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/ROAD/11134/2015   (ii). Name of Project for which Forest Land is required : Laksiyar(Sambarjain Road)To Muwani Chhani Ludra Motor Road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Presently the villagers have to walk through a distance of 3-5 km to meet their daily needs ,as there is no road connecting the village.Due to the non-existing of any road connectivity ,the lives of the villagers are in constant danger as there are no medical services which could be provided to the   (iv). State : Uttarakhand   (v). Category of the Proposal : Road   (vi). Shape of forest land proposed to be diverted : Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 196   (viii). Area of forest land proposed for diversion(in ha.): 2.24   (ix). Non-forest land required for this project(in ha.): 1.19   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : PUBLIC WORKS DEPARTMENT   (ii). Address1 : Executive Engineer,ty.division,PWD,Sahiya Dehradun   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Dehradun   (vi). Pin : 248196   (vii). Landmark : civil land   (viii). Email address : eepwdsahiyakalsi@gmail.com   (ix). Landline Telephone No. : 1360-274595   (x). Fax No. : 1360-1360   (xi). Mobile No. : 9456745631   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: S   (ii). Middle Name: K   (iii). Last Name: Tyagi   (iv). Gender: Male   (v). Designation: Assistant Engineer   (vi). Address 1: O/0 E.E., Ty.Div.,PWD, Sahiya   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Dehradun   (x). Tehsil: Dehradun   (xi). Pin: 248196   (xii). Landmark: civil land   (xiii). Email Address: eepwdsahiyakalsi@gmail.com   (xiv). Landline Telephone No.: 1360-274595   (xv). Fax No.: 1360274595   (xvi). Mobile No.: 9412917304   (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.Chakrata2.241.19
Total2.241.19
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Dehradun2.241.19
Total2.241.19
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Dheroi0.3220.035
2Munsi0.9940.042
3Laksiyar0.1190.175
4Loharna0.5390.672
5Singota0.2660.266
Total 2.24 1.19
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road2.241.02
2Muck Dumping00.17
Total 2.24 1.19
C. Maps of forest land proposed to be diverted
Division 1. : Chakrata
  (i). Area of forest land proposed to be diverted(in ha.) : 2.24   (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).
1.2.24    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: Yes   (a). Copy of map indicating location of alternative examined:
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): 1000
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?: Yes   (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 ?: No   (iii). No. of districts involved for raising Compensatory Afforestation: 1   (iv). No. of patches: One
District 1. : Dehradun
  (a). Village: Luharna   (b). Area(in ha.): 4.48   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 35, 36, 37, 38   (e). Present owner: Others   (f). Copy of ownership proof:   (g). Copy of Mou/agreement executed between the Present owner and the User Agency:   (h). Copy of non encumberence certificate for the forest land:
  (v). Scanned copy of the map of the land identified for creation of Compensatory Afforestation prepared by using GPS ot Total Station:   (vi). Copy of Survey of India Toposheet in 1:50,000 scale indicating location of the land identified for creation of Compensatory Afforestation:
Additional information Details
Documents
S.No Documents
Remarks
1Compensation Of Land
2DFO Certificate Of minimum Tree Falling
3Historical Pace Certificate
4FACT
5Fule Wood
6Geologist
7Geologist acknowledgement
8G.O
9Joint Inspection
10Land Sedule
11Manak Sartaia
12Minimum Forest Land requirement
13Minimum Tree Falling
14Muck Disposal Proposal
15Muck Dumping
16NOC
17NPV
18Originally tree Falling
19Part -I
20Part -III
21Population
22RCC PILLER
23ROAD SIDE TREE PLANTATION
24Samjota gypan
25Task Force
26WILD LIFE Certificate
27Work Not Started
28objection removal letter uploaded
29uploaded objection removal letter and other documents , Copy of removal letter is already sumitted to DFO office on dated 13/08/2018
30land schedule alongwith Trees list
31Bar Chart
32CA Scheme
33LxB certificate
34Land owner certificate for muck Dumping
35Site suitability certificate for CA
36objectons removal letter Dt. 11.09.2019
37Objections removed and letter uploaded as directed4.10.19
38VLC proceeding for each village as pe details in B-2.3
39Objection removal letter dt 07-03-2020
40tree list 9.00m along with land schedule
41Query removal letter eds dated 06.06.2020
42objection removal EDS 07/07/02020
43Areal distance certificate
44Objection removal EDS 17-08-2020