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/20872/2016   (ii). Name of Project for which Forest Land is required : Mahidanda motor road to Bagiyal gaun motor road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : To provide road connectivity for village-Bagiyal gaun(Population-380).Forest land is required because there is no any other route to be provide connectivity to Bagiyal gaun. construction of this road is necessary for the devlopment of villagers.after the construction of road villegers can bring thei   (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) : 240   (viii). Area of forest land proposed for diversion(in ha.): 0.731   (ix). Non-forest land required for this project(in ha.): 0   (x). Total period for which the forest land is proposed to be diverted(in years): NIL
A-2. Details of User Agency
  (i). Name : PMGSY ID UTTARKASHI   (ii). Address1 : ANUSHANDHAN COLONY JOSHIYARA UTTARKASHI   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Uttarkashi   (vi). Pin : 249193   (vii). Landmark : ANUSHANDHAN COLONY   (viii). Email address : eepmgsyuttarkashi@rediffmail.com   (ix). Landline Telephone No. : 1374-223804   (x). Fax No. : 1374-1374   (xi). Mobile No. : 9412903049   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Rajeev   (ii). Middle Name: kumar   (iii). Last Name: Goswami   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: P.M.G.S.Y (Irrigation Diviion)ANUSHANDHAN COLONY JOSHIYARA UTTARKASHI   (vii). Address 2: pin-249193   (viii). State: Uttarakhand   (ix). District: Uttarkashi   (x). Tehsil: Bhatwari   (xi). Pin: 249193   (xii). Landmark: ANUSHANDHAN COLONY   (xiii). Email Address: eepmgsyid@gmail.com   (xiv). Landline Telephone No.: 1374-223804   (xv). Fax No.: 01374223804   (xvi). Mobile No.: 9897354291   (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.Uttarkashi0.7310
Total0.7310
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Uttarkashi0.7310
Total0.7310
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Bagiyal gaun0.7310
Total 0.731 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road0.7310
Total 0.731 0
C. Maps of forest land proposed to be diverted
Division 1. : Uttarkashi
  (i). Area of forest land proposed to be diverted(in ha.) : 0.731   (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).
1.0.731    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): 20   (iii). Temporary Employment(Number of person-days): 20000
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
1Certificate minimum value
2CA toposheet
3CA Map.
4Certificate.
5Senction letter.
6Joint Inspection Report.
7Alternate Alignment.
8Minimum requirement of forest land.
9Land shedule.
10Certificate of length & width.
11Bar chart.
12certificate for C.A.
13Estimate for plantation.
14Tree List.
15Certificate for Baanjh tree.
16Rate list of trees.
17Muck disposal plan.
18National park.
19National park 2.
20Formate-27.
21No objection certificate.
22certificate for no work started.
23Geological Report.
24Task force Report.
25Maanak shart.
26Task force certificate.
27certificate for no Historical place.
28certificate for no Harm for wild animals.
29certificate for Labours.
30certificate for benificial village.
31NPV certificate.
32Lease certificate.
33certificate for RCC pillers.
34certificate for RCC pillers.
35Check list.
36Certificate.
37Formate-1,2 & 3.
38DCF Inspection.
39Envirnmental senction.
40Rate of forest land.
41Cost benifit Ratio certificate.
42Dumping place photo.
43Catchment treatment certificate.
44Layout certificate.
45Administrative & Finencial approval letter
46Muck Disposal plan.
47land shedule with name of Reserve forest and compartment.
48Dizitalized toposheet of Road.
49EDS removed by user egency
50Signature of villagers
51Aapatti Remove by user agency
52Trees.
53Objections Removed by User Agency.