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/16879/2015   (ii). Name of Project for which Forest Land is required : Tuini chandani to pivnal motor road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Tuini chandani to pivnal motor road under PMGSY scheme under phase XIV of length 23.325 km. This road will connect the four villages which are under one gram panchayat pivnal having population of 1800 approx.   (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) : 933   (viii). Area of forest land proposed for diversion(in ha.): 4.94   (ix). Non-forest land required for this project(in ha.): 10.43   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : EXECUTIVE ENGINEER   (ii). Address1 : Construction division PWD haridwar headquarter kalsi   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Dehradun   (vi). Pin : 248001   (vii). Landmark : NIL   (viii). Email address : eepmgsykalsi@rediffmail.com   (ix). Landline Telephone No. : 1360-275015   (x). Fax No. : NIL   (xi). Mobile No. : 9412013716   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Rajesh   (ii). Middle Name: NIL   (iii). Last Name: kumar   (iv). Gender: Male   (v). Designation: executive engineer   (vi). Address 1: Construction division PWD haridwar headquarter kalsi   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Dehradun   (x). Tehsil: Kalsi   (xi). Pin: 248159   (xii). Landmark: NIL   (xiii). Email Address: eepmgsykalsi@rediffmail.com   (xiv). Landline Telephone No.: 1360-275015   (xv). Fax No.: 01360275015   (xvi). Mobile No.: 9412013716   (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.Chakrata4.9410.43
Total4.9410.43
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Dehradun4.9410.43
Total4.9410.43
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1tiuni0.29250
2dersa2.2143.3265
3pivnal1.2965.1695
4bulog00.504
Total 3.8025 9
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1road4.26659
2muck disposal0.67351.43
Total 4.94 10.43
C. Maps of forest land proposed to be diverted
Division 1. : Chakrata
  (i). Area of forest land proposed to be diverted(in ha.) : 4.94   (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).
1.4.94    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): 12   (iii). Temporary Employment(Number of person-days): 425
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. : Dehradun
  (a). Village: DERSA   (b). Area(in ha.): 9.88   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 422   (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
1
2check list
3joint inspection and tree
4bar chart
5CA certificate by DFO
6CA estimateby DFO
7cost benefit
8dfo inspection
9fact sheet
10Forest act
11geologist report
12GO
13land schedule
14langth and width
15lease rate
16list of tree
17minimum tree cutting
18minimum land
19NPV increment
20NPV
21Naap land
22National park dist
23National park part
24no other align ment
25no start work
26noc
27norms certification
28oak tree
29other tree protection
30other papers
31performas
32profit of village
33protect wild animal
34rcc pillar
35religious and historical
36report
37sop
38task force
39tree plantation
40work labour
41revised list of tree counted in 9 m width in civil land
42list of tree in RF as before
43pointwise reply of objections raised by GOI dated 17 11 2016
44original documents already submit in nodal on dated 04-03-2017 regarding objection raised by CF as per point no 5
45muck disposal of road
46reply objection of letter 22 6 2017 of RO
47receipt of original papers at nodal office dehradun is attached. all the original required papers already submitted in nodal office dated 20.02.2017
48reply of objections of GOI dated 17 02 2017
49Pointwise reply of Ro dated 25 7 17 and its already given by UA
50Pointwise reply of the objections raised by CF Yamuna Circle.
51pointwise reply of objections raised by GOI
52piontwise reply of objections raised by GOI dated 24 8 17