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/10588/2015   (ii). Name of Project for which Forest Land is required : Extension of Garsari Motor road to Kulyani - Dhandankhet   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Extension of Garsari Motor road to vill. Kulyani and Inter college Dhandankhet and near by other villages which are not benefited by the road. length of road is 3.000 km which is in thalisan block of shrinagar constituency in pauri district   (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) : 37.8   (viii). Area of forest land proposed for diversion(in ha.): 1.08   (ix). Non-forest land required for this project(in ha.): 2.16   (x). Total period for which the forest land is proposed to be diverted(in years): 100
A-2. Details of User Agency
  (i). Name : PWD   (ii). Address1 : CD PWD BAIJRO   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Pauri Garhwal   (vi). Pin : 246278   (vii). Landmark : NIL   (viii). Email address : eepwdbaijro@rediffmail.com   (ix). Landline Telephone No. : 1348-267116   (x). Fax No. : 1348-267116   (xi). Mobile No. : 9756885708   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: anil   (ii). Middle Name: kumar   (iii). Last Name: negi   (iv). Gender: Male   (v). Designation: amin   (vi). Address 1: cd pwd baijro   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Pauri Garhwal   (x). Tehsil: Thali Sain   (xi). Pin: 246278   (xii). Landmark: NIL   (xiii). Email Address: anilkumarbaijro@gmail.com   (xiv). Landline Telephone No.: 1348-267116   (xv). Fax No.: 01348267116   (xvi). Mobile No.: 9761180526   (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.Garhwal,Pauri1.082.16
Total1.082.16
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Pauri Garhwal1.082.16
Total1.082.16
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Kulyani1.082.16
Total 1.08 2.16
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road1.081.62
2Muck disposal00.54
Total 1.08 2.16
C. Maps of forest land proposed to be diverted
Division 1. : Garhwal,Pauri
  (i). Area of forest land proposed to be diverted(in ha.) : 1.08   (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).
1.1.08    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): 5   (iii). Temporary Employment(Number of person-days): 500
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. : Pauri Garhwal
  (a). Village: Dhaund   (b). Area(in ha.): 2.16   (c). Copy of KML file of the patch:     View File   (d). Khasra details: khasra no 7355, 7356, 7357   (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
12.1 JUSTIFICATION
22.2 G.O
32.3 JOINT INSPECTION
42.4 COMPRATIIVE CHART
52.5 FOREST LAND FOR THE PROJECT BAREST MINIMUM
62.6 LAND SCHEDULE
72.7 CATEGORY WISE LAND LENGTH WIDTH AND AREA
82.8 BAR CHART
92.9 COMPENSATRORY AFFORESTION scheme10 years
102.10 SUITABILITY OF INDENTIFIED LAND FOR CA
112.11 BEAR THE COST OF CA
122.12 ROAD SIDE GAP PLANTARION ESTIMATE
132.13 BEAR THE COST OF ROAD SIDE GAP PLANTAION
142.15 DETAILS OF THE TREES WITH
152.16 OAK TREES INSPECTION REPORT
162.18 CERTIFICATE OF FELLING MINIMUM TREES
172.19 MUCK DISPOSAL PLAN
182.20 DISTANCE OF THE PROJECT FROM NATION PARK
192.23 NO VOILATION FC ACT 1980
202.24 NOC FROM LOCAL GRAM SABHAS
212.26 COMPONENT WISE DETAILS OF C. WORK
222.27 CERTIFICTE WORK HAS NO BEEN STARTED REG
232.28 GEOLOGIST REPORT
242.29 TASK FORCE REPORT
252.30 CERTIFICATE FOR COMPLYING OF STANDARD CONDITION
262.31 COMPLYING OF GEOLOGIST REPORT TASK FORCE
272.32 NO HISTORICAL MONUMENTAL OR RELEGEOUS PLACE
282.33 NO ANIMAL WILL BE EFFECTED
292.34 UNDERADING TO PROVIDE KEROSENE OR LPG
302.35 BENEFITED VILLAGES FAMILIES POPULATION
312.36 NPV CALCULATION CERTIFICATE
322.37 PAYMENTS OF NPV HON'BLE SUPREEM COURT INCRESES
332.38 COST OF THE FOREST LAND
342.40 DEMARCATION OF LAND
352.41 BEAR THE COST OF DIMARCATION WORK
362.43 FACT SHEET
37Point wise settlement of objection
38Point wise disposal of objection in tabular form
39pint wise removal of objection