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/154975/2022   (ii). Name of Project for which Forest Land is required : Construction of sprinkler based lift Irrigation for Papariyan Taulibhood, Langha, Lower Pipalsar of village Pashta and Rudrapur   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : This project will facilitate irrigation water for Papariyan Taulibhood Lower Pipalsar Pasta and Rudrapur villages.   (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) : 1612   (viii). Area of forest land proposed for diversion(in ha.): 0.18   (ix). Non-forest land required for this project(in ha.): 0.67   (x). Total period for which the forest land is proposed to be diverted(in years): 50
A-2. Details of User Agency
  (i). Name : EXECUTIVE ENGINEER TUBEWELL DIVISION   (ii). Address1 : Tubewell Division, Irrigation Deptt. Maharani Bagh, GMS Road, Dehradun.   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Dehradun   (vi). Pin : 248006   (vii). Landmark : NIL   (viii). Email address : eetubwdeh-irri-uk@gov.in   (ix). Landline Telephone No. : 0--   (x). Fax No. : 0-   (xi). Mobile No. : 7017408256   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Satye   (ii). Middle Name: Singh   (iii). Last Name: Chauhan   (iv). Gender: Male   (v). Designation: Assistant Engineer   (vi). Address 1: Office Of the Executive Engineer, Tubewell Division, Maharani Bagh, GMS Road, Dehradun.   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Dehradun   (x). Tehsil: Dehradun   (xi). Pin: 248006   (xii). Landmark: NIL   (xiii). Email Address: satyesinghchauhan@gmail.com   (xiv). Landline Telephone No.: 135-276321   (xv). Fax No.: NIL   (xvi). Mobile No.: 8126686595   (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.Soil Conservation,Kalsi0.180.67
Total0.180.67
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Dehradun0.180.67
Total0.180.67
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Kata Patthar00.087
2Dumet gaon00.12
3Papriyan00.13
4Tauli Bhood00.22
5Langha00.083
6Dumet Black 1 b0.180
7Pashta (Pipalsar)00.03
Total 0.18 0.67
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Pipe Line0.180.67
Total 0.18 0.67
C. Maps of forest land proposed to be diverted
Division 1. : Soil Conservation,Kalsi
  (i). Area of forest land proposed to be diverted(in ha.) : 0.18   (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).
1.0.18    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: River is only source to provide water.
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? : 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): 0   (ii). Total command area of the Project(in ha.): 0
Additional information Details
Documents
S.No Documents
Remarks
1Administrative and Financial Sanction
2Justificatin
3joint inspection report
4Land Schedule
5Length and Width
6Certificate reg no alternative land
7Certifiate reg Trees
8No tree felling
9Bar Chart
10Certificate reg Geogolist report
11Benefited Villages
12Certificate of Environment clearance
13Flora and wild life certificate
14Noalternative land and req of minimum land certificate
15Not a part of NP and distance from NP
16SIR
17Undertaking for Muck disosal
18Undertaking for boudary demacation
19Task Force Report
20Standerd Condition
21Estimate of 100 trees plantation
22Fact Sheet
23Vacant area plantation
24General Abstract of cost
25Prativedan
26Work not started
27Minimum and No alternative land available
28Site specific project certificate
29FRA2006 Katatpatthar_Combine_complete
30Index
31Under Taking to Pay Additional NPV Amount
32NPV Calculated by DFO
33Certificate of Dia
34Form A part 1
35Form A part 2
36Digital Map
37Geo-Referaence Map
38Letter to DFO reg. EDS