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/41158/2019   (ii). Name of Project for which Forest Land is required : Kanswali-Kothari Drinking Water Scheme   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Paniyala Khala and Kotara Khala are 5300 mt. and 5000 mt. from Gram Panchayat Kanswali Kothari, Vikas khand Sahaspur. These are the nearest source of drinking water for Kanswali Kothari Gram Panchayat. This scheme will provide water to village round the year.   (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) : 38245   (viii). Area of forest land proposed for diversion(in ha.): 0.628   (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 : EE CONSTRUCTION DIVISION UTTARAKHAND PAYJAL NIGAM DEHRADUN   (ii). Address1 : EE Construction Div Uttarakhand Payjal Nigam Kamala Nagar Dehradun   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Dehradun   (vi). Pin : 248001   (vii). Landmark : Opp ONGC Hospital   (viii). Email address : eecdupjnddn@gmail.com   (ix). Landline Telephone No. : 1352-2755703   (x). Fax No. : 1352-2755703   (xi). Mobile No. : 7830600060   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State PSU
A-3. Details of Person Making Application
  (i). First Name: Narender   (ii). Middle Name: NIL   (iii). Last Name: Singh   (iv). Gender: Male   (v). Designation: Add Assistant Engineer   (vi). Address 1: Office of the Exicutive Engineer Uttarakhand Payjal Nigam Nigam Dehradun   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Dehradun   (x). Tehsil: Dehradun   (xi). Pin: 248001   (xii). Landmark: Opp ONGC Hospital   (xiii). Email Address: quantum_nary@yahoo.co.in   (xiv). Landline Telephone No.: 135-2755703   (xv). Fax No.: 01352755703   (xvi). Mobile No.: 7579069609   (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.Soil Conservation,Kalsi0.6280
Total0.6280
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Dehradun0.6280
Total0.6280
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Kanswali Kothari0.6280
Total 0.628 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Pipe Line0.06280
Total 0.0628 0
C. Maps of forest land proposed to be diverted
Division 1. : Soil Conservation,Kalsi
  (i). Area of forest land proposed to be diverted(in ha.) : 0.628   (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).
1.0.628    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: There is no other source of drinking water.
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): 900
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
1Prativedan
2Form_A_Part_1
3Form_A_Part_2
4Joint_Inspection_Report
5Physical_Financial_San
6Site_Inspection_Report
7Land_Schedule
8Length_Width_of_land
9Land_Itemwise_details
10No_tree_felling_involved
11No_tree_felling_involved 2
12Bar_Chart
13No-Alternative_land
14Site_Inspection_Report
15Task_force_certificate
16Standerd Condition
17Cert_reg_Geologist
18Task_force_certificate
19Minimum_land
20No_Historical_Place_etc
21Map_of_WS_Scheme
22Certi_reg_Muck_Disposal
23NPV_calculation
24Cert_reg_NPV_rate_increased
25CA_Not applicable
26Work_Not_Started
27100_trees_plantation_scheme
28Certi_reg_Other_dues
29No_Voilation_certi
30Cert_reg_Lay_out_plan
31Cert_reg_Wild_life
32Cert_reg_Alternative_Fuel
33Lease_Period_certificate
34FRA 2006
35Digital_Map
36Geo_reference_Map
37Justification
38Distance_from_Sanctuary
39Distance_from_Sanctuary_1