  (i). Name : PMGSY ID UTTARKASHI   (ii). Address1 : ANUSHANDHAN COLONY JOSHIYARA UTTARKASHI   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Uttarkashi   (vi). Pin : 249193   (vii). Landmark : ANUSHANDHAN COLONY   (viii). Email address : eepmgsyuttarkashi@rediffmail.com   (ix). Landline Telephone No. : 1374-223804   (x). Fax No. : 1374-1374   (xi). Mobile No. : 9412903049   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Sanjeet   (ii). Middle Name: NIL   (iii). Last Name: Bhandari   (iv). Gender: Male   (v). Designation: JE   (vi). Address 1: P.M.G.S.Y (Irrigation Diviion)ANUSHANDHAN COLONY JOSHIYARA UTTARKASHI   (vii). Address 2: PMGSSY (ID) Uttarkashi   (viii). State: Uttarakhand   (ix). District: Uttarkashi   (x). Tehsil: Bhatwari   (xi). Pin: 249193   (xii). Landmark: ANUSHANDHAN COLONY   (xiii). Email Address: shiv12rajr@gmail.com   (xiv). Landline Telephone No.: 1374-223804   (xv). Fax No.: 01374223804   (xvi). Mobile No.: 8958862676   (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.Uttarkashi1.890
Total1.890
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Uttarkashi1.890
Total1.890
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Kumarkot1.890
Total 1.89 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Dumping Zone00
2Road1.890
Total 1.89 0
C. Maps of forest land proposed to be diverted
Division 1. : Uttarkashi
  (i). Area of forest land proposed to be diverted(in ha.) : 1.89   (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).
1.1.89    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): 30000
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 ?: Yes   (iii). No. of districts involved for raising Compensatory Afforestation: 1   (iv). No. of patches: One
District 1. : Uttarkashi
  (a). Village: Pokhriyal Gaon   (b). Area(in ha.): 3.78   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 224   (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
1A short narrative and importance of the project
2Administrative and Financial sanction (
3Preliminary Joint Inspection report (by user agency, forest department, revenue department etc
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 (for RF signed by DFO and civil soyam, Van panchayat and private nap land signed by DM)
7Category wise (RF,civil soyam, Van panchayat and private nap land, Notified forest land etc.) land length, width and area in Ha
8Bar chart Category wise (RF,civil soyam, Van panchayat and private nap land, Notified forest land etc.) land length, width and area in Ha
9Compensatory afforestation scheme in Civil and Soyam land (10 years) by DFO
10Certificate regarding suitability of indentified land for Comensatory Afforestation by DFO
11Road side/gap filling plantation estimate (by DFO)
12Details of the trees with their scientific name in RF, Civil Soyam, Van Panchayat, Private Notified land and in Nap Land should be mentioned (with valuation of the trees to be felled ) (0-10 dia trees will be mentioned as saplings
13If felling of trees is not involved, certificate by DFO in this regard
14Certificate of felling minimum trees during the project work
15Whather project area is a part of National Park or sanctuary and airal distance of the project from National Park or sanctuary signed by DFO
16No voilation has taken place, FC Act. 1980 reg
17NOC from local Gram Sabhas
18Certificate- work has not been started reg
19Geologist Report (Govt. approved Geologist
20Task Force report
21Certificate by user agency for complying the condition imposed in Standard Condition
22Certificate by user agency for complying the condition imposed in geologist report/Task force recommendation in hill areas
23No historical/monumental or relegeous place will be effected certificate reg. (by DM/DFO)
24Undertakoing regarding no animal will be effected adversely by the project
25Undertading to provide alternative fuelwood, kerosene or LPG to labours involved in project
26Benefited villages/Families/Population Certificate
27NPV calculation certificate as per Hon'ble Supreem court /MoEF orders by DFO
28Undertaking of payment of NPV, if Hon'ble Supreem Court increses the rates of NPV (by user agency)
29Cost of the forest land and lease rent certificate by DM
30Certificate of Lease period by user agency
31Demarcation of land to be diverted ( RCC pillor)
32certificate for Check list
33certificate for eco sensitive zone
34use of explosive
35Certificate
36site inspectio report
37Prarup part 2
38Wastpik rup se kate jane wale paid(tree)
39If non-forest or Revenue forest land is required to be provided by User Agency? A Copy of ownership proof and No Objection
40Cost benefit anylises
41Muck disposal scheme (in prescribed format)
42
43georeference map
44geo reference map
45DM Letter
46EDS remove by deprtment
47Reply of EDS.
48Digital map
49Reply of EDS dt 16.9.2017
50Reply of EDS.
51Objection reoved by user agency
52Objection reoved by user agency
53EDS dated 17-03-2018
54CA Plan also attach with additional information.
55Reply of EDS on 07-09-18
56Reply of EDS as on 11-09-18