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/8805/2014   (ii). Name of Project for which Forest Land is required : Construction of Siyagad Canal   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Construction of Siyagad Canal Irrigation of Khod, Dangi, Bhunal, Baksir, Math   (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) : 415.47   (viii). Area of forest land proposed for diversion(in ha.): 0.231   (ix). Non-forest land required for this project(in ha.): 0.255   (x). Total period for which the forest land is proposed to be diverted(in years): 2
A-2. Details of User Agency
  (i). Name : UTTARAKHAND IRRIGATION DEPARTMENT   (ii). Address1 : Executive Engineer, Irrigation Division Belani Rudraprayag   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Rudraprayag   (vi). Pin : 246171   (vii). Landmark : Rudraprayag   (viii). Email address : exenrudraprayag@gmail.com   (ix). Landline Telephone No. : 1364-233222   (x). Fax No. : 1364-233222   (xi). Mobile No. : 9536303239   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Shailendra   (ii). Middle Name: Kumar   (iii). Last Name: Basliyal   (iv). Gender: Male   (v). Designation: executive engineer   (vi). Address 1: Irrigation Division Belani Rudraprayag   (vii). Address 2: Irrigation Division Belani Rudraprayag   (viii). State: Uttarakhand   (ix). District: Rudraprayag   (x). Tehsil: Rudraprayag   (xi). Pin: 246171   (xii). Landmark: Rudraprayag   (xiii). Email Address: skbasliyal@gmail.com   (xiv). Landline Telephone No.: 1364-233222   (xv). Fax No.: 01364233222   (xvi). Mobile No.: 9411170054   (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.Rudraprayag0.2310.255
Total0.2310.255
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Rudraprayag0.2310.255
Total0.2310.255
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1khod,dangi,Baksir,Bhunal,Math Gaon0.2310.255
Total 0.231 0.255
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Canal0.2310.255
Total 0.231 0.255
C. Maps of forest land proposed to be diverted
Division 1. : Rudraprayag
  (i). Area of forest land proposed to be diverted(in ha.) : 0.231   (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).
1.0.231    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: No Data   (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: No Data
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: No
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.): 175
Additional information Details
Documents
S.No Documents
Remarks
1Site inspaction note below the rank of DCF
2Joint Inspection Report Certificate
3Land schedule of affected forest Land
4National Park/Wildlife Sanctuary certificate
5Certificate of Gram Sabha
6Project length-width certificate
7The project work has not started certificate
8Geological report
9Geological /District Task Force to comply with the recommendations certificate.
10certificate to not damage Wildlife / vegetation
11certificate of Absence of any alternative land and land minimum demand
12Certificate of the Site not Religious / mythological / historical significance
13Certificate in relation to Beneficiary villages / families /population
14Certificates of deposit to be amount of damage plantation
15Certificate in respect of Obtaining environmental clearance certificate
16Certificate of the value of a reserved forest land
17Standard Terms valid certificate
18Estimates demarcation of RCC pillron and certificate of payble amount
19certificate of Lease period
20Catchment Treatment Plan for water electric project
21Other information related to the project
22Use of explosives certificate
23certificate provided by Magistrate
24Under Forest Rights Act no claims are pending in forest land
25Form-1 Government of Office of the District Collector To whowsoever it may concern
26Proceeding of the meeting of the district level committee constitude under shedule tribes & other traditional forest
27Proceeding of the meeting of the district level committee constitude under shedule tribes & other traditional forest Dwellers (recognition of rights) act (FRA).2006
28under shedule tribes & other traditional forest Dwellers act 2006
29NOC under the Forest Rights Act, 2006 vill-Mathya Gaon Tahsil-Jakholi Rudraprayag
30Form-23.1 Gram Panchayat- Mathya Gaon
31NOC under the Forest Rights Act, 2006 vill-Dangi Tahsil-Jakholi Rudraprayag
32Form-23.1 Gram Panchayat- Dangi
33NOC under the Forest Rights Act, 2006 vill-Bhunal Gaon Tahsil-Jakholi Rudraprayag
34Form-23.1 Gram Panchayat- Bhunal Gaon Jakholi Rudraprayag
35NOC under the Forest Rights Act, 2006 vill-Khod Tahsil-Jakholi Rudraprayag
36Form-23.1 Gram Panchayat- Khod Rudraprayag
37NOC under the Forest Rights Act, 2006 vill-Basir,Tahsil-Jakholi Rudraprayag
38Form-23.1 Gram Panchayat- Baksir Rudraprayag
39Estimates demarcation of RCC pillron and certificate of payble amount
40Mag Disposal
41Compartment Area
42Reservations Wildland Transfer Proposal
43NOC
44Sanction letter
45Sanction list