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/43022/2019   (ii). Name of Project for which Forest Land is required : Construction of VILLAGE SYUNSI TO AAMKULAUN MOTOR ROAD IN BIROKHAL BLOCK DISTT PAURI GARHWAL UTTARAKHAND   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Construction of Village SYUNSI TO AAMKULAUN MOTOR ROAD IN BIROKHAL BLOCK DISTT PAURI GARHWAL UTTARAKHAND LENTH 7.00 KM   (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) : 23.59   (viii). Area of forest land proposed for diversion(in ha.): 0.99   (ix). Non-forest land required for this project(in ha.): 5.31   (x). Total period for which the forest land is proposed to be diverted(in years): 100
A-2. Details of User Agency
  (i). Name : PWD   (ii). Address1 : CD PWD BAIJRO   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Pauri Garhwal   (vi). Pin : 246278   (vii). Landmark : NIL   (viii). Email address : eepwdbaijro@rediffmail.com   (ix). Landline Telephone No. : 1348-267116   (x). Fax No. : 1348-267116   (xi). Mobile No. : 9756885708   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: anil   (ii). Middle Name: kumar   (iii). Last Name: negi   (iv). Gender: Male   (v). Designation: amin   (vi). Address 1: cd pwd baijro   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Pauri Garhwal   (x). Tehsil: Thali Sain   (xi). Pin: 246278   (xii). Landmark: NIL   (xiii). Email Address: anilkumarbaijro@gmail.com   (xiv). Landline Telephone No.: 1348-267116   (xv). Fax No.: 01348267116   (xvi). Mobile No.: 9761180526   (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.Garhwal,Pauri0.995.31
Total0.995.31
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Pauri Garhwal0.995.31
Total0.995.31
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1SYUNSI0.183.024
2AAMKULANU0.812.286
Total 0.99 5.31
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1ROAD0.994.72
2MUCKDISPOSAL00.59
Total 0.99 5.31
C. Maps of forest land proposed to be diverted
Division 1. : Garhwal,Pauri
  (i). Area of forest land proposed to be diverted(in ha.) : 0.99   (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).
1.0.99    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 ?: No
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
11.4 google mp
22.15 Details of the trees
32.16 Feeling of oak trees cf
42.34 undertading to provide alternative fuel wood
52.35 Benefited villages
62.36 NPV calculation certificate
72.37 Payment of npv
82.38 cost of the forest land
92.39 Certificate of lease period
102.17 If felling of trees is not
112.18 Feeling minimum trees
122.19 Muck disposal plan
132.21 if the project area is within 10 km radius of NP or centuray, comments No objection
142.24 N.O.C.
152.25 lay out plan
162.26 component wise details of construction work
172.27 work has not been started
182.28 Geologist report
192.29 Task force report
202.39 Certificate of lease period
212.31 complying the condition imposed
222.32 No historical place
232.32 No historical place
242.40 Demarcation of land
252.41 Undertaking of user agency to bear the cost
262.42 Non avalibility of non- forest land
272.43 chek list fact sheet
281.2 Topo sheet
291.3 geo refrenced map
301.5 Note containing Justification
311.6 FRA
322.8 BAR CHART
332.4 COMPRATIVE CHART
34NUMBER OF EFFECTED TREES
352.3 JOINT INSPECTION REPORT
36SUMMERY OF TREE
37VALUETION OF TREE
38WORK HAS NOT BEEN STARTED
392.2 G.O.
402.5 FOREST LAND FOR THE PROJECT IS BAREST MINIMUM
412.6 LAND SHUEDUELD
422.7 CATEGORY VISE LAND LENGTH WIDTH AND AREA
432.30 MANAK SHARTE
441.1 AUTHORITY LETTER
452.33 NO ANIMAL WILL BE EFFECTED
462.9 CA TEN YEARS
472.10 CA LAND CERTIFICATE
482.12 CERTIFICATE OF ROAD SITE PLANTATION
49CATCH MENT AREA
502.22 PERMISION FROM SUPREMECOURT
51Forwarding letter
522.20 certificate of Arial distance from the national park
532.20 certificate of Arial distance from the national park
542.20 Certificate of Arial distance from the national park
55EDS DATED 27 11 2019 REMOVEL LETTER