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/47887/2020   (ii). Name of Project for which Forest Land is required : Bhatad Drinking Water Supply Scheme   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : This scheme will provide drinking water to vill-Bhatad, who are suffering from drinking water problem.   (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) : 36.41   (viii). Area of forest land proposed for diversion(in ha.): 0.067   (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.Chakrata0.0670
Total0.0670
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Dehradun0.0670
Total0.0670
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Lakho Com.No.-140.0670
Total 0.067 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Pipeline0.0670
Total 0.067 0
C. Maps of forest land proposed to be diverted
Division 1. : Chakrata
  (i). Area of forest land proposed to be diverted(in ha.) : 0.067   (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).
1.0.067    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: NIL
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): 300
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
1Partivedan
2certificate for affected trees
3certificate for arrenge kerosin to the site labour
4certificate for beneficiaries village
5certificate for minimum cutting of trees
6certificate for no damage trees
7certificate for no damages flora and fauna
8Certificate for no religious site
9certificate for Work no start
10certificate of aerial distance of wildlife park from the site
11Form I to Form II FRA issued by DM
12FRA SDM and gram pradhan
13geogolist report and certificate
14gapfilling plantation
15Joint inspection report
16Land schedule
17lease rent
18Layout plan of project
19length and width certificate of project
20Manak Shartien
21Muck disposal certificate
22No affected tree certificate
23non violence certificate under FCA 1980
24NPV Estimate
25Part-I to IV
26Prashasnik avm vitya swikriti
27Site suitability certificate
28Task force certificate
29vakalpik bhumi ka certificate
30Barchart
31hard copy submission receiving letter
32Regarding Bhatar letter
33Part-I and II online generated and authenticated by user agency submission letter.