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/30101/2017
(ii). Name of Project for which Forest Land is required :
Construction of Eklavya Aavasiy Vidyalay and Gujar Basti Drinking Water Scheme
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
There is no other source of water from where the drinking water can be tapped for the supply of water to Eklavya Aavasiy Vidyalay and Gujar Basti. Detail Justification is attached in additional information.
(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) :
15.43
(viii). Area of forest land proposed for diversion(in ha.):
0.13
(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 :
CONSTRUCTION DIVISION UTTARAKHAND PAYJAL NIGAM
(ii). Address1 :
Construction Division
(iii). Address2 :
Uttarakhand Payjal Nigam, Purodi, Chakrata.
(iv). State :
Uttarakhand
(v). District :
Dehradun
(vi). Pin :
248001
(vii). Landmark :
NIL
(viii). Email address :
eecdpurodi@gmail.com
(ix). Landline Telephone No. :
135-2751879
(x). Fax No. :
135-
(xi). Mobile No. :
9412941205
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
Sohit
(ii). Middle Name:
Kumar
(iii). Last Name:
Burnwal
(iv). Gender:
Male
(v). Designation:
executiveengineer
(vi). Address 1:
Construction Division, Uttarakhand Payjal Nigam, Vikasnagar
(vii). Address 2:
NIL
(viii). State:
Uttarakhand
(ix). District:
Dehradun
(x). Tehsil:
Chakrata
(xi). Pin:
248001
(xii). Landmark:
near puliya no. 1 nawabghar dakpather road
(xiii). Email Address:
eecdpurodi@gmail.com
(xiv). Landline Telephone No.:
135-2751879
(xv). Fax No.:
NIL
(xvi). Mobile No.:
9756844393
(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.
Chakrata
0.13
0
Total
0.13
0
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Dehradun
0.13
0
Total
0.13
0
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Bosan
0.13
0
Total
0.13
0
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Intek Chamber
0.0001
0
2
SCC
0.0002
0
3
RCC Reserviour
0.0016
0
4
Pipe Line
0.128
0
Total
0.1299
0
C.
Maps of forest land proposed to be diverted
Division 1. : Chakrata
(i). Area of forest land proposed to be diverted(in ha.) :
0.13
(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.
0.13
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:
No
(a). Reason for not providing such map:
NA
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):
100
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
Aam_Sabha_Certificates
2
Administrative_Financial_Approval
3
Agreement_between_User_agency_Land_Owner
4
Bar_Chart
5
Benefited_Gram_Certificate
6
CA_10_Years_Estimate
7
CA_Usefull_Site_Certificate
8
CAT_Plan_Certificate
9
Cost_Benefit_Ratio
10
FCA_1980_Certificate
11
Form_III_DFO
12
Form_IV
13
Geologist_Report
14
GoI_Approval
15
Index_Proposal
16
Item_wise_detail
17
Joint_Inspection_Report
18
Kerosene_Gas_Aviablitiy_Certificate
19
Land_Schedule
20
Lease_Period_Certificate
21
Length_Width_Certificate
22
Manak_Conditions
23
Mining_Chugan_Certificate
24
Muck_Disposal_Plan
25
National_Park_Certificate
26
No_Harm_To_Wildlife_Plants_Certificate
27
NPV_Amount_Certificates
28
Parameter_For_Evaluation_of_Loss_of_Forest_Land
29
Performa_For_Comparison_between_Identified_alignments
30
RCC_Pillar_Certificates
31
Religious_etc_Certificate
32
SIR_Report
33
Task_Force_Certificate
34
Trees_Certificates
35
Work_Not_Start_Certificate
36
Form_I_User_Agency
37
Layout_Plan
38
Component_Wise_Detail
39
Authority_Letter
40
No_Alternative
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