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/10131/2015   (ii). Name of Project for which Forest Land is required : Construction of Pokhari - Kandai Motor Road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Construction of Pokhari - Kandai Motor Road of length 14.2 kms under PMGSY pokhari (chamoli)   (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) : 747.58   (viii). Area of forest land proposed for diversion(in ha.): 7.35   (ix). Non-forest land required for this project(in ha.): 2.59   (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 DIVISION PWD POKHARI   (ii). Address1 : Construction Division, PWD Pokhari, chamoli (Uttarakhand)   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Chamoli   (vi). Pin : 246473   (vii). Landmark : NIL   (viii). Email address : eepmgsypokhari@rediffmail.com   (ix). Landline Telephone No. : 1372-222225   (x). Fax No. : 1372-   (xi). Mobile No. : 9758299911   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Hareesh   (ii). Middle Name: NIL   (iii). Last Name: Chauhan   (iv). Gender: Male   (v). Designation: Assistant Engineer   (vi). Address 1: Assistant Engineer,PMGSY POKHARI Headquarter Gopeshwar   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Chamoli   (x). Tehsil: Pokhari   (xi). Pin: 246401   (xii). Landmark: NIL   (xiii). Email Address: sandeepdv31@gmail.com   (xiv). Landline Telephone No.: 1372-222225   (xv). Fax No.: NIL   (xvi). Mobile No.: 9410901109   (i). Copy of documents in support of the competence/authority of the person making this application to make application on behalf of the User Agency: No Data
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.Kedarnath Wild Life Division,Gopeshwar7.352.59
Total7.352.59
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Chamoli7.352.59
Total7.352.59
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Gugli00.7
2Sarnachai00.7
3Veena Talla6.30
4Dhamak01.05
5Kafalpaani1.050
6Trishula00.14
Total 7.35 2.59
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Civil Land4.20
2Van Panchayat Land3.150
3Private Land02.589993
Total 7.35 2.589993
C. Maps of forest land proposed to be diverted
Division 1. : Kedarnath Wild Life Division,Gopeshwar
  (i). Area of forest land proposed to be diverted(in ha.) : 7.35   (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).
1.7.35    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: No   (a). Reason for not providing such map: Only one alignment is possible
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): 36500
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: Two
District 1. : Chamoli
  (a). Village: Khalyun   (b). Area(in ha.): 7.172   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 40,135   (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:
District 2. : Chamoli
  (a). Village: Kafalpani   (b). Area(in ha.): 7.713   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 220   (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
1Aam Sabha NOCs
2Aerial Distance certificate
3Certificate of benefitted Families
4Certificate of bearing cost of bothside of road plantation
5bothside of road plantation scheme
6Brief description and importance of project
7certificate of bearing cost by user agency for Compensatory Afforestation
8Land Suitability certificate for CA
9Comparative chart between proposed and alternate alignment
10certificate of providing wood/kerosene etc by user agency
11certificate of Geologist/zila taskforce guidelines compliance
12Geologist Report
13Certificate by user agency to bear increase in NPV amount in future
14Certificate of NPV amount
15Joint Inspection Report
16Land Schedule
17Length and Breadth certificate of Project
18Maanak Shartein
19certificate of of minimum trees felling
20Muck Disposal Scheme along with all NOCs
21certificate of non avalability of any other alternate forest land
22certificate of no harm to animals
23certificate of no harm to Religious ancient etc monuments
24certificate of no voilation of forest conservation act 1980
25certificate of no work is started yet
26Certificate of Oak Trees Felling
27Estimate of boundary pillars
28certificate of bearing cost of boundary pillars by user agency
29Task force certificate
30Description and evaluation of trees to be felled
31MoU between private land owner and user agency and NOCs
32Part 1-5
33Bar chart
34praroop 30.3 Anapatti praman patra
35The Administrative and financial sanction duly signed by competent authority has been uploaded.
36Compensatory Afforestation scheme has been attached.
37The pointwise correction has been made and all the necessary entries required has been filled correctly.
38The pointwise correction has been made and all the necessary entries required has been filled correctly
39Hard copy of the proposal as required already is sumitted to nodal office dehradun and letter is attached.
40letter is attached
41Hard copy of the proposal with all necessary documents is submitted on 16.03.18 to nodal office Dehradun. Recieving is attached.
42Hard copy of the proposal with all necessary documents is submitted on 16.03.18 and other necessary original documents is also submitted on date 13.7.18 to nodal office Dehradun. Recieving is attached.