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/14200/2015   (ii). Name of Project for which Forest Land is required : Construction of Roong Sirkha Motor Road KM-3.00   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Road under Pwd Askote(Dharchula) Division which shall provide connectivity to Roong, Shirdang and Sirkha villages to motor road.   (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) : 151.2   (viii). Area of forest land proposed for diversion(in ha.): 0.45   (ix). Non-forest land required for this project(in ha.): 2.25   (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 ASKOTE   (ii). Address1 : cd pwd askote   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Pithoragarh   (vi). Pin : 262501   (vii). Landmark : NIL   (viii). Email address : eepwdaskote@gmail.com   (ix). Landline Telephone No. : 5964-238724   (x). Fax No. : 5964-0   (xi). Mobile No. : 9412977325   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Suman   (ii). Middle Name: NIL   (iii). Last Name: Bora   (iv). Gender: Female   (v). Designation: Junior engineer   (vi). Address 1: ee cd pwd askote   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Pithoragarh   (x). Tehsil: Didihat   (xi). Pin: 262501   (xii). Landmark: NIL   (xiii). Email Address: eepwdaskote@gmail.com   (xiv). Landline Telephone No.: 5964-238724   (xv). Fax No.: NIL   (xvi). Mobile No.: 8171630275   (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.Pithoragarh0.452.25
Total0.452.25
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Pithoragarh0.452.25
Total0.452.25
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Sirkha00.63
2Sirdang0.361.08
3Roong0.090.54
Total 0.45 2.25
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road & Muck Disposal0.452.25
Total 0.45 2.25
C. Maps of forest land proposed to be diverted
Division 1. : Pithoragarh
  (i). Area of forest land proposed to be diverted(in ha.) : 0.45   (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).
1.0.45    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): 2500
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? : Yes
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?: Not Applicable   (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 ?: Not Applicable   (iii) . Reason for not providing Non-Forest Land: Not Applicable
Additional information Details
Documents
S.No Documents
Remarks
12-3 Preliminary joint Inspection Report
22-5 DM Crt-Alternate suitable non-forest land
32-6 Land schedule
42-7 Category wise Land
52-8 Barchart
62-12 Road side gap filling Plantatio
72-13 User Agency to bear Road side gap filling Plantation
82-15 Details of tree with name
92-16 Felling Oak trees
102-18 Cert of felling minimum Trees
112-19 Muck Disposal
122-20 National Park
132-21 Cert of CCA 10km
142-23 1980
152-24 Noc Gram Sabhas
162-27 Cert Work not start
172-28 Geologist Report
182-29 Task Force report
192-30 31 Standard Condition
202-32 Geologist condition to Taskforce cert
212-33 No Historical monumental
222-34 No Animal effected
232-35 LPG kerosene
242-36 Benefited villages
252-37 Calculation cert of NPV
262-38 Increasing Payment Of NPV
272-39 Cost of forest land and lease rent crt by DM
282-42 Cost for dimarcation of work(RCC)
29Check List
302-1 Short note
31Shirkha motor road objection letter
32objection removed as per cf letter no 1635/12-1 dated 26.10.2015
33CF letter no 1635/12-1 dated 26.10.2015
34Objection removed
35Objection removed