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/50423/2020   (ii). Name of Project for which Forest Land is required : Construction of Dunda-Kurha motor road to Jakhari-Balla motor road.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : This road starting from Dunda- kurah motor road at x-Section 2/11 and Dunda kurah motor road fineli connecting this road to NH-108 . The road connects villages Jakhari.The road is required by villagers and demanded from several years. for construction of this road forest perposal FP/UK/ROAD/28906/2   (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) : 208.775   (viii). Area of forest land proposed for diversion(in ha.): 2.3   (ix). Non-forest land required for this project(in ha.): 0.4   (x). Total period for which the forest land is proposed to be diverted(in years): 9999
A-2. Details of User Agency
  (i). Name : EXECUTIVE ENGINEER PD PWD UTTARKASHI   (ii). Address1 : PD PWD UTTARKASHI NEAR VISWANATH CHOWK   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Uttarkashi   (vi). Pin : 249193   (vii). Landmark : NEAR VISWANATH CHOWK   (viii). Email address : kunwarvikrampanwar@gmail.com   (ix). Landline Telephone No. : 1374-222108   (x). Fax No. : 1374-222108   (xi). Mobile No. : 8191918418   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Virendra   (ii). Middle Name: singh   (iii). Last Name: chauhan   (iv). Gender: Male   (v). Designation: Assistant Engineer   (vi). Address 1: PD PWD UTTARKASHI   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Uttarkashi   (x). Tehsil: Dunda   (xi). Pin: 249193   (xii). Landmark: VISHWANATH CHOWK   (xiii). Email Address: kunwarvikrampanwar@gmail.com   (xiv). Landline Telephone No.: 137-222108   (xv). Fax No.: 0137222108   (xvi). Mobile No.: 9412363817   (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.Uttarkashi2.30.4
Total2.30.4
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Uttarkashi2.30.4
Total2.30.4
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Dunda (Jakhari)2.30.4
Total 2.3 0.4
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1For Road2.10.2975
2Dumping yard 100.1
3Dumping yard 20.10
4Dumping yard 30.099950
Total 2.29995 0.3975
C. Maps of forest land proposed to be diverted
Division 1. : Uttarkashi
  (i). Area of forest land proposed to be diverted(in ha.) : 2.3   (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).
1.2.3    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): 1000
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. : Uttarkashi
  (a). Village: olya   (b). Area(in ha.): 4.6   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 5044, 5045, 5188, 5263, 5337   (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
1Bar Chart
2certificate for depositing NPV
3certificate for getting environmental sanction
4certificate for paying Empty area for plantation
5certificate for paying ten times for plantation
6certificate for Stating & end Point
7certificate of Cenceling of alternative Eligment
8certificate of Cheak List
9certificate of conpliances of geologist-task force recomadation
10certificate of lease no of trees to be cut
11certificate of length& Width
12certificate of no harming of Flaure and fauna
13certificate of non availability of alternative land
14certificate of non situation of religious-ancient-historical etc places
15certificate of non specialised site
16certificate of non starting of the work
17certificate of PA
18certificate of paying funds for CA
19certificate of paying funds for pillar
20certificate of quarkus inkana ( banj) tree
21certificate of regarding density
22certificate of regarding natinal park & sanctuary
23certificate of regarding natinal park or sanctuary
24condition for muck disposal
25Cost-Benefit analysis
26ertificate of Existing road
27ertificate of regarding benificual villagers- families places
28Geogologist report
29Joint inspection report
30Justification
31Land schedule
32list and Summry of trees
33Muck disposal plan
34REC Minutes
35report
36Sanction GO
37EDS 05-10-2020
38Fact sheet
39eds 29.01.2021
40eds 29.01.21
41CA EStimate
42EDR 26-03-2021
43CA Scutibilty
44eds 06.04.2021