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/11194/2015   (ii). Name of Project for which Forest Land is required : Kaljikhal To Saknibadi motor road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Roads play an important role in the development of any country. A good network of roads is a key of national development also.Pauri Gharwar is the district of Uttarakhand State, which is is very rich in tourism and pilgrimage. There are fifteen blocks in this district and economics activities. This   (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) : 549.33   (viii). Area of forest land proposed for diversion(in ha.): 4.427   (ix). Non-forest land required for this project(in ha.): 3.251   (x). Total period for which the forest land is proposed to be diverted(in years): NIL
A-2. Details of User Agency
  (i). Name : EXECUTIVE ENGINEER PMGSY DIV PWD SATPULI   (ii). Address1 : EX. EN.PMGSY DIV. PWD GINWAI SHROT KOTDWARA   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Pauri Garhwal   (vi). Pin : 246149   (vii). Landmark : SIDHBALI MANDIR KOTDWARA   (viii). Email address : eepmgsysatpuli@rediffmail.com   (ix). Landline Telephone No. : 1382-229892   (x). Fax No. : 1382-229892   (xi). Mobile No. : 9412988870   (xii). Website (if any) : no   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: ASHOK   (ii). Middle Name: KUMAR   (iii). Last Name: NA   (iv). Gender: Male   (v). Designation: EXECUTIVE ENGINEER   (vi). Address 1: EX. EN.PMGSY DIV. PWD GINWAI SHROT KOTDWARA   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Pauri Garhwal   (x). Tehsil: Kotdwara   (xi). Pin: 246149   (xii). Landmark: SIDHBALI MANDIR KOTDWARA   (xiii). Email Address: kuldeepdhyani17@gmail.com   (xiv). Landline Telephone No.: 1382-229892   (xv). Fax No.: 01382229892   (xvi). Mobile No.: 9412988870   (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,Pauri4.4273.251
Total4.4273.251
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Pauri Garhwal4.4273.251
Total4.4273.251
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Sakni Choti, Deval, Nogaon, Goran4.4273.251
Total 4.427 3.251
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road3.5673.251
Total 3.567 3.251
C. Maps of forest land proposed to be diverted
Division 1. : Garhwal,Pauri
  (i). Area of forest land proposed to be diverted(in ha.) : 4.427   (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).
1.4.427    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): 30   (iii). Temporary Employment(Number of person-days): 400
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: Five
District 1. : Pauri Garhwal
  (a). Village: Saknibadi, Saknichoti, Dhora   (b). Area(in ha.): 8.854   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 298, 309, 312, 636, 660, 2209, 2358   (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
1Compensatory afforestation related (form 22,42,43,44,45,46)
2Forest Act 1980 related file (Form 18,54,55,56)
3Alternate Alignment, Geologist report, Task force related file (Form 12,13,14,33,34,35,36)
4Project Report and government order related file (Form 11,5)
5Joint Inspection report related file (Form 6,19,20,21,22)
6Land Schedule, Bar Chart, NOC related file (Form 15,16,17,28,47,48)
7Muck Disposal related file (Form 49)
8Other related file (Form 1,2,3,4,25,26,27,32,37,38,39,40,41,50,51,52,53)