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/47083/2020   (ii). Name of Project for which Forest Land is required : Const.kharmanday Ganai moter Road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : This Road Starts From Khirmandey ,Which is tourist place . After construction of this road, tourism will enhance at a great pace. Villagers of Khirmandey, nanoli.Anoli, bhesat, khariki ,Dhapana,Gunakitan will also be benefitted by the road   (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) : 370.2   (viii). Area of forest land proposed for diversion(in ha.): 7.785   (ix). Non-forest land required for this project(in ha.): 4.045   (x). Total period for which the forest land is proposed to be diverted(in years): 100
A-2. Details of User Agency
  (i). Name : EE TY DIV PWD BERINAG   (ii). Address1 : PWD Berinag   (iii). Address2 : Distt Pithoragarh   (iv). State : Uttarakhand   (v). District : Pithoragarh   (vi). Pin : 262531   (vii). Landmark : NIL   (viii). Email address : eepwdberinag@rediffmail.com   (ix). Landline Telephone No. : 5964-244622   (x). Fax No. : 5964-244622   (xi). Mobile No. : 9997036788   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Binod   (ii). Middle Name: Kumar   (iii). Last Name: Sinha   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: PWD Berinag   (vii). Address 2: Distt Pithoragarh   (viii). State: Uttarakhand   (ix). District: Pithoragarh   (x). Tehsil: Berinag   (xi). Pin: 262531   (xii). Landmark: NIL   (xiii). Email Address: mcjoshi1206@gmail.com   (xiv). Landline Telephone No.: 5964-244622   (xv). Fax No.: NIL   (xvi). Mobile No.: 9410351218   (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
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
1ApprovedFP/UK/ROAD/10149/2015620.880.8818 Nov 201607 Feb 2017
Total 0.88 0.88
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.Pithoragarh7.7854.045
Total7.7854.045
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Pithoragarh7.7854.045
Total7.7854.045
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Selone0.50.576
2Matole0.40.268
3Bajuda0.60.402
4Jamadkhet0.80750.387
5Bhesat0.90.308
6Anoli0.670.413
7Khadaki0.64250.286
8Nenoli0.9850.397
9Dhapna0.650.349
10Dhapna -100.103
11Gunakitan1.630.491
12Gunakitan-100.065
Total 7.785 4.045
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road7.7853.015
2Muck Dumping -100.076
3Muck Dumping -200.068
4Muck Dumping -300.092
5Muck Dumping -400.097
6Muck Dumping -500.108
7Muck Dumping -600.113
8Muck Dumping -700.086
9Muck Dumping -800.097
10Muck Dumping -900.049
11Muck Dumping -1000.076
12Muck Dumping -1100.103
13Muck Dumping -1200.065
Total 7.785 4.045
C. Maps of forest land proposed to be diverted
Division 1. : Pithoragarh
  (i). Area of forest land proposed to be diverted(in ha.) : 7.785   (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).
1.7.785    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): 6   (iii). Temporary Employment(Number of person-days): 3000
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: Four
District 1. : Pithoragarh
  (a). Village: Gunakitan   (b). Area(in ha.): 15.57   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 3.151.165.228.1033.1515.1519.2407.2408.245526552719.2771.   (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
1Administrative and Financial sanction
2Preliminary Joint Inspection report (by user agency,
3Comperative chart showing statement of both alignment or alternate site explored for the proposed project and reasons
4Certificate from the DM that no alternative suitable non-forest land is available for the project
5Land schedule (for RF signed by DFO and civil soyam,
6Category wise (RF,civil soyam, Van panchayat and private nap land,
7Bar Chart with index (counter signed by DFO).
8Compensatory afforestation scheme in Civil and Soyam land
9Certificate Regarding. suitability of indentified land for Comensatory Afforestatio
10Undertaking by the User Agency to bear the cost of compensatory afforestation
11Road side/gap filling plantation estimate
12Undertaking by the User Agency to bear the cost of Road side /gap filling plantation
13Details of the trees with their scientific name in RF, Civil Soyam, Van Panchayat, Private Notified land
14Felling of Oak trees if involves, inspection report of the concerning CF has to be provided
15Certificate of felling minimum trees during the project work
16Whather project area is a part of National Park or sanctuary and airal distance of the project from National Park
17No voilation has taken place, FC Act. 1980 reg.
18NOC from local Gram Sabhas.
19Certificate- work has not been started reg.
20Certificate- work has not been started reg.
21Task Force report
22Standard Conditiont
23Certificate by user agency for complying the condition imposed in Standard Condition
24No historical/monumental or relegeous place will be effected certificate reg.
25Undertakoing regarding no animal will be effected adversely by the project.
26Undertading to provide alternative fuelwood, kerosene or LPG to labours involved in project
27Benefited villages/Families/Population Certificate.
28NPV calculation certificate as per Hon'ble Supreem court
29Undertaking of payment of NPV, if Hon'ble Supreem Court increses the rates of NPV
30Demarcation of land to be diverted
31Undertaking of user agency to bear the cost for dimarcation work
32Check list/Fact sheet
33Ques Ans Letter 7.9.2020
34lqus Ans latters 21.11.2020
35qustion Ans latters and dfo jointvisit 24.2.2021
36Air distance report
37Qus Ans 17.3.2021
38Qus Ans Latter 30.4.2021
39Qus Ans 10.06.2021
40muck disposal new 22.06.2021
41Qus Ans Letter new 22.06.2021
42Hard copy submited 6.7.2021
43Geologist Report 14.7.2021
44Letter 14.07.2021