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/13163/2015   (ii). Name of Project for which Forest Land is required : construction of fooldhar canal   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : This canal will provide irrigation facility to villagers.   (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) : 29.31   (viii). Area of forest land proposed for diversion(in ha.): 0.2695   (ix). Non-forest land required for this project(in ha.): 0.1323   (x). Total period for which the forest land is proposed to be diverted(in years): NIL
A-2. Details of User Agency
  (i). Name : IRRIGATION DEPTT   (ii). Address1 : Executive Engineer ID Purola   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Uttarkashi   (vi). Pin : 249185   (vii). Landmark : NIL   (viii). Email address : vvktrpth@gmail.com   (ix). Landline Telephone No. : 1373-223863   (x). Fax No. : 1373-137   (xi). Mobile No. : 8004478341   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Ramesh   (ii). Middle Name: Kumar   (iii). Last Name: Gupta   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: Executive Engineer ID Purola   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Uttarkashi   (x). Tehsil: Puraula   (xi). Pin: 249185   (xii). Landmark: NIL   (xiii). Email Address: vvktrpth@gmail.com   (xiv). Landline Telephone No.: 1373-223863   (xv). Fax No.: 01373223325   (xvi). Mobile No.: 8004478341   (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.Upper Yamuna,Barkot0.26950.1323
Total0.26950.1323
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Uttarkashi0.26950.1323
Total0.26950.1323
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Patagani0.26950.1323
Total 0.2695 0.1323
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Canal0.26950.1323
Total 0.2695 0.1323
C. Maps of forest land proposed to be diverted
Division 1. : Upper Yamuna,Barkot
  (i). Area of forest land proposed to be diverted(in ha.) : 0.2695   (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).
1.0.2695    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: Absence of any alternative land and forest land fo
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 100   (iii). Temporary Employment(Number of person-days): 30
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?: 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): 00   (ii). Total command area of the Project(in ha.): 0.4018
Additional information Details
Documents
S.No Documents
Remarks
1Administrative and Financial sanction.
2Certificate from the DM that no alternative suitable non- forest land is available for the project in question and the demand of the forest land for the project is barest minimum.
3Bar Chart with index (counter signed by DFO).
4Benefited villages/Families/Population Certificate
5Compensatory afforestation scheme in Civil and Soyam land (10 years) by DFO.
6Certificate Regarding. suitability of indentified land for Comensatory Afforestation by DFO.
7Compartmentwise certificate of the project
8Digital map
9If the project area is within 10 Km radius of N/P or Centuary, Comments/No objection certificate of CCF Wild Life has to be provided.
10Eco class certificate
11Fact sheet
12Form A part I to V
13FRA 2006
14Certificate by suer agency for complying the condition imposed in geologist report/Task forcex recommendation in hill areas (excluding drinding water
15No historical/monumental or relegeous place will be effected certificate reg. (by DM/DFO
16Preliminary Joint Inspection report (by user agency, forest department, revenue department etc.
17Undertading to provide alternative fuelwood, kerosene or LPG to labours involved in project
18Cost of the forest land and lease rent certificate by DM.
19Certificate of Lease period by user agency
20Less forest land certificate
21Muck disposal scheme (in prescribed format).
22Whather project area is a part of National Park or sanctuary and airal distance of the project from National Park or sanctuary signed by DFO.
23NOC from local Gram Sabhas
24If the Project falling within the National park or Sanctuary, needs recommendation of State Wild Life Board, National Board of Wild Life (NBWL) and permission of Hon'ble Supreme Court/MoEF GoI.
25Undertaking of payment of NPV, if Hon'ble Supreem Court increses the rates of NPV needs recommendation of State Wild Life Board, National Board of Wild Life (NBWL) and permission of Hon'ble Supreme Court/MoEF GoI.
26Undertaking of payment of NPV, if Hon'ble Supreem Court increses the rates of NPV
27Project map
28Road side/gap filling plantation estimate (by DFO).
29A short narrative and importance of the project.
30Site inspection report
31Certificate by user agency for complying the condition imposed in Manak Shartain
32Task Force report
33Undertaking of user agency to bear the cost for dimarcation work
34Cost of the forest land and lease rent certificate by DM.