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/41901/2019   (ii). Name of Project for which Forest Land is required : Gair Sain Pumping Water Supply Scheme   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : For Laying & Jointing of pipeline Construction of Treatment plant ,Pump House ,Staff Quarter etc.   (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) : 1400   (viii). Area of forest land proposed for diversion(in ha.): 1.1463   (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): 30
A-2. Details of User Agency
  (i). Name : UTTARAKHAND PAYJAL SANSADHAN VIKAS AVAM NIRMAN NIGAM   (ii). Address1 : C/O: Executive Engineer, Pey Jal Nigam, Near Tehsil, Karnprayag   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Chamoli   (vi). Pin : 246444   (vii). Landmark : Near Tehsil   (viii). Email address : eepjnkpgdn@gmail.com   (ix). Landline Telephone No. : 1363-244486   (x). Fax No. : 1363-   (xi). Mobile No. : 9412030037   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State PSU
A-3. Details of Person Making Application
  (i). First Name: Madan   (ii). Middle Name: NIL   (iii). Last Name: Puri   (iv). Gender: Male   (v). Designation: EXECUTIVE ENGINEER   (vi). Address 1: C/O: Executive Engineer, Pey Jal Nigam, Near Tehsil, Karanprayag   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Chamoli   (x). Tehsil: Karnaprayag   (xi). Pin: 246444   (xii). Landmark: Near Tehsil   (xiii). Email Address: eepjnkpgdn@gmail.com   (xiv). Landline Telephone No.: 1363-244486   (xv). Fax No.: NIL   (xvi). Mobile No.: 9412952497   (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.Kedarnath Wild Life Division,Gopeshwar1.14630
Total1.14630
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Chamoli1.14630
Total1.14630
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Marora1.14630
Total 1.1463 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1pipe line5.838E-050
2treatment plant4.2E-070
3pump house4E-080
4sump 125 KL6.4E-090
5sump 60KL3.6E-090
6staff quarter2.25E-080
7approach road9E-080
Total 5.89625E-05 0
C. Maps of forest land proposed to be diverted
Division 1. : Kedarnath Wild Life Division,Gopeshwar
  (i). Area of forest land proposed to be diverted(in ha.) : 1.1463   (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).
1.1.1463    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 are no other sutiable places available
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: No
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?: No   (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: Others
Additional information Details
Documents
S.No Documents
Remarks
1Authority letter
2Administrative & Financial Approval
3Joint Inspection Rpeort
4Act 1980 Certificate
5Aerial distance Certificate
6Alingment
7Bar Chart
8Certificate NPV amount
9Detail of benefited Villages
10Estimate for Double tree plantation
11FRA Paper
12Reference Map
13Justification
14Land Schedule
15Lease Certificate
16Length & width Certificate
17Line Plan
18List of Tree
19Muck Disposal certificate
20No alternative land certificate
21Pratiwedan
22Time Barred Lease Certificate
23Topo sheet
24Villagers NOC
25Proposal
26Gairsain pumping