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/ROAD/10507/2015   (ii). Name of Project for which Forest Land is required : Construction ofFour lane Thano-Raipur motor road to Raipur Cricket Stadium   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Construction ofFour lane Thano-Raipur motor road to Raipur Cricket Stadium   (iv). State : Uttarakhand   (v). Category of the Proposal : Road   (vi). Shape of forest land proposed to be diverted : Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 23.68   (viii). Area of forest land proposed for diversion(in ha.): 1.92   (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 : PUBLIC WORK DEPARTMENT   (ii). Address1 : Temporary Division, PWD, Rishikesh   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Dehradun   (vi). Pin : 249201   (vii). Landmark : Near Railway Station   (viii). Email address : eetdrksh@rediffmail.com   (ix). Landline Telephone No. : 135-2430660   (x). Fax No. : 135-135   (xi). Mobile No. : 9412053901   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Dinesh   (ii). Middle Name: NIL   (iii). Last Name: Sindhwal   (iv). Gender: Male   (v). Designation: Assistante Engineer   (vi). Address 1: Temporary Division, PWD, Rishikesh   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Dehradun   (x). Tehsil: Rishikesh   (xi). Pin: 249201   (xii). Landmark: Near Railway Station   (xiii). Email Address: eetdrksh@rediffmail.com   (xiv). Landline Telephone No.: 135-2430660   (xv). Fax No.: 01352430660   (xvi). Mobile No.: 8126906336   (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.Mussoorie1.920
Total1.920
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Dehradun1.920
Total1.920
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Saura Saroli, Raipur1.920
Total 1.92 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1road1.920
Total 1.92 0
C. Maps of forest land proposed to be diverted
Division 1. : Mussoorie
  (i). Area of forest land proposed to be diverted(in ha.) : 1.92   (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).
1.1.92    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: Yes   (a). Copy of map indicating location of alternative examined:
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 300   (iii). Temporary Employment(Number of person-days): 50
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?: Yes   (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 ?: No   (iii). No. of districts involved for raising Compensatory Afforestation: 1   (iv). No. of patches: One
District 1. : Dehradun
  (a). Village: Kyara Fuleth   (b). Area(in ha.): 3.84   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 223   (e). Present owner: User Agency   (f). Copy of Ownership proof:
  (v). Scanned copy of the map of the land identified for creation of Compensatory Afforestation prepared by using GPS ot Total Station:   (vi). Copy of Survey of India Toposheet in 1:50,000 scale indicating location of the land identified for creation of Compensatory Afforestation:
Additional information Details
Documents
S.No Documents
Remarks
1CA certificate
2Authority letter and justification
3Act, 1980 non voilance
4Alternative alignment statement
5Alternative alignment
6Bar Chart
7FRA DM
8FRA 2006
9Alivated road certi
10CA certificate
11CA plantation certificatei
12DFO Letter recept
13district level committee fra
14Justification
15Khasra details
16Proposed plantation map
17Proposed plantation sthal toposheet map
18Scientific name of trees
19Sports_College_Raipur_MR
20starting or end point of the road
21Cert of not being apart of Centuary
22Cert reg subsitute cooking gas
23Budget for Geologist recom
24Certi reg wildlife
25Cost of trees
26Detail of Trees
27Distance from Park
28Due NPV certificate
29Estimate of trees
30Felling of minimum trees
31Geologist Reporti
32Historicaland other important places certi
33JointInspection
34Land and width
35Land Shadule
36List of beneficiary villages
37Manak Shartain
38Under taking reg Geologist report
39Trees to be felled
40tree plant and boundry dema certi
41Summay of Trees
42Task force certificate
43SIR
44Road side Plantation
45RCC Pilor Estimate
46rajeev gandhiPhy and finan san
47Plant of 10 time trees
48rajeev gandhi SOI map
49Rajeev Gandhi cricket stadium Toposheet map
50rajeev gandh googel Map
51Plantation of 10 time trees 2
52NPV certificate
53NPV Amount
54NOC of villagers
55NOC of villagers
56muck disposal certificate
57Muck disposal scheme
58muck disposal certificate
59Muckdisposalcertificate