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/41658/2019
(ii). Name of Project for which Forest Land is required :
Pokhal-Mandlu MR to Khamana, Stage-I, Length- 4.875KM
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
This Project benefit for village Kimana with population 270 to connect with Motor road. The construction of this road local people & above villager will be able to connect with district roads, hospital, school district head quarter and other routes and will be facilitated in traffic.
(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) :
268
(viii). Area of forest land proposed for diversion(in ha.):
1.628
(ix). Non-forest land required for this project(in ha.):
3.124
(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 DUGADDA
(ii). Address1 :
PIU DUGADDA , NPCC PMGSY ,VILL. KUNAU, PO GANGA BOGPUR, YAMKESHWAR
(iii). Address2 :
NIL
(iv). State :
Uttarakhand
(v). District :
Pauri Garhwal
(vi). Pin :
249306
(vii). Landmark :
NIL
(viii). Email address :
pmgsydugadda@gmail.com
(ix). Landline Telephone No. :
135-2675725
(x). Fax No. :
135-
(xi). Mobile No. :
7088558899
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
Others
A-3.
Details of Person Making Application
(i). First Name:
VIKRAM
(ii). Middle Name:
SINGH
(iii). Last Name:
BHANDARI
(iv). Gender:
Male
(v). Designation:
AE
(vi). Address 1:
PIU DUGADDA PMGSY WORK ,VILL. KUNAU,PO GANGA BOGPUR, YAMKESHWAR
(vii). Address 2:
NIL
(viii). State:
Uttarakhand
(ix). District:
Pauri Garhwal
(x). Tehsil:
Yamkeshwar
(xi). Pin:
249306
(xii). Landmark:
NIL
(xiii). Email Address:
pmgsydugadda@gmail.com
(xiv). Landline Telephone No.:
135-2675725
(xv). Fax No.:
NIL
(xvi). Mobile No.:
7088558899
(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.
Soil Conservation,Lansdowne
1.628
3.124
Total
1.628
3.124
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Pauri Garhwal
1.628
3.124
Total
1.628
3.124
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Khamana
1.628
3.124
Total
1.628
3.124
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
road
1.53
2.858
2
Muck
0.098
0.266
Total
1.628
3.124
C.
Maps of forest land proposed to be diverted
Division 1. : Soil Conservation,Lansdowne
(i). Area of forest land proposed to be diverted(in ha.) :
1.628
(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.
1.628
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):
12000
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?:
Yes
(a). Copy of Cost-Benefit analysis:
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. : Pauri Garhwal
(a). Village:
khamana
(b). Area(in ha.):
3.256
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
3411
(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
Benefited Village(s) ,Families, Population Certificate
2
Certificate for Not staring the work
3
Bar Chart
4
Certificate of falling minimum of trees during the project work
5
Preliminary Joint Inspection report
6
CA scheme in Civil and Soyam
7
Understanding of payment of NPV,if Honable Supreme Court increases the rates of NPV
8
Undertaking by the User Agency to bear the cost of CA
9
Undertaking by the User Agency to bear the cost of road side plantation
10
NPV Calculation certificate
11
Certificate that no violation of the FA 1980 has taken place
12
Undertaking regarding no animal will be affected side plantation
13
Undertaking to provide alternative fuel wood ,kerosene or LPG to labourers involved in the projectUndertaking to provide alternative fuel wood ,kerosene or LPG to labourer involved in the project
14
Estimates of RCC piller for demarcation of Forest
15
Certificate that no historical monumental or religious place will be affected
16
Geologist report
17
Administrative and Financial sanction
18
Muck disposal Plan
19
noc from local villagers for muck disposal
20
Geologist and Task force recommendation
21
No alternative suitable non-forest land is available for the project and that demand is barest to the minimum
22
Certificate regarding suitability identified land of compensatory Afforestation by DFO
23
certificate to follow the conditions imposed by task force
24
map patwari
25
Arial distance from park
26
NPV Calculation certificate
27
Objection removal letter EDS date 01-11-2019
28
Land schedule
29
tree details
30
santion letter for formation of piu dugadda
31
EDS reply dated 26/02/20
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