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/39410/2019
(ii). Name of Project for which Forest Land is required :
Extension of Simli -Benital Motar Road to Jangalchatti in Block Karanprayag, Distt-Chamoli under C.M Ghosna
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
The proposed road is for providing connectivity to village koti bainitaal,gwalkhet and Randoli with a population of 873 numbers. The road is located in Block-Karanprayag of District Chamoli
(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) :
94.4
(viii). Area of forest land proposed for diversion(in ha.):
9.612
(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):
100
A-2.
Details of User Agency
(i). Name :
PUBLIC WORKS DEPARTMENT
(ii). Address1 :
Provincial Division, PWD, Karanprayag, Distt.-Chamoli (Uttarakhand)
(iii). Address2 :
NIL
(iv). State :
Uttarakhand
(v). District :
Chamoli
(vi). Pin :
246444
(vii). Landmark :
NIL
(viii). Email address :
eepdpwdkpg@gmail.com
(ix). Landline Telephone No. :
1363-244204
(x). Fax No. :
1363-244204
(xi). Mobile No. :
9412974296
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
Mayank
(ii). Middle Name:
NIL
(iii). Last Name:
Tiwari
(iv). Gender:
Male
(v). Designation:
Assistant Engineer
(vi). Address 1:
Provincial Division, PWD, Karanprayag, Distt.-Chamoli (Uttarakhand)
(vii). Address 2:
NIL
(viii). State:
Uttarakhand
(ix). District:
Chamoli
(x). Tehsil:
NIL
(xi). Pin:
246444
(xii). Landmark:
NIL
(xiii). Email Address:
eepdpwdkpg@gmail.com
(xiv). Landline Telephone No.:
1363-244204
(xv). Fax No.:
01363244204
(xvi). Mobile No.:
9410332205
(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.
Badrinath,Gopeshwar
9.612
0
Total
9.612
0
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Chamoli
9.612
0
Total
9.612
0
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
benital
2.429
0
2
randoli
0.332
0
3
kheti
1.981
0
4
malsi
2.345
0
5
muck disposal
2.525
0
Total
9.612
0
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Road
7.087
0
2
muck disposal
2.525
0
Total
9.612
0
C.
Maps of forest land proposed to be diverted
Division 1. : Badrinath,Gopeshwar
(i). Area of forest land proposed to be diverted(in ha.) :
9.612
(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.
9.612
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):
150
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. : Chamoli
(a). Village:
Lalnagari,Silingi
(b). Area(in ha.):
19.224
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
690 69
(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
1
Front page
2
check list
3
appendix
4
joint inspection report
5
Alingment comperative
6
Bar chart with index
7
Compensatory afforestation scheme in civil and soyam land
8
work G.O copy
9
Task force report
10
Fact sheet
11
Geologist report task force recommendation report
12
Road side plantation estimate
13
Undertaking by the user agency to bear the cost of Road side gap filling plantation
14
Dtails of tree with their scintific name
15
Certificate of muck dispose in project work
16
Muck disposal
17
Status of the project area is a part of National park or sanctuary and airel distance of the project from national park or sanctuary
18
N O C of Gram Sabha
19
Certificate work has been not started reg.
20
standard terms
21
Undertaking regarding no animal will be effected adversly by the project
22
Undertaking to provide alternative fuelwood , kerosene or L P G to labours involved in project
23
Benefited villages/families/population certificate
24
Certificate no historical / monumental or relegeous place will be effected
25
Muck disposal valuation scheme
26
Undertaking of payment of N P V ,if Honble supreem courtincreases the rates of NPV
27
Demarcation of land to be diverted
28
certificate regarding obtaining enviromental approval
29
certificate of minimum demand for forest land regarding no other alternative land available
30
31
land schedule
32
Aapattiyon ka Nirakaran
33
aapttoyon ka nirakaran
34
Geologist report
35
minimum tree damage certificate
36
MOU Certificate
37
Site suitability of CA Certificate
38
Tree list in Muck Dumping Yard
39
Aapattiyon ka nirakaran
40
Objection removed
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