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/10859/2015   (ii). Name of Project for which Forest Land is required : Const of Tarari Dabhara Shashikhal motor road.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Construction of Tarari Dabhara Shashikhal motor road Sanctioned by Govt. order no. 2404/Lo. Ni.-2/2003-2(Mu.M.Gho.)/2003 dated 15-12-2003 Proposed length of the road 21 Km. and cost is 744.20. Benefited villages are Chamkana, Dadharya, Styland 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) : 744.2   (viii). Area of forest land proposed for diversion(in ha.): 4.905   (ix). Non-forest land required for this project(in ha.): 13.995   (x). Total period for which the forest land is proposed to be diverted(in years): 300
A-2. Details of User Agency
  (i). Name : EXECUTIVE ENGINEER   (ii). Address1 : Provincial Division P.W.D., Ranikhet   (iii). Address2 : Mall Raod Ranikhet   (iv). State : Uttarakhand   (v). District : Almora   (vi). Pin : 263645   (vii). Landmark : NIL   (viii). Email address : eepdrani@yahoo.com   (ix). Landline Telephone No. : 5966-220679   (x). Fax No. : NIL   (xi). Mobile No. : 7500540231   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Lalit   (ii). Middle Name: Kumar   (iii). Last Name: Goel   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: Provincial Division PWD, Ranikhet   (vii). Address 2: Mall Road Ranikhet   (viii). State: Uttarakhand   (ix). District: Almora   (x). Tehsil: NIL   (xi). Pin: 263645   (xii). Landmark: Ranikhet   (xiii). Email Address: eepdrani@yahoo.com   (xiv). Landline Telephone No.: 5966-220679   (xv). Fax No.: 05966220679   (xvi). Mobile No.: 9412919971   (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
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
1ApprovedFP/UK/ROAD/19725/20168B/UCP/06/173/2016/FC/19532.162.1629 Dec 201621 Feb 2018
Total 2.16 2.16
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.Almora4.90513.995
Total4.90513.995
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Almora4.90513.995
Total4.90513.995
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Madre0.761.935
2Kukurar0.51.84
3Binoli1.31.96
4Davra1.261.84
5Dadria0.41.68
6Chamkana0.371.59
7Dangula0.3151.84
8Soli01.3
Total 4.905 13.985
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1For road work Km 1 to 214.90513.335
2For Muck Disposal Dumping Yard00.659
Total 4.905 13.994
C. Maps of forest land proposed to be diverted
Division 1. : Almora
  (i). Area of forest land proposed to be diverted(in ha.) : 4.905   (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).
1.4.905    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): 160   (iii). Temporary Employment(Number of person-days): 4000
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. : Almora
  (a). Village: bandharan Basnal   (b). Area(in ha.): 9.81   (c). Copy of KML file of the patch:     View File   (d). Khasra details: Kata no 54   (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
1Short narrative and importance of the project.
2Administrative and finance sanction
3Preliminary joint inspection report
4Comparative chart showing statement of both alignment
5Certificate from the DM that no alternate suitable non forest land is available for the project
6Land Schdule
7Category wise land length, width and area.
8Bar chart with index
9Compensatory Certificate regarding suitability of identified land for CA
10Undertaking by the user agency to bear the cost of C.A
11Road side/ gap filling plantation estimate
12Undertaking by the user agency to bear the cost of road side/ gap filling plantation.
13Details of trees with their scientific names.
14Felling of oak trees certificate
15Certificate of felling minimum trees during the project work.
16Muck disposal scheme as per prescribed format
17Whather project area is a part of National Park or sanctuary and arial distance of the project from National park or sanctuary park
18No violation has been taken place, FC Act 1980
19NOC from local gram sabhas
20NOC from Van Panchayat samiti
21Geologist report
22Task force report
23Manak shartain
24certificate by user agency for complying condition in manak shartainManak shartain
25certificate reg. complying geologist/ task force recommendation.
26No historical/ monumental or religious place will be effected certificate reg.
27Undertaking regarding no animal will be affected adversely by the project.
28Undertaking to provide alternative fuel to labours
29Benefited villages/ families
30NPV calculation
31Undertaking regarding increase the rates of NPV
32Undertaking to bear the cost of demarcation work
33Check list/ Fact sheet
34Part I filled by user agency
35Part II
36Undertaking by the user agency to bear the cost of C.A.
37Main Attachment and Additional attachment
38Objection removed by letter no. 2093/36c dated 30-08-2016 behalf your letter no. memo/12-1(2) dated 27-07-2016
39GO of pipna manhat M R
40objection removal by letter no 04/camp/36c/rkt dated 02-11-16 in ref of your letter no. 2419/12-1(2) dated 04-11-16
41Objection removed letter no 2724/36c dated 18-11-2016 in ref of your letter no. memo/12-1(2) dated 16-11-2016
42Compensatory afforestation scheme in civil and soyam land (10 years) by DFO
43Objection removed by letter no 3003/36c dated 24-12-2016 in ref of your letter no. nil dated 16-12-2016