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/16539/2015   (ii). Name of Project for which Forest Land is required : Extention of Maikhuli-Devradi-Kaflekh-Kathurkhal Motor Road.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : construction of 10 km motor road in Thalisain block, constituency Shrinagar in District Pauri Garhwal for connecting rural villages which are yet not benefited by 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) : 126   (viii). Area of forest land proposed for diversion(in ha.): 3.078   (ix). Non-forest land required for this project(in ha.): 5.922   (x). Total period for which the forest land is proposed to be diverted(in years): 100
A-2. Details of User Agency
  (i). Name : PWD   (ii). Address1 : CD PWD BAIJRO   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Pauri Garhwal   (vi). Pin : 246278   (vii). Landmark : NIL   (viii). Email address : eepwdbaijro@rediffmail.com   (ix). Landline Telephone No. : 1348-267116   (x). Fax No. : 1348-267116   (xi). Mobile No. : 9756885708   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: anil   (ii). Middle Name: kumar   (iii). Last Name: negi   (iv). Gender: Male   (v). Designation: amin   (vi). Address 1: cd pwd baijro   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Pauri Garhwal   (x). Tehsil: Thali Sain   (xi). Pin: 246278   (xii). Landmark: NIL   (xiii). Email Address: anilkumarbaijro@gmail.com   (xiv). Landline Telephone No.: 1348-267116   (xv). Fax No.: 01348267116   (xvi). Mobile No.: 9761180526   (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,Pauri3.0785.922
Total3.0785.922
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Pauri Garhwal3.0785.922
Total3.0785.922
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1kaflekh0.560.374
2chounda0.640.313
3sundargaoun0.72.391
4daira0.6660.324
5Jainty0.5121.41
6tolyoun01.01
Total 3.078 5.822
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road3.0784.18995
2muck disposal01.732
Total 3.078 5.92195
C. Maps of forest land proposed to be diverted
Division 1. : Garhwal,Pauri
  (i). Area of forest land proposed to be diverted(in ha.) : 3.078   (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).
1.3.078    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): 8   (iii). Temporary Employment(Number of person-days): 9000
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. : Pauri Garhwal
  (a). Village: chilaun   (b). Area(in ha.): 6.156   (c). Copy of KML file of the patch:     View File   (d). Khasra details: khasra no 01   (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
12.1 a short narrative and importance of the project
22.2 GO LETTER
32.3jjoint inspection riport
42.4 comprative chart
52.5 certificate from the DM that no alternativ non forest land is available
62.6 land schedule
72.7 cstegory wise land length width and area
82.8 bar chart
92.9 CA Scheme
102.10 certificate regarding suitability of identified land for C A
112.11 Undertaking by the U A to bear the cost of C A .pdf
122.12 Road side plantation estimate.pdf
132.13 UNDERTAKING BY THE UA TO BEAR THE COST OF ROAD SIDE PLANTATION.pdf
142.16 felling of oak trees inspection report.pdf
152.18 cerficate of felling minimum trees
162.19 Muck disposal plan.pdf
172.20 airal distance of the project from nationl park
182.23 no voilation has taken place FC act 1980.pdf
192.24 NOC FROM LOCAL GRAM SHBHAS
202.25 lay out plan
212.26 component wise details.pdf
222.27 certificate work has not been started.pdf
232.28 Geologist report
242.29 Task force certificate.pdf
252.30 CERTIFICATE BY UA FOR COMPLYING THE CONDITION IMPOSED IN STANDARD CONDITION
262.31 Geologist report Task force recommendation.pdf
272.32 no historical monumental r relegeous place will be effected.pdf
282.33 undertakaing regarding no animal will be effectd
292.34 LPG gas kerosine.pdf
302.35 Benifited villages
312.36 NPV CALCULATION.pdf
322.37 NPV increses UNDERTAKIN OF PAIMENT.pdf
332.38 Cost of forest land.pdf
342.41 DEMARCATION OF LAND TO BE DIVERTED
352.41 to beer the cost of dimarcation work.pdf
362.43 fact sheet.pdf
37acknowledgement slip is uploaded
38hard copy submitted letter attached
39Point wise disposal of objection in tabular form
401 to 16 objection clear letter.
411 to 16 objection clear letter.
42point wise objection removal
43removal of objection raised bu DFO on 24 Sep 2016
44removal of objection raised bu DFO on 27 Sep 2016