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/13333/2015   (ii). Name of Project for which Forest Land is required : Halduwala to Chowcky Birawadi MR   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : This road is very useful and good connectivity to Dehradun city for local villagers and students and may be use as a propose Ring Road in near future.   (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) : 16.31   (viii). Area of forest land proposed for diversion(in ha.): 1.0752   (ix). Non-forest land required for this project(in ha.): 0.5649   (x). Total period for which the forest land is proposed to be diverted(in years): 90
A-2. Details of User Agency
  (i). Name : PUBLIC WORKS DEPARTMENT   (ii). Address1 : Office of The Executive Engineer Provincial Division PWD Dehradun Uttarakhand   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Dehradun   (vi). Pin : 248001   (vii). Landmark : Doon Hospital Kutchery Road   (viii). Email address : exnpdddun@gmail.com   (ix). Landline Telephone No. : 135-2623746   (x). Fax No. : 135-2623746   (xi). Mobile No. : 9719003703   (xii). Website (if any) : www.pwd.uk.gov.in   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Madan   (ii). Middle Name: Mohan Singh   (iii). Last Name: Pundir   (iv). Gender: Male   (v). Designation: Assistant Engineer   (vi). Address 1: Office of The Executive Engineer Provincial Division PWD Dehradun Uttarakhand   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Dehradun   (x). Tehsil: Dehradun   (xi). Pin: 248001   (xii). Landmark: Doon Hospital Kutchery Road   (xiii). Email Address: exnpdddun@gmail.com   (xiv). Landline Telephone No.: 135-2623746   (xv). Fax No.: 01352623746   (xvi). Mobile No.: 9412058398   (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.Dehradun1.07520.5649
Total1.07520.5649
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Dehradun1.07520.5649
Total1.07520.5649
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Rikhauli0.39760
2Chowcky00.2275
3Birawadi0.67760.3374
Total 1.0752 0.5649
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road1.07520.5649
Total 1.0752 0.5649
C. Maps of forest land proposed to be diverted
Division 1. : Dehradun
  (i). Area of forest land proposed to be diverted(in ha.) : 1.0752   (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).
1.1.0752    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): 0   (iii). Temporary Employment(Number of person-days): 6000
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: Sirwa   (b). Area(in ha.): 2.1504   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 1938   (e). Present owner: Others   (f). Copy of ownership proof:   (g). Copy of Mou/agreement executed between the Present owner and the User Agency:   (h). Copy of non encumberence certificate for the forest land:
  (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
11.1-cirtificate of authorized for Project uploading on line
21.2-Toposheet of servey of India indicating boundry of forest
31.2-scaned copy of georefernce map indicating gps location.
41.5-Note containing justification for locating the project in forest land
51.6- cirtificate by DM- Forest right act 2006
61.7- Servey of India toposheet 1:50000 scale indication of the land for CA
71.8-Google map showing the land identified For CA the land for CA
81.4-Google map showing the land identified For proposed land
91.9-If non forest is rquired to be provided by user agency ? A copy of ownership proof and NOC
10copy of agreement executeted between persent owner and the user agency
112.1- Short narretive and importance of the project
122.2-Administrative and financial sanction
132.3-Joint inspection report
14Comperative chart showing statement of both alignment for the poject and reasons for their rejection
152.5- Certicate from DM No alternative suitable non forest land is available for the project and the demand of the forest land is barest minimum
162.6-land schedule
172.7-category wise area
182.8-Bar chart
192.9-Scheme for CA
202.10-Certificate of suitablity of identied land for CA
212.12-Road side/gap filing plantation estimate
222.15-Detail of tree wiht their scinentific name in RF, civil soyam, nap land
232.18- cirtificate of felling minimum trees
242.19-Muck disposal scheme
252.20-Certificate that areal distance of the project to National park or sanctuary
262.21-If the project area is within 10km radius of N/P or centuary, Comments/NOC by the CCF wild life
272.22- cirtificate that project is not falling withn the NP or sanctuary
282.23-No voilation has taken place,FC Act.1980 reg.
292.24- NOC form local Gram Sabhas.
302.27-Certificate work has not been started reg.
312.28- Geologist Report
322.29-Task Force report.
332.30-Standard Condition.
342.31-Certificate by user agency for complying the condition imposed in Standard condition.
352.32-Certificate by user agency for complying rhe condition imposed in geologist report/Task force recommendation.
362.33-No historical/Monumental or relegeous place will be effected certificate reg.
372.34- Undertakoing regarding no animal will be effected adversely by the project.
382.35- Undertading to provide alternative fuelwood, kerosene or LPG to labours involved in project.
39Bnefits villagers/faimlys/population cirtificate
402.37-NPV caluction cirtificate as per Hon'ble supreem court
412.38-Undertaking of payment of NPV,if Honble Supreem court increses the rates of NPV.
422.41- Dearcation of land to be diverted.
432.42- Undertaking of user agency to bear the cost for the dimaraction work.
442.44- Check list/Fact sheet.
45
46Comparative Alignment
47Notification Issued Letter by RO regarding Connecting Pre-built motor road jantanwala Jhadiwala Halduwala MR
48Correction letter of EDS query raised by nodal dated 13-10-2017
49Correction letter of EDS query raised by nodal dated 26-12-2018
50Point wise reply letter of EDS dated 19-12-2017
51Point wise reply letter of EDS dated 19-12-2017
52Point wise reply letter of EDS dated 02-04-2018
53Point wise reply letter of EDS dated 08-05-2018
54letter of dated 10-8-2018
55Aam Sabha NOC Rikholi and Birabadi
56Muck Dumping Scheme
57EDS reply letter dated 19-9-2018 along with certificate