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/13205/2015   (ii). Name of Project for which Forest Land is required : Sauda Dwara to Chamoli Chawk Motar Road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : this road connect by dwara, villege. akhanwani bhilang ladva coat halduvadi villege. connectivity and by pass road by this public agreeculture by connectivity to mandi dehradun. Construction of this road the tourist people of haridwar and rishikesh have been easily reached to Gandhak Pani.   (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) : 69.54   (viii). Area of forest land proposed for diversion(in ha.): 3.01   (ix). Non-forest land required for this project(in ha.): 0.91   (x). Total period for which the forest land is proposed to be diverted(in years): 60
A-2. Details of User Agency
  (i). Name : PUBLIC WORK DEPARTMENT   (ii). Address1 : Temporary Division, PWD, Rishikesh   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Dehradun   (vi). Pin : 249201   (vii). Landmark : Near Railway Station   (viii). Email address : eetdrksh@rediffmail.com   (ix). Landline Telephone No. : 135-2430660   (x). Fax No. : 135-135   (xi). Mobile No. : 9412053901   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Dinesh   (ii). Middle Name: NIL   (iii). Last Name: Sindhwal   (iv). Gender: Male   (v). Designation: Assistante Engineer   (vi). Address 1: Temporary Division, PWD, Rishikesh   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Dehradun   (x). Tehsil: Rishikesh   (xi). Pin: 249201   (xii). Landmark: Near Railway Station   (xiii). Email Address: eetdrksh@rediffmail.com   (xiv). Landline Telephone No.: 135-2430660   (xv). Fax No.: 01352430660   (xvi). Mobile No.: 8126906336   (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.Mussoorie3.010.91
Total3.010.91
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Dehradun3.010.91
Total3.010.91
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Dwara3.010.91
Total 3.01 0.91
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road3.010.91
Total 3.01 0.91
C. Maps of forest land proposed to be diverted
Division 1. : Mussoorie
  (i). Area of forest land proposed to be diverted(in ha.) : 3.01   (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).
1.3.01    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): 30   (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?: 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: Dwara   (b). Area(in ha.): 6.02   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 413, 2092   (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
1Bar Chart
2Administrative Sanction
3Afforestation Details
4combined inspection report
5COMPENSATORY AFFORESTATION
6Details of population and villages
7Dimensions of proposed road
8FAct sheet
9form1
10Form II
11Gram panchayat report
12Land Schedule
13Muck Disposal
14Project not comes under & nearby nay national park
15RCC pillar
16site inspection report
17Task force certificate
18Testimonial of Alternative Land is not available
19Testimonial of work not started yet
20Testimonial pertaining to Deforestation minimum Trees
21Trees details
22Few other important Testimonials
23No objection Certificate
24Geo referenced map
25Geo referenced map proposed road
26chameli chowk letter
27User_Agency_short_comming_letter
28Letter Attached by Information
29Letter of Shortcomings
30NPV certificate
31CA_Geo_Map
32CA_toposheet
33Letters
34geologiest report
35Letters
36Letters Chameli Chowk
37Chameli chowk CA Land letter
38Letters
39Certificate Link Road
40Muck Disposal Plan
41Receive letter (Hard copy)
42EDS letter