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/13110/2015   (ii). Name of Project for which Forest Land is required : THANA GHANSALI   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : New Construction Building Of Thana Ghansali Near PWD Office Building At Ghumetidhar In Ghansali.   (iv). State : Uttarakhand   (v). Category of the Proposal : Others   (vi). Shape of forest land proposed to be diverted : Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 8000000   (viii). Area of forest land proposed for diversion(in ha.): 0.2   (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): 30
A-2. Details of User Agency
  (i). Name : S.P OFFICE TEHRI   (ii). Address1 : S.P OFFICE NEW TEHRI   (iii). Address2 : TEHRI GARHWAL   (iv). State : Uttarakhand   (v). District : Tehri Garhwal   (vi). Pin : 249001   (vii). Landmark : OPP -DM OFFICE   (viii). Email address : virendrasaashwat@gmail.com   (ix). Landline Telephone No. : 1376-232162   (x). Fax No. : 1376-   (xi). Mobile No. : 9456127120   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: virendra   (ii). Middle Name: singh   (iii). Last Name: rana   (iv). Gender: Male   (v). Designation: ASI(M)   (vi). Address 1: S.P OFFICE NEW TEHRI   (vii). Address 2: TEHRI GARHWAL   (viii). State: Uttarakhand   (ix). District: Tehri Garhwal   (x). Tehsil: Tehri   (xi). Pin: 249001   (xii). Landmark: OPP-DM OFFICE   (xiii). Email Address: virendrasaashwat@gmail.com   (xiv). Landline Telephone No.: 1376-232162   (xv). Fax No.: NIL   (xvi). Mobile No.: 9456127120   (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.Tehri,New Tehri0.20
Total0.20
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Tehri Garhwal0.20
Total0.20
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1BORR0.20
Total 0.2 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1thana ghansali0.20
Total 0.2 0
C. Maps of forest land proposed to be diverted
Division 1. : Tehri,New Tehri
  (i). Area of forest land proposed to be diverted(in ha.) : 0.2   (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).
1.0.2    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: alternate proposed land rejected due to exces numb
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? : Yes
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
Additional information Details
Documents
S.No Documents
Remarks
1A short narrative and importance of the project .(pdf file)
2Administrative and Financial sanction (pdf file)
3Preliminary Joint Inspection report (by user agency, Forestdepartment, revenue department etc.)
4Certificate from the DM that no alternative suitable non-forest land is available for project in question and the demand of the forest land for the project is barest minimum.(pdf file) Forestdepartment, revenue department etc.)
5Land schedule (for RF signed by DFO and civil soyam, Van panchayat and privet nap land, Notified forest land etc.
6Bar chart with index (counter signed by DFO). (Pdf file).
7Estimate of 100 tree plantation by DFO (less than 1.0 he. Cases)(pdf file)
8Details of the tree with their scientific name in RF.Civil Soyam ,Van panchayat ,Privet Land should be mentioned (with valuation of the trees to be filled)(0-10 dia trees will be mentioned as saplings).(pdf file)
9If felling of tree is not involved, certificate by DFO in this regard.(
10Muck disposal scheme (in prescribed format)
11WatherProject area Is not Part Of National Park Or Sanctuary And Arial Distance Of The Project From National Park Or Sanctuary Singed By DFO
12Noc From Local Gram Sabha’s
13No Violation Has Taken Place,FC Act 1980
14Geologist report
15Certificate Work Has Not Been Started Reg
16Task Force Certificate
17Certificate By User Agency For Complying The Condition Imposed In Geologist Report/Task Force Recommendation In Hill Areas
18No Historical / Monumental Or Religious Place Will Be Effected Certificate Reg
19Benefited Village/Families/Population Certificate
20Undertaking Of Payment Of NPV If Hon’ble Supreme Court Increase The Rates Of NPV
21Certificate Br Lease Period By user A Agency
22Demarcation Of Land To Be Diverted
23Affidavit
24Ojectiion File