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/155024/2022   (ii). Name of Project for which Forest Land is required : Danguta to Mundali Motor Road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The road Connected Village Patyur, Danguta, Eathan.   (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) : 909   (viii). Area of forest land proposed for diversion(in ha.): 7.8675   (ix). Non-forest land required for this project(in ha.): 1.0075   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : PUBLIC WORK DEPARTMENT   (ii). Address1 : Temporary Division, P.W.D.   (iii). Address2 : Chakrata   (iv). State : Uttarakhand   (v). District : Dehradun   (vi). Pin : 248123   (vii). Landmark : Near Langa Pokhari   (viii). Email address : eepwdchakrata11@gmail.com   (ix). Landline Telephone No. : 1360-274595   (x). Fax No. : 1360-   (xi). Mobile No. : 9997976809   (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: Dutt   (iii). Last Name: Bhatt   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: Temporary Division, P.W.D.   (vii). Address 2: Chakrata   (viii). State: Uttarakhand   (ix). District: Dehradun   (x). Tehsil: Chakrata   (xi). Pin: 248123   (xii). Landmark: Near Langa Pokhari   (xiii). Email Address: eepwdchakrata11@gmail.com   (xiv). Landline Telephone No.: 1360-274595   (xv). Fax No.: NIL   (xvi). Mobile No.: 9412047067   (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.Chakrata7.86751.0075
Total7.86751.0075
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Dehradun7.86751.0075
Total7.86751.0075
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Payur, Chadad ,Hartad, Eathan7.8651.0075
Total 7.865 1.0075
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1For Road work7.49250.6075
2Muck Disposal0.3750.4
Total 7.8675 1.0075
C. Maps of forest land proposed to be diverted
Division 1. : Chakrata
  (i). Area of forest land proposed to be diverted(in ha.) : 7.8675   (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).
1.7.8675    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): 4000   (iii). Temporary Employment(Number of person-days): 103885
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? : 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? : 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?: 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: Ethan and Patyur   (b). Area(in ha.): 14.985   (c). Copy of KML file of the patch:     View File   (d). Khasra details: Patyur Khata No. 00043 Ksara No 35 Ethan Khata No 00119 Khasa No 380   (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
1Cover Page
2Pararup 1
3Index
4Pararup 2
5Pararup 3
6Pararup 4
7Pararup 5
8Pararup 6
9Pararup 7
10Digatal Map
11Geo Map
12Pararup 11
13Pararup 12
14Pararup 13
15Pararup 14
16Pararup 15
17Pararup 16
18Pararup 17
19Pararup 18
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40Pararup 40
41Pararup 41
42Pararup 42
43Pararup 43
44Pararup 44
45Pararup 45
46No Objection
47Pararup 46
48Pararup 47
49Pararup 48
50Pararup 49
51Pararup 50
52Pararup 51
53Pararup 52
54Pararup 53
55Pararup 54
56Pararup 55
57Pararup 56
58Pararup 57
59CA Digital
60CA Geo
61Tree Conuting
62objection not related to user agency
63query not attached by forest department
64Quarry
65Quarry
66Regarding request for immediate action from your end please
67Regarding request for immediate action from your end please