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/140350/2021   (ii). Name of Project for which Forest Land is required : Development of 4-lane Greenfield road connecting NH-7 (old NH-72) (near Jhajhra) to Delhi-Dehradun Expressway NH-307 (old NH-72A) at Asharori Section from Km. 0.000 to Km. 12.000 in the State of Uttar   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Development of 4-lane Greenfield road connecting NH-7 (old NH-72) (near Jhajhra) to Delhi-Dehradun Expressway NH-307 (old NH-72A) at Asharori Section from Km. 0.000 to Km. 12.000 in the State of Uttarakhand.   (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) : 65336   (viii). Area of forest land proposed for diversion(in ha.): 20.0849   (ix). Non-forest land required for this project(in ha.): 26.986   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : NATIONAL HIGHWAY AUTHORITY OF INDIA, VASANT VIHAR, PIU, DEHRADUN   (ii). Address1 : House No 171, Phase 1, Vasant vihar, Dehradun   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Dehradun   (vi). Pin : 248001   (vii). Landmark : NIL   (viii). Email address : piuvasantvihar.forest@gmail.com   (ix). Landline Telephone No. : 0-   (x). Fax No. : 0-   (xi). Mobile No. : 7500209819   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Central Government
A-3. Details of Person Making Application
  (i). First Name: Pankaj   (ii). Middle Name: Kumar   (iii). Last Name: Mourya   (iv). Gender: Male   (v). Designation: GeneralManager   (vi). Address 1: Hosue No 171, Phase 1, Vasant vihar, Dehradun   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Dehradun   (x). Tehsil: Dehradun   (xi). Pin: 248001   (xii). Landmark: NIL   (xiii). Email Address: piuvasantvihar.forest@gmail.com   (xiv). Landline Telephone No.: 0-   (xv). Fax No.: NIL   (xvi). Mobile No.: 7500209819   (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.Dehradun20.084926.986
Total20.084926.986
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Dehradun20.084926.986
Total20.084926.986
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1East Hope Town0.815112.1531
2Keshowala01.1938
3Donkwala04.8983
4Arcadia Grant9.68968.7408
5Chanderbadni Grant7.09470
6Chanderbadni Khalsa1.76530
7Mohobewala0.72020
Total 20.0849 26.986
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road18.270423.9623
2Bridge Section1.81453.0237
3Hill Cutting00
4Muck Disposal Area00
Total 20.0849 26.986
C. Maps of forest land proposed to be diverted
Division 1. : Dehradun
  (i). Area of forest land proposed to be diverted(in ha.) : 20.0849   (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).
1.20.0849    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): 545
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?: Yes   (a). Copy of Cost-Benefit analysis:
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: Four
District 1. : Dehradun
  (a). Village: Gadeta   (b). Area(in ha.): 23   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 1, 4, 5   (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:
District 2. : Dehradun
  (a). Village: Thina   (b). Area(in ha.): 10   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 766   (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:
District 3. : Dehradun
  (a). Village: Latau   (b). Area(in ha.): 8   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 148   (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
1MoM NHAI.
2Clarification on dispensation of CA.
3Compliance of the Schedule Tribes FRA Act 2006 MoEF and CC Circular.
4Gazette Notification.
5Project Report NHAI Sanction Letter.
6Alternative Route Alignment.
7Check List for Stage I Approvals.
8Typical Cross Section.
9Cert for Agreement bw LO and User Agency Format 48.
10Certificate for Availability of Kerosin and other Format 39.
11Certificate for Compensatory afforestation.
12Certificate for following Geologist recommendation Format 34.
13Certificate for NPV Format 51.
14Certificate for Wildlife Permission Format 27.
15Certificate for Work Not Started.
16Details for optional land Format 13.
17Manak Sharte Format 36.
18Muck disposal Plan Format 49_1.
19NOC of landowner Format 47.
20Task Force Certificate Format 35.
21Undertaking for Benifited Village Format 40.
22Undertaking for minimum Tree Falling Format 24.
23Undertaking for No damage for Forest Founa and Flowera Format 38.
24Undertaking for Submiting Layout plan for building construction Format 32.
25Undertaking for Various Component Format 31.
26Georeference Digital Map.
27EDS Reply letter EDS dated 21_06_2021 with Annexures.
28Justification for Land Format _11.
29Certificate for Minimum Forest Land.
30Certificate for Regarding Environment Clearance CWLW NoC.
31Undertaking for Dharmik Pauranik Place Format 37.
32Distance Certificate for Wildlife Sanctuary National Park Format 25.
33Joint Inspection Report
34Format 2 Part I
35FRA Certificate
36Village Level Committee Meeting Proceedings for FRA
37Sub Divisional Level Committee Meeting Proceedings for FRA
38Cost Benefit Analysis
39Reply of EDS dated 21.06.2021
40Reply of DFO Observations dated 22.09.2022
41Geo Referenced SOI Toposheet Map 50000 Scale.
42Undertaking for Banj Tree Falling Details Format 22
43Certificate for Affected Tree Format 23.
44Reply of EDS dated 09_11_2022 and letter dated 29_10_2022
45Important Document List
46EDS dated 17 January 2023
47Format 15 Land Schedule.
48Format 16 Land Schedule.
49Format 17 Bar Chart.
50Format 19 Compartment wise Tree List.
51Format 19_1 Non forest area trees.
52Format 19_2 Van Panchyat.
53Format 19_3 Nap Bhoomi Trees.
54Format 20_1 Tree Summary.
55Format 50 NPV Value.
56Segmentwise Area Calculation
57Forest Proposal Submission letter Jhajhra Asharori
58Reply of EDS dated 03.04.2023
59Reply of EDS Raised on dated 20.07.2023
60Compliance of EDS from Regional Office dated 16102023
61Format 49 Muck Disposal Plan
62Undertaking Regarding WLMP and SMC Work
63Reply of RO Office EDS dated 03.04.2024
64Undertaking Cost of Raising Maintenance for CA
65CA Maps
66DSS Analysis
67CA Scheme
68Land Suitability Certificates
69NFL Transfer Order
70WLMP and SMC Plan
71Compliance of RO EDS dated 03042024
72CA Land Maps DSS ALL.
73CA Land Allotment Documents and Ownership.