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/23941/2017   (ii). Name of Project for which Forest Land is required : Construction of Km-35 of Raipur-Kumalda-Kaddukhal Motor Road to Ghena   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Presently the villagers (01 number of villagers Ghena with a total population of 375 ) have to walk through a distance of 12-13 km to meet their daily needs ,as there is no road connecting the village.Due to the non-existing of any road connectivity ,the lives of the villagers are in constant   (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) : 182.87   (viii). Area of forest land proposed for diversion(in ha.): 2.0825   (ix). Non-forest land required for this project(in ha.): 0.901   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : PMGSY ID IIND NEW TEHRI   (ii). Address1 : Executive Engineer PMGSY ID-2 New Tehri   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Tehri Garhwal   (vi). Pin : 249001   (vii). Landmark : Tehri Dam   (viii). Email address : eepmgsytehri2@rediffmail.com   (ix). Landline Telephone No. : 1376-232321   (x). Fax No. : 1376-232321   (xi). Mobile No. : 9412394673   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Rajendra   (ii). Middle Name: Prasad   (iii). Last Name: Pant   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: Executive Engineer PMGSY ID-2 New Tehri   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Tehri Garhwal   (x). Tehsil: Tehri   (xi). Pin: 249001   (xii). Landmark: Tehri Dam   (xiii). Email Address: eepmgsytehri2@rediffmail.com   (xiv). Landline Telephone No.: 1376-232321   (xv). Fax No.: 01376232321   (xvi). Mobile No.: 7055613645   (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.Mussoorie0.29750
2.Narendranagar,Munikireti1.7850.901
Total2.08250.901
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Dehradun0.29750
1.Tehri Garhwal1.7850.901
Total2.08250.901
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1ghena2.08250.901
Total 2.0825 0.901
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road2.08250.315
2Muck disposal00.586
Total 2.0825 0.901
C. Maps of forest land proposed to be diverted
Division 1. : Mussoorie
  (i). Area of forest land proposed to be diverted(in ha.) : 0.2975   (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).
1.0.2975    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:
Division 2. : Narendranagar,Munikireti
  (i). Area of forest land proposed to be diverted(in ha.) : 1.785   (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).
1.1.785    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): 7000
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: Five
District 1. : Tehri Garhwal
  (a). Village: Ghena   (b). Area(in ha.): 4.165   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 291,301,304,391,420   (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
1Administrative and Financial sanction
2Bar Chart with index
3Benefited villagesFamiliesPopulation Certificate
4Certificate from the DM that no alternative suitable non-forest land is available for the project in question and the demand of the forest land for the project is barest minimum
5Certificate of felling minimum trees during the project work
6Compensatory afforestation scheme in Civil and Soyam land (10 years) by DFO
7Copy of documents in support of the competenceauthority of the person making this application to make application on behalf of the User Agency
8Geologist Report
9Muck Disposal
10No historicalmonumental or relegeous place will be effected certificate reg
11No historicalmonumental or relegeous place will be effected certificate reg
12No historicalmonumental or relegeous place will be effected certificate reg
13Preliminary Joint Inspection report
14Road sidegap filling plantation estimate
15Undertaking by the User Agency to bear the cost of compensatory afforestation
16FACT SHEET
17DFO mussoorie receiving letter.
18DFO Mussoorie new letter.
19Land related DM letter
20Tree Detail
21Npv Certificate
22receiving letter for submission of 5 hard copies to dfo muni ki reti
23Parpatra 1
24Parpatra 30
25Non Eccumbrance Certificate
26CA Land Agreement
27alternate alignment map
28querries removed
29Work not start certificate
30Parpatra 16 certificate
31Ownership proof certificate
32Querries removel letter
33Work not start certificate
34Additional Npv
35arial distance certificate
36letter ofsubmission hard copies to muni ki reti
37Decantation letter 03/08/19
38querry removed letter 29/07/2019
3910 year ca estimate
40DECANTATION LETTER08/11/19
41CA SITE SUITABILITY CERTIFICATE 21/10/19