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/35678/2018   (ii). Name of Project for which Forest Land is required : Badabe-Dhari-Beltari M/R KM 10.00 to Quarban   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Badabe-Dhari-Beltari M/R KM 10.00 to Quarban motor road starts from Badabe-Dhari-Beltari M/R KM 10.00. Total length of road is 4.625 KM, and total construction cost is 275.50 lacs.   (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) : 275   (viii). Area of forest land proposed for diversion(in ha.): 3.867   (ix). Non-forest land required for this project(in ha.): 0.895   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : PUBLIC WORK DEPARTMENT   (ii). Address1 : I.D. PWD PMGSY Pithoragarh   (iii). Address2 : Sarswati Sadan Pithoragarh   (iv). State : Uttarakhand   (v). District : Pithoragarh   (vi). Pin : 262501   (vii). Landmark : Sarswati Sadan Pithoragarh   (viii). Email address : eepmgsypithoragarh1@rediffmail.com   (ix). Landline Telephone No. : 5964-226685   (x). Fax No. : 5964-5964   (xi). Mobile No. : 9412150060   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Nagendra   (ii). Middle Name: NIL   (iii). Last Name: Bahadur   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: I.D. PWD PMGSY Pithoragarh   (vii). Address 2: Sarswati Sadan Pithoragarh   (viii). State: Uttarakhand   (ix). District: Pithoragarh   (x). Tehsil: Pithoragarh   (xi). Pin: 262501   (xii). Landmark: Sarswati Sadan Pithoragarh   (xiii). Email Address: eepmgsypithoragarh1@rediffmail.com   (xiv). Landline Telephone No.: 5964-226685   (xv). Fax No.: 5964226685   (xvi). Mobile No.: 9411521847   (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.Pithoragarh3.8670.895
Total3.8670.895
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Pithoragarh3.8670.895
Total3.8670.895
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Dhari0.7950
2Quarban3.0720.895
Total 3.867 0.895
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road3.2670.895
2Muck Dumping0.60
Total 3.867 0.895
C. Maps of forest land proposed to be diverted
Division 1. : Pithoragarh
  (i). Area of forest land proposed to be diverted(in ha.) : 3.867   (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).
1.3.867    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): 10000
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. : Pithoragarh
  (a). Village: Quarban   (b). Area(in ha.): 7.734   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 10   (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
1proposal
2Government Order
3Alignment Report
4vekalpik bhoomi
5Land Schedule and details of length and breadth.
6N.O.C. by Villagers
7Justification
8C.A. estimate
9C.A. related
10tree plantation on both side of the road
11tree plantation on both side of the road related
12Effected trees related
13100 x trees related. N.A.
14Certificate from C.F.
15Vastavik roop se kaate jane wale vraksho ka vivran
16certificate of falling minimum trees
17Certificate related to national park
18Certificate related to national park
19Certificate related to van sanrakshan act 1980
20Certificate related to work has not started yet.
21geological report
22geological report
23task force certificate
24certificate related to manak shrte
25certificate related to geologist
26certificate related to religious importance
27certificate related to wild animals and plant
28certificate related to kerosene oil
29certificate related to population of village
30NPV estimate
31Certificate related to NPV
32Certificate related to Manak sharte
33Certificate related to National park
34RCC pillar estimate
35Barchart
36project report
37Tree List in 9.00 mtr width
38Muck Disposal Plan.
39Joint Inspection Report
40Annexture 2 to 2.4
41site Inspection report issued by DFO
42Certified report from DFO about Alignment and population at the last point of alignment.
43Point wise answers of the questions raised from Govt of India.
44In reply to EDS dated 20/09/2019.
45In reply to EDS Dated - 19 November 2019.
46Reply EDS Dt. 17-01-2020