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/19168/2016
(ii). Name of Project for which Forest Land is required :
Construction of Garkhet Lakmara motor road(Length 5.00Km)
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Construction of Garkhet Lakmara motor road(Length 5.00Km)
(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) :
230
(viii). Area of forest land proposed for diversion(in ha.):
3.375
(ix). Non-forest land required for this project(in ha.):
1.125
(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.
Bageshwar
3.375
1.125
Total
3.375
1.125
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Bageshwar
3.375
1.125
Total
3.375
1.125
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Garkhet
1.75
0.8
2
Lakmara
1.625
0.325
Total
3.375
1.125
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Civil Land
0.45
0
2
Van panchity Land
2.925
0
3
Nap Land
0
1.125
Total
3.375
1.125
C.
Maps of forest land proposed to be diverted
Division 1. : Bageshwar
(i). Area of forest land proposed to be diverted(in ha.) :
3.375
(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.
3.375
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:
No
(a). Reason for not providing such map:
NIL
E.
Employment likely to be generated
(i). Whether the Project is likely to generate employment ?:
Yes
(ii). Permanent/Regular Employment(Number of persons):
15
(iii). Temporary Employment(Number of person-days):
55
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:
Badiyakot Sivil
(b). Area(in ha.):
6.75
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
2
(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
Copy of documents in support of the competence authority
2
Note containing justification for locating the Project in forest land
3
Administrative and Financial sanction
4
Preliminary Joint Inspection report
5
Comperative chart showing statement of both alignment or alternate
6
Comperative chart alignment or alternate
7
Certificate from the DM that no alternative suitable non-forest
8
Land schedule for RF signed by DFO and civil soyam
9
Category wise RF civil soyam, Van panchayat and private nap land
10
Bar Chart with index
11
10 year CA esitmate
12
Compensatory afforestation scheme in Civil and Soyam land 10 years
13
Certificate reg. suitability of indentified land for Comensatory
14
Undertaking by the User Agency to bear the cost of compensatory
15
Details of the trees with their scientific name in RF, Civil Soyam
16
Felling of Oak trees (if involves, inspection report of the concerning
17
IIND aligement tree detail
18
Details of the trees 0 10 dia wise
19
Certificate of felling minimum trees during the project work
20
cost of plantasion
21
Certificate of felling minimum trees during the project work
22
Muck disposal scheme
23
Whether project area is a part of National Park or sanctuary and airal
24
If the Project falling within the National park or Sanctuary, needs
25
No voilation has taken place, FC Act. 1980 reg
26
NOC from local Gram Sabhas
27
Certificate- work has not been started reg
28
Geologist Report
29
Task Force report
30
Manak Shartain
31
Certificate by user agency for complying the condition imposed in geologist report
32
No historical monumental or relegeous place will be effected
33
Undertaking regarding no animal will be effected adversely by the project
34
Undertaking to provide alternative fuelwood kerosene or LPG to
35
Benefited villages Families Population certificate
36
NPV calculation certificate as per Honble Supreem court MoEF
37
Undertaking of payment of NPV, if Hon'ble Supreem Court increses
38
Rivised rate CA Estimat
39
CA MAP
40
Rivised rate CA Estimat
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