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/40511/2019   (ii). Name of Project for which Forest Land is required : Construction of Jaidwar-teyara-falpatti Motor Road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : This road to conneted the village Jaidwar-Tyara and Falpatti and badraj tample. the local habation are may befifited to construction of this road i.e. religous, medical and farmar to sale his crop of nearst market   (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) : 151   (viii). Area of forest land proposed for diversion(in ha.): 9.121   (ix). Non-forest land required for this project(in ha.): 3.672   (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.Mussoorie9.1213.672
Total9.1213.672
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Tehri Garhwal9.1213.672
Total9.1213.672
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Jaidwar Mall9.1211.678
2Jaidwar Tall00
3Kandi Malli00
4Thal00
5Dwargarh00
6Koti00
7Mason00
Total 9.121 1.678
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1MUCK DISPOSAL-100.06
2MUCK DISPOSAL-200.06
3MUCK DISPOSAL-300.06
4MUCK DISPOSAL-400.06
Total 0 0.24
C. Maps of forest land proposed to be diverted
Division 1. : Mussoorie
  (i). Area of forest land proposed to be diverted(in ha.) : 9.121   (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).
1.9.121    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): 17280
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?: No   (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 ?: Not Applicable   (iii) . Reason for not providing Non-Forest Land: Others
Additional information Details
Documents
S.No Documents
Remarks
1Front page of project
2Index of project
3authority letter for submitted project
4Government order
5Alignment of peoject
6joint inspection report
7geo refferd map
8topo sheet
9utlization certificate
10alternate land certificate
11alternate alignment regection resion
12list of land utilization
13land schdule
14certififcate of land length and width
15project report
16bar chart
17work not start certificate
18tree counting
19effected tree certificate
20minimum tree effected
21not national park certificate
22not objection gram sabha
23b c ration
24FRA
25geological report
26task force certificate
27terms and conditions certificate
28IMP certificate
29village benifited
30kasra katoni
31CA certificate
32benifited family
33NPV
34marking pillar
35other important certificate
36fact sheet
37ARRIAL DISTENCE
38shortcoming letter
39administrative approval
40village population
41cost benefit
42fra
43Authority Letter
44Forwarding Letter
45justification
46administrative approval
47aerial distance certificate
48alternative alingment
49authority letter
50benefited population
51cost benefit ratio
52FRA
53justification
54reply of shortcomings received from DFO Mussorrie 14.02.2020
55Objection Remove Letter
56Objection Remove Letter
57Estimate Submitted letter
58Objection Remove Letter
59Objection Remove Letter
60Digital Map
61Muck Disposal
62Compliance Report