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/42351/2019   (ii). Name of Project for which Forest Land is required : Water supply line along Chakrata Tyuni road to Chakrata in of shifting of existing pipe line from Km 70.75 to 72.825 of NH 707A   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The existing pipe line, which was laid along Chakrata-Tyuni road before FC Act 1980 has damaged due to strengthening work of NH 707. So the pipe line has to be shifted from NH 707 Km. 70.75 to 72.825   (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) : 178.42   (viii). Area of forest land proposed for diversion(in ha.): 0.0744   (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 : COMMANDANT, ESTABLISHMENT NO 22, CHARAKATA   (ii). Address1 : Commandant, Establishment No 22, C/O 56 APO   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Dehradun   (vi). Pin : 934822   (vii). Landmark : NIL   (viii). Email address : jainrajeev.chk@gmail.com   (ix). Landline Telephone No. : 136-272417   (x). Fax No. : 136-   (xi). Mobile No. : 9557252551   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Central Government
A-3. Details of Person Making Application
  (i). First Name: Pankaj   (ii). Middle Name: Kumar   (iii). Last Name: Jain   (iv). Gender: Male   (v). Designation: Ex VC Cantt Board   (vi). Address 1: 16, Sadar Bazar, Chakarata   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Dehradun   (x). Tehsil: Chakrata   (xi). Pin: 248123   (xii). Landmark: NIL   (xiii). Email Address: jainrajeev.chk@gmail.com   (xiv). Landline Telephone No.: 1360-272330   (xv). Fax No.: NIL   (xvi). Mobile No.: 9557252551   (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.Chakrata0.07440
Total0.07440
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Dehradun0.07440
Total0.07440
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Mugad0.07440
Total 0.0744 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Pipe line0.07440
Total 0.0744 0
C. Maps of forest land proposed to be diverted
Division 1. : Chakrata
  (i). Area of forest land proposed to be diverted(in ha.) : 0.0744   (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).
1.0.0744    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: Pipe line already exists, but some portion has bro
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
4Financial Saction
5Joint Inspection report
6Land Schedule
7Land_Schedule for_civil_soyam_land
8Length and Width
9Bar_Chart
10Certificates_reg_No_Tree_felling
11Minimum and No alternative land
12Distance_from_National_Park
13NOC_of_Gram_Panchayat
14No_Historical_relegious_place
15Undertaking_alternate_Fuel
16Estimate_of_100_trees_plantation
17NPV_not_applicable
18Certificate_reg_Flora_Fauna
19Geologist_report_NA
20Standard_Condition
21Task_force_certificate
22Undertaking_reg_Muck
23Work_not_started
24Certi_reg_no_voilation_of_FC_Act
25FRA_2006
26Replly_regarding_On_Line_Quarry