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/39043/2019   (ii). Name of Project for which Forest Land is required : Construction of Dharmghar-Chipcheiya motor road (Length 4.00 km)   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : This road starts from km 70 of Balighat Dodar Dharmaghar Kotmanya motor road. It connects revenue village of Lamgingeda and Majkera it helps to connects local village with main stream road network and help the villagers to progress by financial economic and other means of well being   (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) : 18400000   (viii). Area of forest land proposed for diversion(in ha.): 2.1   (ix). Non-forest land required for this project(in ha.): 0.7   (x). Total period for which the forest land is proposed to be diverted(in years): 100
A-2. Details of User Agency
  (i). Name : PWDKAPKOT   (ii). Address1 : C.D.P.W.D.KAPKOTE   (iii). Address2 : BAGESHWAR   (iv). State : Uttarakhand   (v). District : Bageshwar   (vi). Pin : 263642   (vii). Landmark : Kapkot   (viii). Email address : cdpwdkapkot@gmail.com   (ix). Landline Telephone No. : 5963-253385   (x). Fax No. : 5963-253385   (xi). Mobile No. : 9639377012   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Sanjay Kumar Pandey   (ii). Middle Name: Kumar   (iii). Last Name: Pandey   (iv). Gender: Male   (v). Designation: E.E.   (vi). Address 1: C.D.P.W.D.KAPKOTE   (vii). Address 2: BAGESHWAR   (viii). State: Uttarakhand   (ix). District: Bageshwar   (x). Tehsil: Kapkot   (xi). Pin: 263642   (xii). Landmark: kapkot   (xiii). Email Address: cdpwdkapkot@gmail.com   (xiv). Landline Telephone No.: 5963-253385   (xv). Fax No.: 05963253385   (xvi). Mobile No.: 9719471059   (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.Bageshwar2.10.7
Total2.10.7
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Bageshwar2.10.7
Total2.10.7
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Lamgingada(Chipcheiya)0.80.5
2Majhera1.30.2
Total 2.1 0.7
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road2.10.35
2Muck Disposal(Nap Land)00.35
Total 2.1 0.7
C. Maps of forest land proposed to be diverted
Division 1. : Bageshwar
  (i). Area of forest land proposed to be diverted(in ha.) : 2.1   (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).
1.2.1    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): 15000
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. : Bageshwar
  (a). Village: Chhatina   (b). Area(in ha.): 4.2   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 1   (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
1FRA
2Note containing justification for locating the Project in forest land
3Administrative and Financial sanction
4Preliminary Joint Inspection report
5Comperative chart showing statement of both alignment or alternate
6Land schedule (for RF signed by DFO and civil soyam, Van
7Bar Chart
8Compensatory afforestation scheme in Civil and Soyam land (10 years
9Road side gap filling plantation estimate
10Details of the trees with their scientific name in RF, Civil Soyam
11II Aligement tree
12Felling of Oak trees
13Certificate of felling minimum trees during the project work
14Muck Disposal
15Certificate of felling minimum trees during the project work
16Whether project area is a part of National Park or sanctuary and airal
17part I
18Part II (DFO)
19Certificate work has not been started reg
20Geologist Report
21Task Force report
22Manak Shartain
23Certificate by user agency for complying the condition imposed in geologist report Task Forcex
24No historical monumental or relegeous place will be effected
25NPV calculation certificate as per Honble Supreem court MoEF
26Undertaking of payment of NPV if Honble Supreem Court increses the rates of NPV
27Check list Fact sheet
28Aerial Distance Certificate
29eds 11-03-2019
30Eds 07-06-2019
31eds dated 20-08-2019
32Benefited village
33Eds dated 28-08-2019
34Eds 24-10-2019
35Eds Dated 27-11-2019
36Eds Dated 27-11-2019
37Eds Dated 01-01-2020
38Eds Dated 18-03-2021
3910 year plantation Nakora Vanpanchayat
40competence authority
41eds dated 30-04-2022
42Receiving Letter
43Eds Dated 07-01-2023
44Eds Dated 07-01-2023
45EDS Dated 31-01-2024
46Eds Dated 31-05-2024_2024