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/15682/2015   (ii). Name of Project for which Forest Land is required : Construction of Phaithan Darsingh Khatigun Natishera to Bhantola Motor Road (Length 9.500 Km)   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Construction of Phaithan-Darsingh-Khatigun-Natishera to Bantola Motor road (9.500 Km). Starting from Km 34 & 35 of BDDK Motor Road. Connecting Villages of Phaithan, Darsingh, Khatigun, Natishera Teshsil-Kapkot, District-Bageshwar   (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) : 450   (viii). Area of forest land proposed for diversion(in ha.): 4.95   (ix). Non-forest land required for this project(in ha.): 3.6   (x). Total period for which the forest land is proposed to be diverted(in years): 100
A-2. Details of User Agency
  (i). Name : PWDKAPKOT   (ii). Address1 : C.D.P.W.D.KAPKOTE   (iii). Address2 : BAGESHWAR   (iv). State : Uttarakhand   (v). District : Bageshwar   (vi). Pin : 263642   (vii). Landmark : Kapkot   (viii). Email address : cdpwdkapkot@gmail.com   (ix). Landline Telephone No. : 5963-253385   (x). Fax No. : 5963-253385   (xi). Mobile No. : 9639377012   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Sanjay Kumar Pandey   (ii). Middle Name: Kumar   (iii). Last Name: Pandey   (iv). Gender: Male   (v). Designation: E.E.   (vi). Address 1: C.D.P.W.D.KAPKOTE   (vii). Address 2: BAGESHWAR   (viii). State: Uttarakhand   (ix). District: Bageshwar   (x). Tehsil: Kapkot   (xi). Pin: 263642   (xii). Landmark: kapkot   (xiii). Email Address: cdpwdkapkot@gmail.com   (xiv). Landline Telephone No.: 5963-253385   (xv). Fax No.: 05963253385   (xvi). Mobile No.: 9719471059   (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.Bageshwar4.953.6
Total4.953.6
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Bageshwar4.953.6
Total4.953.6
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Paithan1.20.9
2Darsingh0.80.2
3Bhantola1.451.25
4Horali1.51.25
Total 4.95 3.6
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Reserve forest0.90
2Civil Land0.90
3Van Panitcht3.150
4Nap Land(Muck Disposal)03.6
Total 4.95 3.6
C. Maps of forest land proposed to be diverted
Division 1. : Bageshwar
  (i). Area of forest land proposed to be diverted(in ha.) : 4.95   (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).
1.4.95    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): 15800
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. : Bageshwar
  (a). Village: Chhatina   (b). Area(in ha.): 9.9   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 1   (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
1Note containing justification for locating the Project in forest land
2NOC LOCA GRAM SUBA
3Administrative and Financial sanction
4Preliminary Joint Inspection report
5Comperative chart showing statement of both alignment or alternate
6Comperative chart showing statement
7forest land for the project is barest minimum
8Land schedule (for RF signed by DFO and civil soyam, Van
9Category wise (RF,civil soyam, Van panchayat and private nap land
10Bar Chart with index
11Certificate reg. suitability of indentified land for Comensatory
12Undertaking by the User Agency to bear the cost of compensatory
13Road side/gap filling plantation estimate
14Details of the trees with their scientific name in RF, Civil Soyam
15valuation of the trees to be felled ) (0-10 dia trees will be mentioned as saplings
16Compensatory afforestation scheme in Civil and Soyam land (10 years
17Certificate of felling minimum trees during the project work
18Felling of Oak trees
19No voilation has taken place, FC Act. 1980 reg
20Geologist Report
21Task Force report
22Manak Shartain
23signed acknowledgment slip of receipt of hard copy at DFO & nodal office
24muck disposal (Revised)
25EDS Dated 10-08-2016
26Village Wise
27phathan_darsingh(EDS) dated 02-03-2017
28Hard copy Reviving in nodal office letter no 2620/12-1 Dated 11-04-2017
29Eds Dated 21-06-2017
30Eds Dated 31-03-2018
31EDS 07-07-2018
32Eds Dated 16/10/2018
33Eds 03-12-2018
34Eds Dated 05/03/2019
35Eds 27-09-2019
36Eds 28-11-2019
37eds dated 30-12-2021
38Eds 17-01-2022
39paithan darsingh eds dated 25-05-2022
40eds dated 07-01-2023
41EDS 08-05-2023
42Eds Dated 01-07-2023