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/WATER/149873/2021   (ii). Name of Project for which Forest Land is required : Construction of Water Treatment Plant under Rudraprayag town existing gravity w/s scheme   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : It is necessary to construct a water treatment plant under existing water supply scheme of Rudraprayag nagar to provide the safe & Potable drinking water. Hence 3.5 MLD capacity WTP has been proposed under existing water supply scheme on demand UJS. It is proposed to feed the 65% population of city   (iv). State : Uttarakhand   (v). Category of the Proposal : Drinking Water   (vi). Shape of forest land proposed to be diverted : Non Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 350   (viii). Area of forest land proposed for diversion(in ha.): 0.09   (ix). Non-forest land required for this project(in ha.): 0   (x). Total period for which the forest land is proposed to be diverted(in years): 30
A-2. Details of User Agency
  (i). Name : UTTARAKHAND PEYJAL NIGAM   (ii). Address1 : Construction Division Uttarakhand peyjal nigam Rudraprayag   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Rudraprayag   (vi). Pin : 246171   (vii). Landmark : Belani   (viii). Email address : cdupjnrudraprayag@gmail.com   (ix). Landline Telephone No. : 1364-233207   (x). Fax No. : 1364-   (xi). Mobile No. : 9410568370   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Naval   (ii). Middle Name: NIL   (iii). Last Name: Kumar   (iv). Gender: Male   (v). Designation: EE   (vi). Address 1: Construction Division Uttarakhand Peyjal Nigam Rudraprayag   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Rudraprayag   (x). Tehsil: Rudraprayag   (xi). Pin: 246171   (xii). Landmark: NIL   (xiii). Email Address: cdupjnrudraprayag@gmail.com   (xiv). Landline Telephone No.: 1364-233207   (xv). Fax No.: NIL   (xvi). Mobile No.: 9410568370   (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.Rudraprayag0.090
Total0.090
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Rudraprayag0.090
Total0.090
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Punar0.090
Total 0.09 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Water Treatment plant0.090
Total 0.09 0
C. Maps of forest land proposed to be diverted
Division 1. : Rudraprayag
  (i). Area of forest land proposed to be diverted(in ha.) : 0.09   (ii). Nature of the Project: Non Linear   (a). No. of patches : One
Patch wise details
Patch No. Area of Patch(in ha.) Kml File of PatchesTo view KML file on google the same may be downloaded and then open if in google earth install in your computer.
1.0.09    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:
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 5   (iii). Temporary Employment(Number of person-days): 3600
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?: Not Applicable   (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: Not Applicable
Additional information Details
Documents
S.No Documents
Remarks
1Pre permission form Rule 2 & DFO Recommendation Part II
2Joint inspection report
3Certificate of non-availability of alternative land and minimum demand for forest land
4Land Schedule
5Scheme Length and Width Details
6Details of Effective Plant
7National Park Distance Certificate
8Distance Certificate from National Park and Sanctuary area
9Estimation and Maintenance Plantation Plan for Plantation of Trees
10Estimates for planting trees in relation to trees to be cut
11Estimation of amount of NPV
12Certificate of depositing additional amount according to the increased rates of NPV
13Estimates of demarcation by RCC pillars of forest land to be repatriated
14Lease term Certificate
15Certificate of cancellation of alternate alignment
16Comparative statement of various options and certificate of reason for their cancellation
17Bar Chart format
18Work not Start Certificate
19Certificate of Minimum tree Cutting
20Certificate given by DFO in tree affected condition
21No Objection Certificate of General Assembly
22Cost Benefit Ratio Chart
23Item wise details of various components of the proposed project
2430 Lay Out Plan
25Task force Certificate
26standard terms
27Certificate of no damage to wildlife and flora
28Certificate of providing kerosene / cooking gas to the working workers
29hard copy submission letter
30Administration approval
31Reply of User Agency against Essential Details Sought by Forest Department
32Reply of User Agency against EDS by Forest Department
33Reply of User Agency against EDS by Forest Department
34Certificate of value of forest land & annual lease rent
35Certificate in respect of the villages, families, population to be benefited
36Certificate of compliance with the recommendations, suggestions of the geologist
37Certificate of non-violation of Forest Conservation Act, 1980
38Certificate of not being a place of religious, mythological, historical importance
39geologists report
40Partivedan
41debris disposal plan
42Reply of UA against EDS by DFO
43FRA
44Reply of UA against EDS by Nodal Officer Dehradun
45Reply of User Agency against Essential Details Sought by Forest Department
46Geo referenced & digital Map
47Reply of User Agency against EDS by Forest Department
48Detailed Information regarding the existing structure and no change certificate in existing old structure