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/10790/2015   (ii). Name of Project for which Forest Land is required : Construction of Shrigad - Hanoli Motor Road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The road is for connectivity to villages Shrigad and Dandagair with a population of 347 and 155 respectively located in Block Pokhari of District - Chamoli. The road will also serve people for their daily routine works to the block office and tehsil which is about 20km away from these villages, in   (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) : 260.8   (viii). Area of forest land proposed for diversion(in ha.): 2.1   (ix). Non-forest land required for this project(in ha.): 0.77   (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   (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.Kedarnath Wild Life Division,Gopeshwar2.10.77
Total2.10.77
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Chamoli2.10.77
Total2.10.77
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Hanoli0.70.35
2Dandagair00.07
3srigad1.40.35
Total 2.1 0.77
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road2.10.769989
Total 2.1 0.769989
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.) : 2.1   (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).
1.2.1    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): 8000
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: Two
District 1. : Chamoli
  (a). Village: chamsil   (b). Area(in ha.): 1.2   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 1109,1112   (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: chamsil   (b). Area(in ha.): 3   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 1109,1112   (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 bearing cost of bothside of road plantation
4bothside of road plantation scheme
5Brief description and importance of project
6Compensatory Afforestation Scheme
7certificate of bearing cost by user agency for Compensatory Afforestation
8Certificate of benefitted Families
9certificate of providing wood/kerosene etc by user agency
10Comparative chart between proposed and alternate alignment
11Geologist Report
12certificate of Geologist/zila taskforce guidelines compliance
13Certificate of NPV amount
14Certificate by user agency to bear increase in NPV amount in future
15oint 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
29Description and evaluation of trees to be felled
30Task force certificate
31Site Inspection Report
32Part 1-5
33receiving of hard copy submitted at nodal
34Sir/Madam, The required hard copy (03 no.) of the proposal has been submitted to the Nodal office, receipt of which is being attached herewith.
35The required hardcopy of the proposal in 03 number has been already submitted to the nodal office confirmation of which was given to DFO office kedarnath by attaching here the receiving of the letter on 24 aug 2016,but the proposal has again returned to user agency for no reason. Receiving letter of the hardcopy submitted to nodal office is being attached here again. please refer the proposal to the next level.
36Bar chart
37Administrative and financial sanction copy uploaded.
38Muck Disposal Scheme along with all NOCs has been uploaded.
39The pointwise correction has been made and uploaded and also sent to your office with hardcopy of the proposal with all documnets in original.
40The copy of the acknowlefgement slip ensuring the submission of duly signed hardcopy of the proposal is being attached.
41The copy of the recieving letter ensuring the submission of duly signed hardcopy of the proposal in 03 number to the Nodal Office Dehradun dated 06-08-2016 is being attached.
42Point wise correction has been made and uploaded
43Point wise correction has been made and uploaded
44Point wise correction has been made and uploaded
45justification authenticated by DFO and other document GPS map of CA uploaded as per EDS 26.04.2018 revisied 06june 18
46EDS reply on 26-09-2018