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/17417/2016
(ii). Name of Project for which Forest Land is required :
Kaudiyala to Gangalsi Motor Road
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
The proposed road will start from Kaudiyala (NH-58) and will end at village Gangalasi.The road will passes from Badeer and Gangalsi village which will benefit the population of both villages. Gangalsi and its clsuter Badeer population is 601 numbers.
(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) :
70
(viii). Area of forest land proposed for diversion(in ha.):
1.33
(ix). Non-forest land required for this project(in ha.):
0.07
(x). Total period for which the forest land is proposed to be diverted(in years):
100
A-2.
Details of User Agency
(i). Name :
PUBLIC WORK DEPARTMENT
(ii). Address1 :
E E C D P W D Narendranagar
(iii). Address2 :
NIL
(iv). State :
Uttarakhand
(v). District :
Tehri Garhwal
(vi). Pin :
249175
(vii). Landmark :
NIL
(viii). Email address :
eepwdnarendranagar@ymail.com
(ix). Landline Telephone No. :
1378-227229
(x). Fax No. :
1378-227229
(xi). Mobile No. :
7895715175
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
Sanjay
(ii). Middle Name:
Singh
(iii). Last Name:
Bisht
(iv). Gender:
Male
(v). Designation:
Assistant Engineer
(vi). Address 1:
E E C D P W D Narendranagar
(vii). Address 2:
NIL
(viii). State:
Uttarakhand
(ix). District:
Tehri Garhwal
(x). Tehsil:
NIL
(xi). Pin:
249175
(xii). Landmark:
NIL
(xiii). Email Address:
eepwdnarendranagar@ymail.com
(xiv). Landline Telephone No.:
1378-227229
(xv). Fax No.:
01378227229
(xvi). Mobile No.:
9412116822
(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/50498/2020
0.9925
0
Total
0.9925
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.
Narendranagar,Munikireti
1.33
0.07
Total
1.33
0.07
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Tehri Garhwal
1.33
0.07
Total
1.33
0.07
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Gangalsi
1
0.07
2
Badeer
0.33
0
Total
1.33
0.07
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Road
1.33
0.07
Total
1.33
0.07
C.
Maps of forest land proposed to be diverted
Division 1. : Narendranagar,Munikireti
(i). Area of forest land proposed to be diverted(in ha.) :
1.33
(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.
1.33
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):
1
(iii). Temporary Employment(Number of person-days):
6500
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:
Two
District 1. : Tehri Garhwal
(a). Village:
Badeer, Gangalsi
(b). Area(in ha.):
2.66
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
826, 1915, 1939, 1958
(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
1
administrative financial sanction
2
Bar chart with index
3
Form A part 1 to 5
4
FRA, 2006
5
Justification
6
Prelimiary Joint inspection Report by user agency and forest department
7
Geologist Report
8
Land schedule (for RF signed by DFO and civil soyam, Van panchyat and DM
9
alignment comparison
10
certificate for Rejection of alternative site
11
Certificate related that project area is not a part of national park of sanctuary
12
certificate regarding Benefited villages/families/population
13
CA scheme
14
Estimate for 100 trees plantation by DFO
15
Certificate regarding suitability of indentified land for compensatory afforestation by DFO
16
Certificate by user agency for complying the conditions imposed in geologist report/task force recommendations
17
effected tree details
18
effected tree details1
19
Certificate for no historical/monumental or religious place effected
20
Cost of forest land and lease rent certificate by DM
21
Land schedule (for RF signed by DFO and civil soyam, Van panchyat and DM Category wise land length width and area
22
Category wise land length width and area
23
Undertaking to provide alternative fuel-wood, kerosene or LPG to labours involved in project
24
Undertaking regarding no-animal will be effected adversely by the project
25
No violation has taken place, FC Act 1980
26
NOC fromLocal Gram Shaba
27
Certificate related that project area is not a part of national park of sanctuary
28
NPV calculation certificate as per Hon'ble supreme court /MoEF orders by DFO and undertaking of payment of NPV
29
Demarcation of land to be diverted and Undertaking of user agency to bear the cost for demarcation works
30
Site inspection report
31
Standard conditions
32
Task force certificate
33
Road site/gap filling plantation estimate (by DFO)
34
Visaya soochi
35
Certificate-Work has not been started
36
wonership proof
37
short narrative
38
Objection letter
39
Muck_disposal_plan
40
additional document letter No1647/6mg dated 07.09.2018 uploaded
41
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