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/20210/2016
(ii). Name of Project for which Forest Land is required :
Construction of Paul Gaon Motor Road from N.H. 123
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
The proposed road will start from National highway no.134(94)km 174-175 and will connect the villege paulgaon having population of 250 after construction of this road lenght 2.5km will provided transport facilities & will provided up liftment of economy of villegers and social,medical and education.
(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) :
58.59
(viii). Area of forest land proposed for diversion(in ha.):
0.28
(ix). Non-forest land required for this project(in ha.):
1.745
(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 :
Construction Division PWD Barkot
(iii). Address2 :
NIL
(iv). State :
Uttarakhand
(v). District :
Uttarkashi
(vi). Pin :
249141
(vii). Landmark :
Near Police Station
(viii). Email address :
eepwdbarkot@rediffmail.com
(ix). Landline Telephone No. :
1375-224756
(x). Fax No. :
1375-224828
(xi). Mobile No. :
9457268901
(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:
prasad
(iii). Last Name:
sinha
(iv). Gender:
Male
(v). Designation:
Excecutive Engineer
(vi). Address 1:
Construction Division PWD Barkot
(vii). Address 2:
District-Uttarkashi
(viii). State:
Uttarakhand
(ix). District:
Uttarkashi
(x). Tehsil:
NIL
(xi). Pin:
249141
(xii). Landmark:
Near Police Station
(xiii). Email Address:
eepwdbarkot@rediffmail.com
(xiv). Landline Telephone No.:
1375-224756
(xv). Fax No.:
01375224828
(xvi). Mobile No.:
9411166945
(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.
Upper Yamuna,Barkot
0.28
1.745
Total
0.28
1.745
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Uttarkashi
0.28
1.745
Total
0.28
1.745
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
paulgaon forest land
0.245
0
2
paul gaon civil land
0.035
0
3
paul gaon naap land
0
1.47
4
paul gaon naap land(muck disposal)
0
0.275
Total
0.28
1.745
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
reserve forest land
0.245
0
2
civil land
0.035
0
3
naap land
0
1.47
4
muck disposal (naap land)
0
0.275
Total
0.28
1.745
C.
Maps of forest land proposed to be diverted
Division 1. : Upper Yamuna,Barkot
(i). Area of forest land proposed to be diverted(in ha.) :
0.28
(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.
0.28
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):
500
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?:
Not Applicable
(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 ?:
Not Applicable
(iii) . Reason for not providing Non-Forest Land:
Not Applicable
Additional information Details
Documents
S.No
Documents
Remarks
1
front page
2
fact sheet
3
report
4
annnexure
5
G.O
6
site inspection report
7
alternative rejectin report
8
comparison between two identified alignment
9
lend schedule
10
length width of road detail
11
bar chart
12
certificate of work not starting
13
detail of effected trees
14
rate of trees
15
falling trees number
16
geologist report
17
task force certificate
18
religion place certificate
19
banz trees not falling certificate
20
annual lease rent certificate
21
path tree planting of empty places
22
planting 10 fold trees of instend cutting tree
23
non objection sign copy
24
agreement letter
25
mucking dumping
26
NPV
27
around pillar estimated
28
minimum forest demand certificate
29
environment accepectence certificate
30
not vioation of 1980 act
31
airy distane
32
FRA
33
Geo reference map
34
in reference of dfo letter no 1648/12-1 dated 28/1/2017 querry shourt by user agency by letter no 251/4 bhu-aa dated 8/2/2017
35
in reference of dfo letter no 2435/12-1 dated 11/4/2017 querry shourt by user agency by letter no 518/4 bhu-aa dated 12/4/2017
36
in reference of dfo letter no 2969/12-1 dated 12/6/2017 querry shourt by user agency by letter no 806/4 bhu-aa dated 14/6/2017
37
in reference of dfo letter no memo/12-1 dated 31/08/2017 querry shourt by user agency by letter no 1372/4 bhu-aa dated 04/09/2017
38
in reference of dfo letter no memo/12-1 dated 31/08/2017 querry shourt by user agency by letter no 1453/4 bhu-aa dated 13/09/2017 and hard copy also has been submitted by DFO letter no. 1824/12-1 dt.10/02/2017.copy of latter has been attatched by the querry shourt
39
in reference of dfo letter no 957/12-1 dated 12/10/2017 querry shourt by user agency by letter no 1713/4 bhu-aa dated 27/10/2017
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