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/32670/2018   (ii). Name of Project for which Forest Land is required : Badsi Gaulok Dham Khand Motor Marg to Katkhan Motor Road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : To provide road connectivity for village Katkhan (population-251)minimum forest land route is selected because there's no other forestless route to provide connectivity to Katkhan village. Construction of this road is necessary for the development of villageres.   (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) : 159.85   (viii). Area of forest land proposed for diversion(in ha.): 0.89   (ix). Non-forest land required for this project(in ha.): 1.205   (x). Total period for which the forest land is proposed to be diverted(in years): 99
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.Uttarkashi0.891.205
Total0.891.205
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Uttarkashi0.891.205
Total0.891.205
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Katkhan0.891.205
Total 0.89 1.205
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1For Road Construction0.890.835
2For Muck Disposal-D.Z.-1 At Existing road in Nap L00.2
3For Muck Disposal-D.Z.-2 at X/s-1/7 To 1/12 of pro00.17
Total 0.89 1.205
C. Maps of forest land proposed to be diverted
Division 1. : Uttarkashi
  (i). Area of forest land proposed to be diverted(in ha.) : 0.89   (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).
1.0.89    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): 5000
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?: No   (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: Diversion of forest land up to one hectare
Additional information Details
Documents
S.No Documents
Remarks
1EDS Badsi Goulokdham 270519
2EDS 08.08.2019
3G.O. of Road Administrative and Financial sanction
4Digital Map of Project
5Geo-referenced map of the forest land proposed to be diverted
6Bar Chart of Project
7Joint Inspection report (by user agency, forest department, revenue department)
8Justification for locating the Project in forest land
9Land Schedule of Project
10Length Width Certificate – Category wise (RF, civil soyam and private nap land etc.) land length, width and area in Ha
11Project Report - Short narrative and importance of the project.
12Aam - Sabha Certificate for project.
13Certificate of No historical/monumental or relegeous place will be effected.
14Muck Disposal Scheme
15Benefited villages/Families/Population Certificate
16SIR Report of D.F.O.
17Geological Investigation Report
18Task Force Certificate
19Certificate by user agency for complying the condition imposed in Standard Condition
20List of Effective Trees
21Cost of Effective Trees
22Certificate of Felling of Oak trees ( inspection report of the concerning CF)
23Certificate of felling minimum trees during the project work
24Alternate site explored for the proposed project and reasons for their rejection
25New Road Construction Certificate
26Work has not been start Certificate
27Road Side Plantation Scheme and Cost Bearing of Road Side Plantation by UA Certificate
28No Important Place and Site Certificate
29No Alternate site explored for the proposed project
30NPV calculation certificate as per Hon'ble Supreem court /MoEF orders by DFO
31Undertaking of payment of NPV, if Hon'ble Supreem Court increses the rates of NPV (by user agency)
32Cost of the forest land and lease rent/ period certificate
33The Project Area is not in Ecco-Sansetive Zone Certificate
34Arial Distance of Project From National park or Sanctuary Certificate
35Project area is not within 10 Km radius of National park or Century certificate
36Certificate regarding no Compensatory afforestation scheme required
37The Project not falling within the National park or Sanctuary certificate
38Nos. of Minimum Effective Trees Certificate
39Wild Life Protection Estimate and Scheme
40Undertaking regarding Environmental Sanction
4110 Guna / 1000 nos. Trees Plantation Certificate
42Certificate by user agency for complying the condition imposed in geologist report recommendation in hill areas
43R.C.C. Pillar construction for Forest Boundary and bearing of cost by UA certificate
44Certificate of No violation has taken place, FC Act. 1980 reg.
45No animal will be effected adversely by the project certificate
46No Effect of wild life certificate
47Undertaking Bearing of Cost by UA for Wild Life Protection
48No needs recommendation of State Wild Life Board, National Board of Wild Life Certificate
49Required Form I, II, III Filling By UA, DFO and CF
50Certificate of Forest Right Act-2006
51Documents in support of the competence /authority of the person making this application to make application on behalf of the User Agency.
52Undertaking about Exp loser use in project
53EDS-1214/FP/UK/ROAD/32670/2018/DEHRADUN, Dated- 07.11.2019 reply
54Udertaking to provide alternative fuel wood, kerosene or LPG to labours involved in project.
55comparative chart of both alignment - proposed and alternate
56Bridle Distance of Village Katkhan Certificate
57justification of road
58village level committee certificate
59justifcation of road
60village level committee certificate
61EDS
62Reply of EDS of 26.02.2020
63Plantation scheme of 1800 trees and its bearing cost certificate by user agency
64Justification of construction of road length up to 2.200 km