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/26647/2017
(ii). Name of Project for which Forest Land is required :
Nalkoop construction in Devanchal Vihar
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Nalkoop construction in Devanchal Vihar
(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) :
124
(viii). Area of forest land proposed for diversion(in ha.):
0.003
(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 PEYJAL SANSADHAN VIKAS EVAM NIRMAN NIGAM DEHRADUN
(ii). Address1 :
Executive Engineer, Mechanical Division, Uttarakhand, Dehradun
(iii). Address2 :
NIL
(iv). State :
Uttarakhand
(v). District :
Dehradun
(vi). Pin :
248001
(vii). Landmark :
NIL
(viii). Email address :
mechdivddun@gmail.com
(ix). Landline Telephone No. :
135-2759886
(x). Fax No. :
135-
(xi). Mobile No. :
7830500422
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
Sunil
(ii). Middle Name:
NIL
(iii). Last Name:
Gunsain
(iv). Gender:
Male
(v). Designation:
Deputy assistant engineer
(vi). Address 1:
Executive Engineer, Mechanical Division, Dehradun, uttarakhand.
(vii). Address 2:
NIL
(viii). State:
Uttarakhand
(ix). District:
Dehradun
(x). Tehsil:
Dehradun
(xi). Pin:
248001
(xii). Landmark:
NIL
(xiii). Email Address:
mechdivddun@gmail.com
(xiv). Landline Telephone No.:
135-2759886
(xv). Fax No.:
NIL
(xvi). Mobile No.:
7830500461
(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.
Mussoorie
0.003
0
Total
0.003
0
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Dehradun
0.003
0
Total
0.003
0
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Ajabpurkala
0.003
0
Total
0.003
0
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Nalkoop construction
0.003
0
Total
0.003
0
C.
Maps of forest land proposed to be diverted
Division 1. : Mussoorie
(i). Area of forest land proposed to be diverted(in ha.) :
0.003
(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.
0.003
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):
1
(iii). Temporary Employment(Number of person-days):
20
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
1
Form A Part I to V
2
Fact Sheet
3
FRA_2006
4
Land Schedule
5
Bar_chart of Project
6
Aam Sabha NOC
7
Administrative and Financial Sanction
8
Alternate alignment cancilation certificate
9
Blank space plantation scheme
10
Environmental Certificate
11
forest land value certificate
12
Geo_referenced_Map
13
Geologist and task force conditons compliance
14
Geologist Report
15
Joint Inspection Report
16
Khasra Khatoni
17
Lay Out Plan of Project
18
Lease Period certificate
19
Length width of Project
20
Muck certificate
21
National Park arial distance certificate
22
No alternative land availability certificate
23
No animal effected Certificate
24
No historical place certificate
25
No Tree felling DFO Certificate
26
Not A part of National Park or Wildlife Sectuary
27
Not a site specific Certificate
28
NPV Certificate
29
RCC Pilor Demarcation
30
Short Narrative of project
31
SIR
32
Standard Condition
33
Task Force Certificate
34
Toposheet
35
Village Benifited Certificate
36
Visaya Soochi
37
Work not started
38
authority letterr
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