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/18895/2016   (ii). Name of Project for which Forest Land is required : Construction of Rathi-Jumma-Khela-Garguwa-Khet Motor Road KM -30.00 KM + 1 Bridge   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Road is proposed from km 7.00 of Dobat Tarhi LVRto near Khet Village. Road under Pwd Askote (Dharchula) which shall provide connectivity to villages Rathi, Jumma and Syankuri with Motor Road. This Road length (KM -30.00 KM + 1 Bridge)   (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) : 388.5   (viii). Area of forest land proposed for diversion(in ha.): 9.655   (ix). Non-forest land required for this project(in ha.): 10.71   (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.Pithoragarh9.65510.71
Total9.65510.71
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Pithoragarh9.65510.71
Total9.65510.71
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Rathi1.6754.5
2Jumma7.986.21
Total 9.655 10.71
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road8.9110.647
2Bridge00.063
3Muck Disposal0.7450
Total 9.655 10.71
C. Maps of forest land proposed to be diverted
Division 1. : Pithoragarh
  (i). Area of forest land proposed to be diverted(in ha.) : 9.655   (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).
1.9.655    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): 3200
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?: Yes   (a). Copy of Cost-Benefit analysis:
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. : Pithoragarh
  (a). Village: Rathi jumma   (b). Area(in ha.): 19.31   (c). Copy of KML file of the patch:     View File   (d). Khasra details: Khashra no 7411,23046,23047,23068,2220 khata no- 227,359   (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
22-3 Preliminary joint Inspection Report
32-4 Compaerative Chart
42-5 DM Crt-Alternate suitable non-forest land
52-6 Land schedule
62-7 Category wise Land
72-8 Barchart
82-9 CA chene civil and soyam lan 10 year
92-10 Crt rigarding Suitability of indentification CA
102-11 Undertaking user agency to bear the cost of CA
112-12 Road side gap filling Plantatio
122-13 User Agency to bear Road side gap filling Plantation
132-15 Details of tree with name
142-16 Felling Oak trees
152-18 Cert of felling minimum Trees
162-19 Muck Disposal
172-20 National Park
182-23 1980
192-24 Noc Gram Sabhas
202-27 Cert Work not start
212-28 Geologist Report
222-29 Task Force report
232-30 31 Standard Condition
242-32 Geologist condition to Taskforce cert
252-33 No Historical monumental
262-34 No Animal effected
272-35 LPG kerosene
282-36 Benefited villages
292-37 Calculation cert of NPV
302-38 Increasing Payment Of NPV
312-39 Cost of forest land and lease rent crt by DM
322-42 Cost for dimarcation of work(RCC)
33Check List
342-2 Admistrative Finacial
35Acknowledgement slip
36Objection Remove on dated 2/05/2018
37objection removed 12-8-2018
38Objection Remove on dated 16/12/2018
39Objection Remove on dated 20-12-2018
40Objection removed on dated 28/12/2018
41objection removed on dated 11-1-2019
42About hard copy
43Hard copy has been send to nodal office d.dun
44Hard copy has been send to nodal office dehradun on dated 7-10-2019. Receiving attached
45Hard copy has been send to nodal office dehradun on dated 7-10-2019. Receiving attached
46Hard copy has been send to nodal office dehradun on dated 7-10-2019. Receiving attached (10-12-2019)
47Hard copy has been send to nodal office dehradun on dated 7-10-2019. Receiving attached (10-12-2019)
482-21 Crt of 10 km
49objection removal letter