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/IRRIG/19615/2016   (ii). Name of Project for which Forest Land is required : Construction of Trench Weir   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : constructing of tranch weir is most useful for solution of irrigation and drinking water problem of farmers of chorgaliya area.   (iv). State : Uttarakhand   (v). Category of the Proposal : Irrigation   (vi). Shape of forest land proposed to be diverted : Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 1113.81   (viii). Area of forest land proposed for diversion(in ha.): 0.735   (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): 90
A-2. Details of User Agency
  (i). Name : IRRIGATION DIVISION HALDWANI   (ii). Address1 : Irrigation division Haldwani Distt. -Nainital Uttarakhand   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Nainital   (vi). Pin : 263139   (vii). Landmark : Kaladhungi road Haldwani   (viii). Email address : er.harishsati@gmail.com   (ix). Landline Telephone No. : 5946-254464   (x). Fax No. : 5946-   (xi). Mobile No. : 8191895469   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: H   (ii). Middle Name: C   (iii). Last Name: sati   (iv). Gender: Male   (v). Designation: Assistant Engineer   (vi). Address 1: Irrigation Division Haldwani   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Nainital   (x). Tehsil: NIL   (xi). Pin: 263139   (xii). Landmark: Kaladhungi Road Haldwani   (xiii). Email Address: er.harishsati@gmail.com   (xiv). Landline Telephone No.: 5946-254464   (xv). Fax No.: NIL   (xvi). Mobile No.: 9410145600   (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
1ApprovedFD/UK/IRRIG/19615/20166-119/2017WL0.7350.73521 Jul 2017
2ApprovedFD/UK/IRRIG/19615/2016F.No/6-119/2017WL0.7350.73521 Jul 2017
Total 1.47 1.47
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.Haldwani0.7350
Total0.7350
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Nainital0.7350
Total0.7350
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1lakhanmandi0.7350
Total 0.735 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1trench weir0.3250
2feeder chennel0.20
3escape chennel0.20
Total 0.725 0
C. Maps of forest land proposed to be diverted
Division 1. : Haldwani
  (i). Area of forest land proposed to be diverted(in ha.) : 0.735   (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).
1.0.735    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: No   (a). Reason for not providing such map: because constructing of treanch wear
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): 200
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? : Yes   (a). Whether Project or a part thereof is located within a Protected Area ? : Yes   (b). Status of approval of the Supreme Court : Approval obtained   (c). Date of Approval : NIL   (d).Copy of the approval of the Supreme Court:   (ii). Status of approval of the Standing Committee of National Board for the Wildlife(NBWL) to the Project : Approval obtained   (a). MoEF File No : 6-119/2107WL   (b). Copy of approval of Standing of the NBWL:   (c). Date of Approval : 21 Jul 2017
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
M. Hydel/Irrigation/Multipurpose Project
  (i). Installed power generation capacity of the Project(in MW): 0   (ii). Total command area of the Project(in ha.): 0
Additional information Details
Documents
S.No Documents
Remarks
1Aam_Sabha_Certificate
2Administrative_and_Financial_Approval
3Alternative_Examined_Certificate
4Bar_Chart
5Benefited_Gram_Certificate
6CA_Estimate
7CA_Suitability_Certificate
8Cost_Benefit_Ratio
9FCA_ACT_Certificate
10Check_List
11Forest_Land_Certificates
12Form_II_Part_1
13FRA_Certificate
14Geologist_Report
15Index_Proposal
16JIR_Report
17Justification_Proposal
18Kerosene_Gas_Aviablitiy_Certificate
19Land_Schedule
20Layout_Plan
21Lease_Period_Certificate
22Length_Breadth_Certificate
23Manak_Conditions
24MAPS_Proposal
25Minimum_Trees_Affected_Certificate
26Muck_Disposal_Plan
27National_Park_Certificate
28No_Harm_To_Wildlife_Plants_Certificate
29NPV_Amount_Certficate
30Part_II_DFO
31Proposal_Discription
32RCC_Pillar_Boundary_and_Estimate
33Religious_etc_Certificate
34SIR_Report
35Task_Force_Certificate
36Trees_Certificate
37Work_Not_Start_Certificate