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/WATER/42511/2019   (ii). Name of Project for which Forest Land is required : Mussoorie reorgnisation water supply scheme forest land transfer proposal   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Mussoorie is one of the world famous tourist hill station in Uttarakhand, the existing water supply is not fulfill the water demand of Mussoorie town. Hence, to provide sufficient drinking water supply to Mussoorie, re organization of Mussoorie water supply scheme has been prepared to fulfill the   (iv). State : Uttarakhand   (v). Category of the Proposal : Drinking Water   (vi). Shape of forest land proposed to be diverted : Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 14446   (viii). Area of forest land proposed for diversion(in ha.): 2.323   (ix). Non-forest land required for this project(in ha.): 0.467   (x). Total period for which the forest land is proposed to be diverted(in years): 30
A-2. Details of User Agency
  (i). Name : UTTARAKHAND PAYJAL SANSADHAN VIKAS AVAM NIRMAN NIGAM   (ii). Address1 : 11-Mohini Road, Dehradun   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Dehradun   (vi). Pin : 248001   (vii). Landmark : NIL   (viii). Email address : eecdujnmussoorie@gmail.com   (ix). Landline Telephone No. : 135-2733132   (x). Fax No. : 135-2733132   (xi). Mobile No. : 7830500497   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Others
A-3. Details of Person Making Application
  (i). First Name: Pratap   (ii). Middle Name: Singh   (iii). Last Name: Negi   (iv). Gender: Male   (v). Designation: A.A.E.   (vi). Address 1: 33-Jakhan, Rajpur Road, Dehradun.   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Dehradun   (x). Tehsil: Dehradun   (xi). Pin: 248001   (xii). Landmark: NIL   (xiii). Email Address: panwar.santosh6@gmail.com   (xiv). Landline Telephone No.: 135-2736032   (xv). Fax No.: NIL   (xvi). Mobile No.: 9927171375   (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.Mussoorie2.3230.467
Total2.3230.467
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Dehradun0.8450
1.Tehri Garhwal1.4780.467
Total2.3230.467
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Timliyal gaon0.090
2Bhediyana0.1080.439
3Sartali0.1380
4Bhatoli0.340
5Sainji0.2480
6Banglow ki kandi0.3620
7Kempty0.1920.028
8Mussoorie Nagar palika prishad0.8450
Total 2.323 0.467
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Intake well0.040
2BFG at khairo gad0.00750
3MPS at Bhadiyanan00.36
4IPS-I at Bamglow ki kandi Near Kempity0.090
5IPS-II Near Surbhi Resort0.090
6Top CWR at Radha bhawan Mussoorie0.20250
7Gravity main0.2080.012
8Raw water main0.07930.012
9Rising Main1.60570.083
Total 2.323 0.467
C. Maps of forest land proposed to be diverted
Division 1. : Mussoorie
  (i). Area of forest land proposed to be diverted(in ha.) : 2.323   (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).
1.2.323    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: Due to hilly Terrain no alternate alignment avail
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): 937500
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. : Tehri Garhwal
  (a). Village: Near Gaon khet   (b). Area(in ha.): 4.464   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 110   (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
1Fact sheet
2Financial and addministrative approval
3Part I
4Part II
5Part III
6Part v
7Joint inspection report
8Land schedule
9affected trees list
10trees assessment
11Length breath of the scheme
12No part of national park crtficate
13layout plan of the scheme
14Cencellation of alternate alignment
15Bar chart
16plantation certificate
17Trees affecting certificate
18Ten time plantation
19NOC nagar palika prishad Mussoorie
20Work not started certificate
21Geologist report
22District task force and geologist acceptance
23Task force certificate
2429 Benificery population
2530 Compencentary plantation on double of affected area
2631 estimate of double area plantation.pdf
2732 compencentry plantation site map.pdf
2833 envoirenment permission.pdf
2935 NPV certificate.pdf
3036 NPV amount.pdf
3138 Disposal of waste material.pdf
3239 Standard conditions.pdf
3340 Estimate for Pillars for demarcations.pdf
3441 RCC Pillars for demarcation.pdf
3542 Lease period.pdf
3643 Alaternate fuel use.pdf
3744 No lose for animal life.pdf
3802 prativedan
39C.A. agreement
40Non Incumbrance certificate
41No Religious, anncient and historical places.
42Topo sheet
43Geo reference map
44CA Topo sheet
45CA Geo map
46No specifice place certificate
47Lease rent
48FRA 2006
49Prarup 1.90
50NOC private & notified land
51Acknowledgement slip
52DFO Objection removal sheet
53Ownership
54Objection removal letter
55No alternate land available and minimum land certificate
56Distance from wildlife century Mussoorie.