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/9514/2015   (ii). Name of Project for which Forest Land is required : Construction Link Motor Road from Chirakhan to High School Talli Pokhari   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The above proposed motor road start from Patlot Devali Motor Road Km. 3 and Starting point from 0.000 to ch 1.025 km. become reserve forest. The village Talli Pokhari to Connect to motor road required this forest land, therefore it is essential to connect the village.   (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) : 103.5   (viii). Area of forest land proposed for diversion(in ha.): 1.26   (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 : Executive Engineer P.W.D. Bhowali   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Nainital   (vi). Pin : 263132   (vii). Landmark : NIL   (viii). Email address : eepwdbhowali@rediffmail.com   (ix). Landline Telephone No. : 5942-220029   (x). Fax No. : 5942-220029   (xi). Mobile No. : 8979176065   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Anand   (ii). Middle Name: Ballabh   (iii). Last Name: Kandpal   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: Executive Engineer, Ty. Div. P.W.D. Bhowali   (vii). Address 2: As above   (viii). State: Uttarakhand   (ix). District: Nainital   (x). Tehsil: Nainital   (xi). Pin: 263132   (xii). Landmark: Nil   (xiii). Email Address: eepwdbhowali@rediffmail.com   (xiv). Landline Telephone No.: 5942-220029   (xv). Fax No.: 05942220029   (xvi). Mobile No.: 9412977376   (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.Nainital1.260
Total1.260
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Nainital1.260
Total1.260
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Matela0.85750
2Talli Pokhari0.40250
Total 1.26 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road1.260
Total 1.26 0
C. Maps of forest land proposed to be diverted
Division 1. : Nainital
  (i). Area of forest land proposed to be diverted(in ha.) : 1.26   (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).
1.1.26    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): 10   (iii). Temporary Employment(Number of person-days): 500
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. : Nainital
  (a). Village: Malli Pokhari   (b). Area(in ha.): 2.52   (c). Copy of KML file of the patch:     View File   (d). Khasra details: Khasra No. 1281, 1293 Khata No. 27 Non Z A   (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
1Barchart
2CA Estimate
3CA of Double Land Certificate
4Certificate of National Park
5Certificate of RCC Pilar
6FectSheet
7Geological Report
8G.O.
9JIR
10Land Schedule
11Length Width Certificate
12List of Tree
13No Alternate Certificate
14NOC
15N.P.V. Certificat and Cost Certificate
16Other Additional Document
17Muck Disposal Plan
18Muck Disposal ke Shapesha Viraksharopan
19Report
20Task Force Certificate
21Utility of CA
22Work Not Start of Certificate
23Shortcoming Letter
24Shortcoming Letter and Attachment 26-04-2016
25Short coming letter & Attachment dated 14-6-2016
26short coming letter 17-06-2016
27Shortcomming Letter 08-07-2016
28Shortcoming Letter & Attachment Dated 15-07-2016
29Shortcoming Letter and CA Attachment Dated 02-08-2016
30Shortcoming Letter & Attachment Dated 30-09-2016
31Land for CA has been taken at Kanda in Koshi range earlier which was declared suitable for CA by Forest Department. Later chosen land found not suitable for CA by the Forest Department itself. Therefore New Land proposed for CA at Malli Pokhri which is declared suitable for CA by Forest Department, which KML file now uploaded
32New C.A. Site uploaded in Geo-Reference map.
33Short Coming letter dated 10-04-2017
34Shortcoming Letter Dated 25-05-2017
35Shortcoming Letter dated 29-05-2017
36Shortcoming Letter and Attachment dated 29-06-2017