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/23731/2017   (ii). Name of Project for which Forest Land is required : Masrana to kimoi motor road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : This road start from masrana village and goes to kimoi village, total length 8.00 km. This road start from tyuni chakrata yamuna pul musoorie chamba tehri kirtinagar (maletha) national highway from km 177 hectometer 8-10.   (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) : 129.6   (viii). Area of forest land proposed for diversion(in ha.): 5.3025   (ix). Non-forest land required for this project(in ha.): 1.975   (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 WORKS DEPARTMENT   (ii). Address1 : E.E. Ty. Divi. P.W.D. Thatyur Tehri Garhwal   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Tehri Garhwal   (vi). Pin : 249180   (vii). Landmark : NIL   (viii). Email address : eepwdthatyur@rediffmail.com   (ix). Landline Telephone No. : 1376-246321   (x). Fax No. : 1376-135   (xi). Mobile No. : 9557823200   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Rajnish   (ii). Middle Name: NIL   (iii). Last Name: Kumar   (iv). Gender: Male   (v). Designation: Excutive Engineer   (vi). Address 1: E.E. Ty. Divi. P.W.D. Thatyur Tehri Garhwal   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Tehri Garhwal   (x). Tehsil: NIL   (xi). Pin: 249180   (xii). Landmark: NIL   (xiii). Email Address: eepwdthatyur@rediffmail.com   (xiv). Landline Telephone No.: 1376-246321   (xv). Fax No.: 01352631759   (xvi). Mobile No.: 9557823200   (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
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
1ReturnedFP/UK/ROAD/37504/2018375044.81950
Total 4.8195 0
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.Mussoorie5.30251.975
Total5.30251.975
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Tehri Garhwal5.30251.975
Total5.30251.975
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1kimoi5.30251.975
Total 5.3025 1.975
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1road5.30250.3825
2muck disposal01.5925
Total 5.3025 1.975
C. Maps of forest land proposed to be diverted
Division 1. : Mussoorie
  (i). Area of forest land proposed to be diverted(in ha.) : 5.3025   (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).
1.5.3025    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): 9000
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? : Yes   (a). Whether Project or a part thereof is located within a Protected Area ? : Yes   (b). Status of approval of the Supreme Court : Application yet to b   (ii). Status of approval of the Standing Committee of National Board for the Wildlife(NBWL) to the Project : Approval obtained   (a). MoEF File No : 6-109/2016 WL (39th Meeting0   (b). Copy of approval of Standing of the NBWL:   (c). Date of Approval : 19 Sep 2016
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. : Tehri Garhwal
  (a). Village: kimoi   (b). Area(in ha.): 10.605   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 1054   (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
1NOC
2sdm certificate
3sahmiti patr
4front page
5part b
6sanyukt nirikshan report
7manak sharte
8notification
9g.o.
10g.o.
11geoligist report
12certificate
13length and width certificate
14historical certificate
15certificate
16certificate
17NOC
18certificate
19certificate
20undertaking
21certificate
22npv certificate
23npv certificate
24npv certificate
25another alignment certificate
26certificate
27certificate
28certificate
29certificate
30muck disposal
31certificate
32muck disposal certificate
33upyukta prman patr
34praklan
35map
36vriksharopan ka praklan
37certificate
38certificate
39certificate
40certificate
41certificate
42certificate
43annexure VI- B
44annexure VI- c
45Fax sheet
46certificate
47certificate
48certificate
49certificate
50certificate of pillars
51map
52map
53Attached FRA
54muck disposal estimate
55Jio Refrence map
56Digital map
57letter of D.M. terhri Regarding to CA Attached
58jio Refreance Map of CA
59Cost Benifit
60Report of Project
61Non encumbrance certificate
62Agreement related project
63wild life certificate
64digital map
65Index
66Report
67Part A
684 point report
69Land Schedule
70List of Tree
71Letter of Executive Engineer dated 9-04-2017
72anupalan akhaya
73shortcoming of letter removed
74cost benefit
75Certificate regarding effected of Baanj Tree
76List of Baanj Tree
77Proof of Online Submission of project in part-1 and duly signed by Executive Engineer
78Acknowledgement Slip Submission of Hard copy
79administrative approval
80justification
81repky of DFO letter number 315/12-1 dated 27-7-2018
82receiving of files
83wildlife approval
84anupalan aakhya
85letter