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/19472/2016   (ii). Name of Project for which Forest Land is required : Extention of Hamarau Lalawu Masrad M/Road To Maletha Dantanu Badnu M/Road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : This Road will link the villagers with mean road Hamarau Lalawu Masrad motor road. Presently the foot track is very narrow and steep witch is the course of trobole for the villagers to come down and up for there necessary needs to fullfill from near by towns.   (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) : 343   (viii). Area of forest land proposed for diversion(in ha.): 2.0825   (ix). Non-forest land required for this project(in ha.): 4.0195   (x). Total period for which the forest land is proposed to be diverted(in years): 95
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.Chakrata2.08254.0195
Total2.08254.0195
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Dehradun2.08254.0195
Total2.08254.0195
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Masrad0.2940.455
2Basaya1.2492.575
3Lalau0.53950.9895
Total 2.0825 4.0195
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road2.08253.5175
2Muckdisposal00.50196
Total 2.0825 4.01946
C. Maps of forest land proposed to be diverted
Division 1. : Chakrata
  (i). Area of forest land proposed to be diverted(in ha.) : 2.0825   (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).
1.2.0825    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): 10000
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: MASRAD   (b). Area(in ha.): 4.165   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 200   (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
1A short narrative and importance of the project.
2Administrative and Financial sanction
3Preliminary Joint Inspection report (by user agency, forest department, revenue department etc.)
4Comperative chart showing statement of both alignment or alternate site explored for the proposed project and reasons for their rejection.
5Certificate from the DM that no alternative suitable non-forest land is available for the project in question and the demand of the forest land for the project is barest minimum
6Land schedule (for RF signed by DFO and civil soyam, Van panchayat and private nap land
7Category wise (RF,civil soyam, Van panchayat and private nap land, Notified forest land etc.) land length, width and area in Ha.
8Bar Chart with index
9Compensatory afforestation scheme in Civil and Soyam land
10CCertificate regarding suitability of indentified land for Comensatory Afforestation
11Road side/gap filling plantation estimate
12Details of the trees with their scientific name in RF, Civil Soyam, Van Panchayat, Private Notified land and in Nap Land
13Felling of Oak trees (if involves, inspection report of the concerning CF
14If felling of trees is not involved, certificate.
15Certificate of felling minimum trees during the project work.
16Whather project area is a part of National Park or sanctuary and airal distance of the project from National Park or sanctuary
17If the Project falling within the National park or Sanctuary, needs recommendation of State Wild Life Board, National Board of Wild Life (NBWL) and permission of Hon'ble Supreme
18INo voilation has taken place, FC Act. 1980 reg.
19NOC from local Gram Sabhas
20Geologist Report
21No historical/monumental or relegeous place will be effected certificate reg.
22NPV calculation certificate as per Hon'ble Supreem court
23Check list/Fact sheet . /Other imp details
24NOC VAN PYANCHAT
25letter
26submission hard copy
27Submission hard copy Slip
28population
29N.O.C Aam shbha
30Submission original hard copy Slip
31objection removed latter
32objection removed EDS 20 march 2018
33Site Suitability
34Undertaking to bear CA Cost
35objection removed 8B/UCP/06/135/135/2018//AF/180date07/12/2018