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/11269/2015   (ii). Name of Project for which Forest Land is required : basolikhan-virkola-salphad-chirkoli-talla seraghat motor road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Construction of basolikhan- virkola-salphad-chirkoli-talla seraghat motor road of 25.00km length +(3 no. bridge). It will connect villages Madu (population 186), Ara salfar (population 1128), Chimkholi (population 115), Birkola (population 319), bamori khalsa (population 100) and dhuralagga Tak   (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) : 196.57   (viii). Area of forest land proposed for diversion(in ha.): 11.07   (ix). Non-forest land required for this project(in ha.): 11.43   (x). Total period for which the forest land is proposed to be diverted(in years): 100
A-2. Details of User Agency
  (i). Name : CONSTRUCTION DIVISION PWD ALMORA   (ii). Address1 : Construction Division PWD Almora   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Almora   (vi). Pin : 263601   (vii). Landmark : NIL   (viii). Email address : eecdalmorapwd@gmail.com   (ix). Landline Telephone No. : 5962-230091   (x). Fax No. : 5962-5962   (xi). Mobile No. : 9759892120   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Ashutosh   (ii). Middle Name: NIL   (iii). Last Name: Kumar   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: Construction Division PWD Almora   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Almora   (x). Tehsil: Almora   (xi). Pin: 263601   (xii). Landmark: GANDHI PARK CHAUGHANPATA   (xiii). Email Address: eecdalmorapwd@rediffmail.com   (xiv). Landline Telephone No.: 5962-230091   (xv). Fax No.: 05962230091   (xvi). Mobile No.: 7060841257   (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.Civil Soyam,Almora11.0711.43
Total11.0711.43
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Almora11.0711.43
Total11.0711.43
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Madu1.80
2Ara Salfar2.162.79
3Chimkholi2.972.07
4Bamori khalsa2.72.52
5Dhuralagga Tak0.451.8
6Birkola0.992.25
Total 11.07 11.43
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road11.0710.353
2Muck Disposal01.077
Total 11.07 11.43
C. Maps of forest land proposed to be diverted
Division 1. : Civil Soyam,Almora
  (i). Area of forest land proposed to be diverted(in ha.) : 11.07   (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).
1.11.07    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): 1277500
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?: Yes   (a). Copy of Cost-Benefit analysis:
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   (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 imporatance of project(2.1)
2Administrative and financial sanction(2.2)
3Preliminary joint inspection(2.3)
4Joint inspection(2.4)
5No alternative suitable non forest land is suitable(2.5)
6Land schedule(2.6)
7Category wise land length,width and area(2.7)
8Bar Chart(2.8)
9CA scheme(2.9)
10Land suitability for CA scheme(2.10)
11Road sige gap filling for plantation(2.12)
12Certificate to bear the cost of Road side gap filling(2.13)
13Details of trees with their scientific name(2.15)
14Felling of Oak trees(2.16)
15Felling of trees not involved(2.17)
16Felling of minimum trees(2.18)
17Muck Disposal(2.19)
18Project area is a part of National park(2.20)
19Project area is within 10 km of National park(2.21)
20Project area is within of National park(2.22)
21No violation certificate(2.23)
22NOC from Local gram sabha(2.24)
23General layout(2.25)
24Work has not been started certificate(2.27)
25Geologist report(2.28)
26task force report(2.29)
27certificate for complying the imposed standard condition(2.30)
28certificate for complying the imposed standard condition in hilly areas(2.31)
29certificate for no historical monuments is effected(2.32)
30certificate for no animal will beeffected(2.33)
31To provide fuelwood(2.34)
32Benefited villages(2.35)
33NPV calculation certificate(2.36)
34Payment of NPV (2.37)
35Lease rent certificate(2.38)
36Lease period certificate(2.39)
37RCC pillars demarcation(2.40)
38To bear the cost of demarcation(2.41)
39Checklist(2.43)
40Khasra details of the basolikhan road in which 22.14 is necessary for this motor road
41Basolikhan FRA
42letter
43letter 26.05.2022