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/40701/2019   (ii). Name of Project for which Forest Land is required : SONG DAM DRINKING WATER PROJECT   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Song Dam Drinking Water Project is proposed on Song River to cater the increasing water demand of Dehradun city and its suburban areas. The proposed site is located at the boundary of district Dehradun and Tehri Garhwal near village Sondhana at a distance of about 25 kilometers from Dehradun 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) : 90000   (viii). Area of forest land proposed for diversion(in ha.): 127.6712   (ix). Non-forest land required for this project(in ha.): 10.641   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : INFRASTRUCTURE (REHAB)DIVISION RISHIKESH, DEHRADUN   (ii). Address1 : Veer Bhadra Marg Rishikesh, Dehradun   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Dehradun   (vi). Pin : 249204   (vii). Landmark : Near AIIMS   (viii). Email address : songdamdehradun19@gmail.com   (ix). Landline Telephone No. : 135-2450142   (x). Fax No. : 135-2450142   (xi). Mobile No. : 9759860793   (xii). Website (if any) : Nill   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Sudhir   (ii). Middle Name: NIL   (iii). Last Name: Saini   (iv). Gender: Male   (v). Designation: assistantengineer   (vi). Address 1: Veer Bhadra Marg Rishikesh, Dehradun   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Dehradun   (x). Tehsil: Rishikesh   (xi). Pin: 249204   (xii). Landmark: Near AIIMS   (xiii). Email Address: songdamdehradun19@gmail.com   (xiv). Landline Telephone No.: 135-2450142   (xv). Fax No.: 01352450142   (xvi). Mobile No.: 9759860793   (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.Dehradun62.62456.377
2.Mussoorie65.04674.264
Total127.671210.641
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Dehradun72.61052.061
1.Tehri Garhwal55.06078.58
Total127.671210.641
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Rangargaon5.19140.446
2Ghurshalgaon18.18674.316
3Plad9.9172.061
4Sondana4.26683.818
5Bharwakatal0.5040
6Shripur0.4330
7Thaiwa0.0560
8Rainiwala0.420
9Khairimansingh1.480
10Pustadi0.80
11Kulhanmansingh0.620
12Marotha0.1610
13Raipur Rang Mussoorie Forest Division49.26990
14Mussoorie Rang Mussoorie Forest Division1.7620
15Thano Rang Dehradun Forest Division34.60340
Total 127.6712 10.641
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Submergence68.8214.762
2Control Room0.50
3stock Piles14.28270
4Muck Dumping4.69653.7544
5Collony2.55762.061
6Motor road New approch7.02750
7Motor Road Upgrade6.330
8Quarry4.61430
9Batching Plant3.97160.0636
10Pipe Line14.870
Total 127.6712 10.641
C. Maps of forest land proposed to be diverted
Division 1. : Mussoorie
  (i). Area of forest land proposed to be diverted(in ha.) : 65.0467   (ii). Nature of the Project: Non Linear   (a). No. of patches : Seven
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.
1.35.5873    View File
2.3.9716    View File
3.4.6965    View File
4.3.0066    View File
5.0.8047    View File
6.3.78    View File
7.13.2    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:
Division 2. : Dehradun
  (i). Area of forest land proposed to be diverted(in ha.) : 62.6245   (ii). Nature of the Project: Non Linear   (a). No. of patches : Nine
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.
