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/41216/2019   (ii). Name of Project for which Forest Land is required : POKHRA KHEDA WATER SUPPLY SCHEME   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The habitants of Pokhra Kheda are suffering a lot due to lack of drinking water. There is no other source of water nearby from where the drinking water can be tapped for Pokhra Kheda W/S 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) : 67.81   (viii). Area of forest land proposed for diversion(in ha.): 0.1395   (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.Chakrata0.13950
Total0.13950
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Dehradun0.13950
Total0.13950
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Pokhra Kheda (Kharsi)0.13950
Total 0.1395 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Pipe Line0.13950
Total 0.1395 0
C. Maps of forest land proposed to be diverted
Division 1. : Chakrata
  (i). Area of forest land proposed to be diverted(in ha.) : 0.1395   (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).
1.0.1395    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 not alternate source available for the sc
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
1Aam Sabha
2Bar Chart
3Benefitted village certificate
4CA 10 years estimate
5CA useful site certificate
6FCA 1980 certificate
7Form IV
8Form V
9Form I user agency
10Form III DFO
11Geologist's report
12GOI Approval
13Index of Proposal
14Item wise detail
15Kerosene availability certificate
16Land Schedule
17Layout Plan
18Lease certificate
19Leanth width certificate
20National Park certificate
21Joint Inspection report
22No harm to wildlife certificate
23NPV amount certificate
24Parameter for loss of forest land
25RCC pillars certificate
26Tasl Force
27Tree certificates
28Work not started certificates
29Administrative approval
30Justification Uploaded
31forest document receiving letter
32Letter regarding explanation of shortcomings raised by forest department