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/38545/2019   (ii). Name of Project for which Forest Land is required : Construction of CC Road Gajari Pandey Golju Mandir in Kotabagh Block District Nainital   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Construction of CC Road Gajari Pandey Golju Mandir in Kotabagh Block District Nainital (Van Panchayat Forest Land 0.360 hect) At present no other way for Golju Mandir. After Construction this Road related villagers will be benefited.   (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) : 0.5   (viii). Area of forest land proposed for diversion(in ha.): 0.36   (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): 99
A-2. Details of User Agency
  (i). Name : PWD RAMNAGAR   (ii). Address1 : Construction Division, Ramnagar (Nainital)   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Nainital   (vi). Pin : 244715   (vii). Landmark : NIL   (viii). Email address : eecdrmr@rediffmail.com   (ix). Landline Telephone No. : 5947-254591   (x). Fax No. : 5947-254591   (xi). Mobile No. : 9411161148   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Others
A-3. Details of Person Making Application
  (i). First Name: Mahendra   (ii). Middle Name: NIL   (iii). Last Name: Kumar   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: Construction Division, Ramnagar (Nainital)   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Nainital   (x). Tehsil: Ramnagar   (xi). Pin: 244715   (xii). Landmark: NIL   (xiii). Email Address: eecdrmr@rediffmail.com   (xiv). Landline Telephone No.: 5947-254591   (xv). Fax No.: 05947254591   (xvi). Mobile No.: 9412023055   (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.Ramnagar0.360
Total0.360
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Nainital0.360
Total0.360
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Pandey Gaon (Gajari)0.360
Total 0.36 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1GPandy Gaon (Van Panchayat)0.360
Total 0.36 0
C. Maps of forest land proposed to be diverted
Division 1. : Ramnagar
  (i). Area of forest land proposed to be diverted(in ha.) : 0.36   (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).
1.0.36    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: Other
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): 100
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
1Khatoni
2EDS Dt. 19.11.2019 Topo Sheet, Geo Refrence map And Google Map Counter Sign by D.M.
3EDS Dt. 19.11.2019 Topo Sheet Counter Sign by D.M.
4EDS Dt. 19.11.2019 Geo Refrence map Counter Sign by D.M.
5EDS Dt. 19.11.2019 Google Map Counter Sign by D.M.
6EDS Dt. 15.09.2020 Forwarding Letter for Arrear Distance
7EDS 26.10.2020
8EDS 26.10.2020 Arial Distance Certificate
9EDS Dt. 26.10.2020 Distance Certificate
10EDS Dt. 26.10.2020 Forwarding Letter
11New Uplode Letter
12Prapatra 1 Prativaden
13Prapatra 2 Gov of Inida Documents
14Prapatra 3 GO
15Prapatra 4 Joint Inspection
16Prapatra 5 Site Inspection by DFO
17Prapatra 6 Topo Sheet
18Prapatra 7 Geo Refrance Map
19Prapatra 8 Vakalpik Samrekhan
20Prapatra 9 Tulnatmak Vivran
21Prapatra 10 Other Vekalpik Bhoomi
22Prapatra 11 Land Schedule
23Prapatra 12 Length and Width
24Prapatra 13 Bar Chart
25Prapatra 14 No Work started certificate
26Prapatra 15 tree Detail
27Prapatra 16 Bajh Tree
28Prapatra 17 minimum tree cutting certificate
29Prapatra 18 No Part of National Park
30Prapatra 19 Distance Certificate
31Prapatra 20 NOC Wild Life
32Prapatra 20 NOC Wild Life
33Prapatra 21 NOC Village
34Prapatra 23 FRA
35Prapatra 26 Geologist Report
36Prapatra 27 Geologist and District Task Force Sujhav
37Prapatra 28 Task Force Certificate
38Prapatra 29 Standard Condition
39Prapatra 30 Religious Place
40Prapatra 31 Wild Life No Effect
41Prapatra 32 Cooking Gas
42Prapatra 33 Labhanvit Family
43Prapatra 34 Forest Land Value
44Prapatra 35 Compensatory Afforestation
45Prapatra 41 Muck Disposal
46Prapatra 42 NPV Calculation
47Prapatra 43 NPV Submitted
48Prapatra 44 RCC Pillar
49Prapatra 46 Van Adhikar Adhiniyam 1980
50Hard Copy Submitted Letter