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/14661/2015
(ii). Name of Project for which Forest Land is required :
Construction of Steel Girder Bridge with approch Road connecting Km 02 of Ghansaali Ghuttu Motor Road and Km 03(6-8) of ghansali Koti Akhori Motor Road at Ardhangi.
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
The construction of this new road will facilitates the population of 3836 .and it will connect the two important road ghansali koti akhori and ghansali guttu motor road which also facilitates the chardham yatries
(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) :
275
(viii). Area of forest land proposed for diversion(in ha.):
0.245
(ix). Non-forest land required for this project(in ha.):
0.09
(x). Total period for which the forest land is proposed to be diverted(in years):
99
A-2.
Details of User Agency
(i). Name :
PUBLIC WORKS DEPARTMENT GHANSALI
(ii). Address1 :
OFFICE OF EXECUTIVE ENGINEER TEMP. DIV. PWD GHANSALI UTTRAKHAND
(iii). Address2 :
NIL
(iv). State :
Uttarakhand
(v). District :
Tehri Garhwal
(vi). Pin :
249155
(vii). Landmark :
NIL
(viii). Email address :
eepwdghansali@rediffmail.com
(ix). Landline Telephone No. :
1379-258327
(x). Fax No. :
1379-1379
(xi). Mobile No. :
7533944842
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
BIRENDRA
(ii). Middle Name:
SINGH
(iii). Last Name:
BASERA
(iv). Gender:
Male
(v). Designation:
ASST.ENGINEER
(vi). Address 1:
C/O EXECUTIVE ENGINEER TEMP. DIV PWD GHANSALI, TEHRI GARHWAL, UTTARAKHAND
(vii). Address 2:
NIL
(viii). State:
Uttarakhand
(ix). District:
Tehri Garhwal
(x). Tehsil:
NIL
(xi). Pin:
249155
(xii). Landmark:
NIL
(xiii). Email Address:
eepwdghansali@rediffmail.com
(xiv). Landline Telephone No.:
1379-258327
(xv). Fax No.:
01379258327
(xvi). Mobile No.:
9012475006
(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
1
Under Processing at State Government
FP/UK/ROAD/47739/2020
1.085
0
Total
1.085
0
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.
Tehri,New Tehri
0.245
0.09
Total
0.245
0.09
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Tehri Garhwal
0.245
0.09
Total
0.245
0.09
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Phalenda (Motor Road)
0.133
0
2
Phalenda (Steel Girder Bridge Span)
0.042
0
3
Raunsal
0.07
0.09
Total
0.245
0.09
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Phalenda-5A (Steel Girder Bridge Span)
0.042
0
2
Phalenda-5A (Motor Road)
0.133
0
3
Revenue land (Motor Road)
0.05
0.09
4
Revenue land (Muck Dumping)
0.02
0
Total
0.245
0.09
C.
Maps of forest land proposed to be diverted
Division 1. : Tehri,New Tehri
(i). Area of forest land proposed to be diverted(in ha.) :
0.245
(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.
0.245
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):
10000
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?:
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
1
Administrative and Financial sanction (pdf file)
2
Preliminary Joint Inspection report (by user agency, Forestdepartment, revenue department etc.) (pdf file)
3
Comparative chart showing statement of both alignment and alternate site explored for the proposed project and reason for their rejection duly countersigned by DfO. (Pdf file).
4
Certificate from the DM that no alternative suitable non-forest land is available for project in question and the demand of the forest land for the project is barest minimum.(pdf file)
5
Land schedule (for RF signed by DFO and civil soyam, Van panchayat and privet nap land, Notified forest land etc.) (pdf file)
6
Category wise (RF,civil soyam,Van panchayat and privet nap land, Notified forest land etc.) land length, width and area in Ha.(pdf file)
7
Category wise (RF,civil soyam,Van panchayat and privet nap land, Notified forest land Bar chart with index (counter signed by DFO). (Pdf file).
8
Compensatory afforestation scheme in Civil and Soyam land (10 years) by DFO (pdf file).Notified forest land Bar chart with index (counter signed by DFO). (Pdf file).
9
Certificate regarding suitability of identified land for Compensatory Afforestation by DFO (pdf file).
10
Undertaking by the user agency to bear the cost of compensatory afforestation duly counter signed by the DFO (pdf file)
11
Road side/gap filling plantation estimate (by DFO) (pdf file)
12
Estimate of 100 tree plantation by DFO (less than 1.0 he. Cases)(pdf file)
13
Details of the tree with their scientific name in RF.Civil Soyam ,Van panchayat ,Privet Land should be mentioned (with valuation of the trees to be filled)(0-10 dia trees will be mentioned as saplings).(pdf file)
14
Felling of Oak Trees (if involves, inspection report of the concerning CF has to be provided)(pdf file)
15
If felling of tree is not involved, certificate by DFO in this regard.(pdf file)
16
Certificate of felling minimum trees during the project work. (pdf file).
17
Muck disposal scheme (in prescribed format)(pdf file)
18
WatherProject area Is not Part Of National Park Or Sanctuary And Arial Distance Of The Project From National Park Or Sanctuary Singed By DFO(Pdf File)
19
In The Project Area Is Within 10 K.M Radios Of N/P Or Centuary Comments/No Objection Certificate Of CCE Wild Life Has To Be Provided.(Pdf File)
20
In The Project Falling Within The National Park Or Centaury ,Needs Recommendation Of State Wild Life Board Of wild Life(NBWL) And Permission Of Hon Ble Supreme Court/MOEF(Pdf File)
21
No Violation Has Taken Place,FC Act 1980 Reg( Pdf File)
22
Component Wise Details Of Construction Work.(Pdf File)
23
Certificate Work Has Not Been Started Reg.(Pdf File)
24
Geologist report (Govt Approved Geologist).(Pdf File)
25
Task Force Certificate
26
Certificate By user Agency For Complying The Condition Imposed In Standard Condition(Pdf File)
27
Certificate By User Agency For Complying The Condition Imposed In Geologist Report/Task Force Recommendation In Hill Areas(Excluding Drinking Water)
28
No Historical / Monumental Or Religious Place Will Be Effected Certificate Reg (By DM/Dfo Pdf File)
29
Under The Provide Alternative Fuel wood, Kerosene Or LPg To Labors Involved In Project.(Pdf File)
30
Benefited Village/Families/Population Certificate.(Pdf File)
31
NPV Calculation Certificate As Per Hon’bleSupreme Court/MOEF Orders By DFO (Pdf File)
32
Undertaking Of Payment Of NPV If Hon’ble Supreme Court Increase The Rates Of NPV (By User Agency) Court/MOEF Orders By DFO (Pdf File)
33
Cost Of Forest Land And Lease Rent Certificate By DM.(Pdf File)
34
Undertaking Of User Agency To Bear The Cost Of Demarcation Work( Pdf File)
35
Check List/Fact Sheet/Other Important Detail.
36
If non-forest or Revenue forest land is required to be provide by User Agency ? A Copy of ownership proof and No objection Certificate (pdf file)
37
acknowledgement
38
EDS reply letter
39
FRA with date
40
Digital map with GPS coordinates
41
Objection reply for original hard copy proposal.
42
New Bar chart
43
Authorised person
44
Topo sheet
45
GIS map diverted land
46
Land schedule new
47
complete land schedule
48
KML objecion
49
eds letter part-I
50
51
kml revised ojection
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