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/Others/11162/2015   (ii). Name of Project for which Forest Land is required : Construction of residential building on Private Notified Forest Land   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : I am submitting a proposal for residential building at mussoorie for me and my family. The land proposed for construction is notified as Private forest land so i need permission of MoEF under FC Act 1980.   (iv). State : Uttarakhand   (v). Category of the Proposal : Others   (vi). Shape of forest land proposed to be diverted : Non Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 30.3822   (viii). Area of forest land proposed for diversion(in ha.): 0.014113   (ix). Non-forest land required for this project(in ha.): 0   (x). Total period for which the forest land is proposed to be diverted(in years): NIL
A-2. Details of User Agency
  (i). Name : MANOJ KUMAR KALA   (ii). Address1 : Sudha Niwas, Harnam Singh Road Mussoorie   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Dehradun   (vi). Pin : 248179   (vii). Landmark : Near LBSNAA   (viii). Email address : manukala@yahoo.com   (ix). Landline Telephone No. : 135-2630832   (x). Fax No. : 135-   (xi). Mobile No. : 9412964332   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Private
A-3. Details of Person Making Application
  (i). First Name: Manoj   (ii). Middle Name: Kumar   (iii). Last Name: Kala   (iv). Gender: Male   (v). Designation: Private Owner   (vi). Address 1: Sudha Niwas, Harnam Singh Road Mussoorie   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Dehradun   (x). Tehsil: Dehradun   (xi). Pin: 248179   (xii). Landmark: Near LBSNAA   (xiii). Email Address: manukala@yahoo.com   (xiv). Landline Telephone No.: 135-2630832   (xv). Fax No.: NIL   (xvi). Mobile No.: 9568260045   (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.Mussoorie0.0141130
Total0.0141130
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Dehradun0.0141130
Total0.0141130
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Mussoorie0.0141130
Total 0.014113 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Residential Building0.0141130
Total 0.014113 0
C. Maps of forest land proposed to be diverted
Division 1. : Mussoorie
  (i). Area of forest land proposed to be diverted(in ha.) : 0.014113   (ii). Nature of the Project: Non Linear   (a). No. of patches : One
Patch wise details
Patch No. Area of Patch(in ha.) Kml File of PatchesTo view KML file on google the same may be downloaded and then open if in google earth install in your computer.
1.0.014113    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:
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? : No
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
Additional information Details
Documents
S.No Documents
Remarks
1Visaya suchi
2Under taking on Stamp paper
3Form A part 1 to 2
4Gudget notification
5Joint inspection
6Geologist report
7Land schedule
8Bar chart
9Local aam sabha NOC
10No alternative land certificate
11elegious place effected by the project
12National park wildelife cert
13Saledeed
14No voilation
15Standard condition
16Task force certificate
17Tree details
18Undertaking MDDA
19SIR
20work not started
21Bearing cost NPV CA
22Demarcation cert
23High court certi
24Muck disposal scheme
25Plan
26GO
27Other alignment
28Plantation scheme
29Project report
30Circle rates
31Toposheet
32site map
33site digital map
34Letter of DFO mussorrie
35Chek list fact sheet