1.33.2337    View File
2.0.5    View File
3.8.2118    View File
4.6.0709    View File
5.2.5576    View File
6.7.1775    View File
7.2.4    View File
8.0.803    View File
9.1.67    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): 20   (iii). Temporary Employment(Number of person-days): 50000
F. Displacement of People due to the Project, if any
  (i). Whether Project involves displacement?: Yes   (a). Total Number of families : 275   (b). Number of Scheduled Caste families : 17   (c). Number of Schedule Tribes families : NIL   (d). Number of other families : 258   (ii). Copy of Rehabilitation and Resettlement Plan:   (a). Copy of approval to Ministry of Tribal Affairs,Government of India to Rehabilitation and Resettlement:
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 ? : Yes   (a). Status of the Environmental Clearance to the Project: EC application yet to be submitted
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?: Yes   (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). No. of districts involved for raising Compensatory Afforestation: 1   (iv). No. of patches: Eight
District 1. : Tehri Garhwal
  (a). Village: Bhootgaon   (b). Area(in ha.): 79   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 01, 02   (e). Present owner: Others   (f). Copy of ownership proof:   (g). Copy of Mou/agreement executed between the Present owner and the User Agency:   (h). Copy of non encumberence certificate for the forest land:
District 2. : Tehri Garhwal
  (a). Village: Bhootgaon   (b). Area(in ha.): 48.6   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 185   (e). Present owner: Others   (f). Copy of ownership proof:   (g). Copy of Mou/agreement executed between the Present owner and the User Agency:   (h). Copy of non encumberence certificate for the forest land:
District 3. : Tehri Garhwal
  (a). Village: Khaskoti   (b). Area(in ha.): 18.5   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 99, 184, 186   (e). Present owner: Others   (f). Copy of ownership proof:   (g). Copy of Mou/agreement executed between the Present owner and the User Agency:   (h). Copy of non encumberence certificate for the forest land:
District 4. : Tehri Garhwal
  (a). Village: Khashounshi   (b). Area(in ha.): 8.76   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 47, 54, 199, 206   (e). Present owner: Others   (f). Copy of ownership proof:   (g). Copy of Mou/agreement executed between the Present owner and the User Agency:   (h). Copy of non encumberence certificate for the forest land:
District 5. : Tehri Garhwal
  (a). Village: Sanaw   (b). Area(in ha.): 27.3   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 1535, 1873, 1993, 2011   (e). Present owner: Others   (f). Copy of ownership proof:   (g). Copy of Mou/agreement executed between the Present owner and the User Agency:   (h). Copy of non encumberence certificate for the forest land:
District 6. : Tehri Garhwal
  (a). Village: Mogi   (b). Area(in ha.): 24.3   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 54, 56, 247, 248, 293, 1084, 1085   (e). Present owner: Others   (f). Copy of ownership proof:   (g). Copy of Mou/agreement executed between the Present owner and the User Agency:   (h). Copy of non encumberence certificate for the forest land:
District 7. : Tehri Garhwal
  (a). Village: Tingari Chack   (b). Area(in ha.): 29   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 07, 134   (e). Present owner: Others   (f). Copy of ownership proof:   (g). Copy of Mou/agreement executed between the Present owner and the User Agency:   (h). Copy of non encumberence certificate for the forest land:
District 8. : Tehri Garhwal
  (a). Village: Jaidwar talla   (b). Area(in ha.): 20.54   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 1783   (e). Present owner: Others   (f). Copy of ownership proof:   (g). Copy of Mou/agreement executed between the Present owner and the User Agency:   (h). Copy of non encumberence certificate for the forest land:
  (v). Scanned copy of the map of the land identified for creation of Compensatory Afforestation prepared by using GPS ot Total Station:   (vi). Copy of Survey of India Toposheet in 1:50,000 scale indicating location of the land identified for creation of Compensatory Afforestation:
Additional information Details
Documents
S.No Documents
Remarks
1Title page
2Report
3fact sheet
4Bhag 1 to Bhag 5
5Govt order
6Joint inspection report
7site inspection report
8Land shedule
9Bar chart
10Summary of tree Dehradun division
11Summary of tree Mussoorie division
12Effected tree list Dehradun division
13Effected tree list Mussoorie division
14Tree Mulyakan List
15Banj Tree certificate
16minimum tree effected certificate
17national park related certificate
18villagers meating summury
19Component wise breakup
20Geological report
21Task force and manak sarte certificate
22CA Estimate
23NPV and related certificate
24Environment certificate
25Rehabilitation Policy and certificate
26CAT Plan certificate
27Dumping Plan and certificate
28all other certificate
29reply for EDS letter dated- 05. 07.2019
30acknowledgment
31Eds reply for 31/08/2019
32CAT Plan as per guidelines and EDS 07.09.2019
33certificate for CA land
34Quarry reply for DFO
35DFO dehradun
36reply for EDS 16-12-2019
37certificate of areal distance from wildlife.
38Reply for EDS dated 03 02 2020
39CA Land Availability Certificate
40EC Certificate
41Undertaking Certificate R&R policy
42Layout Plan
43wildlife permission certificate
44Reply Letter For EDS 28.02.2020
45Certificate by DM, No ST Family is Affected by Dam Project
46EDS Reply of MoEF Letter dt. 9th September 2020
47Certificate Regarding Non Availability of Non Forest Land