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/14556/2015
(ii). Name of Project for which Forest Land is required :
Construction of Residential house at Srinagar Pvt. Notified Forest Estate Mussoorie
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
I have a piece of land measuring 0.41189 ha. at Srinagar Private Notified Forest Estate, Mussoorie, out of which in 0.024996 ha. land i want to construct a residential building for me and my family.
(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) :
79
(viii). Area of forest land proposed for diversion(in ha.):
0.024996
(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):
99
A-2.
Details of User Agency
(i). Name :
AMIT RAJENDRA KUMAR GUPTA
(ii). Address1 :
Srinagar Estate, Kempty Road, Mussoorie.
(iii). Address2 :
NIL
(iv). State :
Uttarakhand
(v). District :
Dehradun
(vi). Pin :
248179
(vii). Landmark :
NIL
(viii). Email address :
htmpl@yahoo.com
(ix). Landline Telephone No. :
135-2620723
(x). Fax No. :
135-
(xi). Mobile No. :
9358300051
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
Private
A-3.
Details of Person Making Application
(i). First Name:
Amit
(ii). Middle Name:
Rajendra Kumar
(iii). Last Name:
Gupta
(iv). Gender:
Male
(v). Designation:
Self Employeed
(vi). Address 1:
Srinagar Estate, Kempty Road, Musso.orie
(vii). Address 2:
NIL
(viii). State:
Uttarakhand
(ix). District:
Dehradun
(x). Tehsil:
Dehradun
(xi). Pin:
248179
(xii). Landmark:
NIL
(xiii). Email Address:
htmpl@yahoo.com
(xiv). Landline Telephone No.:
135-2620726
(xv). Fax No.:
NIL
(xvi). Mobile No.:
9358300051
(i). Copy of documents in support of the competence/authority of the person making this application to make application on behalf of the User Agency:
No Data
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.
Mussoorie
0.024996
0
Total
0.024996
0
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Dehradun
0.024996
0
Total
0.024996
0
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Srinagar Estate
0.024996
0
Total
0.024996
0
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Residential Building
0.024996
0
Total
0.024996
0
C.
Maps of forest land proposed to be diverted
Division 1. : Mussoorie
(i). Area of forest land proposed to be diverted(in ha.) :
0.024996
(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 Patches
To view KML file on google the same may be downloaded and then open if in google earth install in your computer.
1.
0.024996
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 ?:
Yes
(ii). Permanent/Regular Employment(Number of persons):
0
(iii). Temporary Employment(Number of person-days):
500
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
1
Form A pt 1
2
Joint Inspection Rep
3
Land schedule
4
MDDA lettert
5
NOC from Nagarpalika
6
Geologist Report
7
Project report
8
Shapath patra
9
No alternative land
10
No historical or religious palce
11
No violation certificate
12
Not a part of PA
13
SIR by DFO
14
Trees list
15
Trees to felled
16
Standard condition Manak shartain
17
Cert reg NPV
18
Estimate of 100 trees plantation
19
work not started
20
Certificate reg uploading proposal
21
Boundary demarcation
22
Form A pt 2
23
Map
24
Form A pt3
25
Sale Deed
26
Not involve in 1042 cases in RIT 749/95
27
Cert reg Muck disposal
28
Note of CF reg oak trees
29
Distance from park or centuary
30
Sapath patra page 1
31
Sapath patra page 2
32
Detail Itemwise breakup
33
Prativedan reconsidration on proposal of residential building
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