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/43413/2019   (ii). Name of Project for which Forest Land is required : Pitthuwala Dtrinking Water Supply Scheme   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : This Drinking Water Supply Scheme will provide drinking water to Chandrabani Khalsa ans Chandrabani Grant habitation having population about 2500.   (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) : 260.03   (viii). Area of forest land proposed for diversion(in ha.): 0.03   (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): 20
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.Dehradun0.030
Total0.030
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Dehradun0.030
Total0.030
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Chandrabani Khalsa0.030
Total 0.03 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1OHT and Pump house0.030
Total 0.03 0
C. Maps of forest land proposed to be diverted
Division 1. : Dehradun
  (i). Area of forest land proposed to be diverted(in ha.) : 0.03   (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).
1.0.03    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: Pipeline already exists, hence no alternate is ava
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): 200
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
3Administrative_Financial_Saction
4Joint_Inspection_Report
5Land_Schedule
6Length_Width
7Bar_Chart
8Component_Wise_Breakup
9Beneficial_Villages
10No_Alternate_Land_and_MInimum_Land_requirment
11Not_a_Part_of_NP
12Certificate_reg_Geogolist_Report
13Task_Force_Report
14Standerd_Condition
15Certificate_reg_Geogolist_Report
16Certificate_reg_Increased_NPV
17Calculation_of_NPV
18Certificate_reg_Alternate_Fuel
19Certificate_reg_Lease_Period
20Certificate_reg_Flora_Fauna
21Certificate_reg_Payment_of_Dues
22Certificate_reg_Trees
23Distance_From_Park
24Work_Not_Started
25Certificate_reg_Muck_Disposal
26Cost_of_Land_lease_Rent
27Digital_Map
28Geo_Reference_Map
29FRA_2006
30PITHUWALA_DWSS_DFO_Office_EDS_Reply
31Reply of EDS dated 03-04-2021