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/10587/2015   (ii). Name of Project for which Forest Land is required : Construction of Jahopra-Shikhar-Basti Motor Road(12.00 Km)   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : This road is proposed to be constructed from KST MR Km. 43 to Jhopra-Shikhar-Basti motor road By the construction of this road Jhopra, Shikhar, and Basti villages having total population 300 (as per 2001 census) Road is one of the most needful infrastructure for the living/development of the area.   (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) : 600   (viii). Area of forest land proposed for diversion(in ha.): 4.987   (ix). Non-forest land required for this project(in ha.): 3.412   (x). Total period for which the forest land is proposed to be diverted(in years): 100
A-2. Details of User Agency
  (i). Name : PWDKAPKOT   (ii). Address1 : C.D.P.W.D.KAPKOTE   (iii). Address2 : BAGESHWAR   (iv). State : Uttarakhand   (v). District : Bageshwar   (vi). Pin : 263642   (vii). Landmark : Kapkot   (viii). Email address : cdpwdkapkot@gmail.com   (ix). Landline Telephone No. : 5963-253385   (x). Fax No. : 5963-253385   (xi). Mobile No. : 9639377012   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Sanjay Kumar Pandey   (ii). Middle Name: Kumar   (iii). Last Name: Pandey   (iv). Gender: Male   (v). Designation: E.E.   (vi). Address 1: C.D.P.W.D.KAPKOTE   (vii). Address 2: BAGESHWAR   (viii). State: Uttarakhand   (ix). District: Bageshwar   (x). Tehsil: Kapkot   (xi). Pin: 263642   (xii). Landmark: kapkot   (xiii). Email Address: cdpwdkapkot@gmail.com   (xiv). Landline Telephone No.: 5963-253385   (xv). Fax No.: 05963253385   (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
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.Bageshwar4.9873.412
Total4.9873.412
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Bageshwar4.9873.412
Total4.9873.412
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Jahopara1.20.8
2Kasnaula0.980.75
3Basti2.8071.86
Total 4.987 3.41
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road4.9872.712
2Nap Land(Muck Dispogal)00.7
Total 4.987 3.412
C. Maps of forest land proposed to be diverted
Division 1. : Bageshwar
  (i). Area of forest land proposed to be diverted(in ha.) : 4.987   (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).
1.4.987    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: No Data   (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): 25200
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: One
District 1. : Bageshwar
  (a). Village: Nakora Vanpanchayat   (b). Area(in ha.): 9.974   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 1   (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
11.4
21.5
31.6
41.8
51.9
6A 2.37
7A 2.43
8containing justification for locating the Project in forest land
9Certificate by DM- Forest right act 2006 reg.(in MoEF revised
10NOC from local Gram Sabhas
11ROAD G.O
12Preliminary Joint Inspection report
13Details 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
14Felling of Oak trees (if involves, inspection report of the concerni
15Muck disposal scheme (in prescribed format)
16Land schedule (for RF signed by DFO and civil soyam, Van & NOC from local Gram Sabhas
17Land schedule
18Benefited villages Families Population certificate
19Task Forcex recommendation in hill areas
20Manak Shartain
21No historicalmonumental or relegeous place will be effected
22Bar Chart
23Category wise (RF,civil soyam, Van panchayat and private nap land, Notified forest land etc.) land length, width and area in Ha
24Whether project area is a part of National Park or sanctuary and airal distance of the project from National Park or sanctuary signed by
25Certificate- work has not been started reg
2610 year plantains estimate
27NPV calculation certificate as per Hon'ble Supreem court
28Comperative chart showing statement of both alignment or alternate
29signed acknowledgment slip of receipt of hard copy at NODAL office
30EDS Dated 13-07-2016
31signed acknowledgment slip of receipt of hard copy at NODAL office dated 27-04-2016
32signed acknowledgment slip of receipt of hard copy at NODAL office dated 27-04-2016
33Hard copy Reviving in nodal office letter no 2620/12-1 Dated 11-04-2017
34CA Certificate
35Eds dated 01-09-2017
36Eds Dated 28-10-2017
37EDS Dated 27-12-2017
38eds 01-01-2019
39Eds Dated 15-05-2019
40Eds Dated 18-06-2019
41Eds Dated 04-12-2019
42Eds Dated 14-08-2020
43Eds Dated 29-09-2020
44Eds Dated 29-09-2020
45Eds Dated 29-09-2020
46Eds dated 11-11-2020
47Eds dated 11-11-2020
48Eds Dated 29-12-2021
4910 year plantation
50eds dated 14-01-2022