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/18415/2016   (ii). Name of Project for which Forest Land is required : Syalab-Sukan W/s Scheme   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : For Water Supply Scheme   (iv). State : Uttarakhand   (v). Category of the Proposal : Drinking Water   (vi). Shape of forest land proposed to be diverted : Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 99.27   (viii). Area of forest land proposed for diversion(in ha.): 0.4268   (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): 15
A-2. Details of User Agency
  (i). Name : UTTARAKHAND PAYJAL SANSADHAN VIKAS AVAM NIRMAN NIGAM   (ii). Address1 : Construction Division, Uttarakhand Peyjal Nigam, Uttarkashi,   (iii). Address2 : Kudiyal Bhawan, Jar Bharat Marg, Uttarkahsi   (iv). State : Uttarakhand   (v). District : Uttarkashi   (vi). Pin : 249193   (vii). Landmark : Main Market   (viii). Email address : eecduttarkashi2@gmail.com   (ix). Landline Telephone No. : 1374-223648   (x). Fax No. : 1374-223648   (xi). Mobile No. : 7830500817   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Mukesh   (ii). Middle Name: Chandra   (iii). Last Name: Joshi   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: Construction Division, Uttarakhand Peyjal Nigam, Uttarkashi,   (vii). Address 2: Jal Nigam Colony, Gofiyara   (viii). State: Uttarakhand   (ix). District: Uttarkashi   (x). Tehsil: NIL   (xi). Pin: 249193   (xii). Landmark: Gofiyara   (xiii). Email Address: eecduttarkashi2@gmail.com   (xiv). Landline Telephone No.: 1374-223648   (xv). Fax No.: 01374223648   (xvi). Mobile No.: 9411347283   (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.Upper Yamuna,Barkot0.42680
Total0.42680
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Uttarkashi0.42680
Total0.42680
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Syalab Sukan0.42680
Total 0.4268 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Intake0.00020
2Pipe Line0.420
3Filter0.00160
4Tank0.0050
Total 0.4268 0
C. Maps of forest land proposed to be diverted
Division 1. : Upper Yamuna,Barkot
  (i). Area of forest land proposed to be diverted(in ha.) : 0.4268   (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).
1.0.4268    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 ?: No
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?: 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 ?: No   (iii) . Reason for not providing Non-Forest Land: Public utility projects (excluding mining and regularization of encroachments) involving less than 20 hecatres of forest land implemented by Govt. Departments in hill districts and in other districts having forest area exceeding 50% of the total geographical area
Additional information Details
Documents
S.No Documents
Remarks
1Index
2Van Sanrakshan Adhiniyam 1980 Prapatra
3Prativedan
4Form-J
5Purv Anumati Form
6Purv Anumati Form 2
7Sanyukt Nirikshan
8Site Inspection Report
9Land Schedule
10National Park Certificate
11National Park Distance Certificate
12Briksharopan
13Estimate For Briksharopan
14Estimate For Briksharopan 2
15Construction Certificate
16Task Force Certificate
17Task Force Certificate 2
18Dharmik Sthal Certificate
19Rajya Sarkar Certificate
20Labhwanit Jansankhya Certificate
21lease Avadhi Certificate
22Index Plan
23Baar Chart
24Digital Map
25Digital Map 2
26Forwarding Letter
27Vittiya Swikriti
28Vittiya Swikriti02
29Prativedan
30Lambayi Chodayi Pramanpatra
31Lambayi Pramanpatra
32Forward
33Forwarding Letter about Objection removal received from CF Dehradun/DFO Barkot.