Form for seeking prior approval of Central Government under section 2 of the Forest(Conservation) Act,1980 for Diversion of fresh forest area
(To be filled up by User Agency)
A. General Details
A-1. Project Details
  (i). Proposal No. : FP/UK/WATER/121733/2021   (ii). Name of Project for which Forest Land is required : Construction of Over Head Tank at Banswada Balawala Dehradun   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Proposed Over Head Water Tank will provide drinking water to Banswada, Bhagwan Das Chowk, Nandini Vihar, Thirthwal Mohalla, Ghoda Factory, Defence Colony and Dobhal Niwas Balawala having population of 3250.   (iv). State : Uttarakhand   (v). Category of the Proposal : Drinking Water   (vi). Shape of forest land proposed to be diverted : Non Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 252   (viii). Area of forest land proposed for diversion(in ha.): 0.0625   (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): 30
A-2. Details of User Agency
  (i). Name : UTTARAKHAND JAL SANSTHAN RAIPUR   (ii). Address1 : Executive Engineer, Uttarakhand Jal Sansthan, Ring Road, Raipur.   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Dehradun   (vi). Pin : 248001   (vii). Landmark : NIL   (viii). Email address :   (ix). Landline Telephone No. : 135-2672069   (x). Fax No. : 135-   (xi). Mobile No. : 9412056111   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State PSU
A-3. Details of Person Making Application
  (i). First Name: Jagdish   (ii). Middle Name: Singh   (iii). Last Name: Panwar   (iv). Gender: Male   (v). Designation: Additional Assistant Engineer   (vi). Address 1: Uttarakhand jal sansthan ring road raipur dehradun   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Dehradun   (x). Tehsil: Dehradun   (xi). Pin: 248001   (xii). Landmark: near 6 no puliya   (xiii). Email Address:   (xiv). Landline Telephone No.: 0-   (xv). Fax No.: NIL   (xvi). Mobile No.: 9897176815   (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 Proposal Status. Proposal No. Moef File No. Area Proposed for Diversion(Ha.) Area Diverted(Ha.) Date of In-Principle Approval Date of Final Approval
B-2. Details of forest land proposed to be diverted
B-2.1 Details of Divisions involved
Details of Divisions involved Division Name Forest Land(ha.) Non-Forest Land(ha.)
B-2.2 Details of Districts involved
District wise breakup District Name Forest Land(ha.) Non-Forest Land(ha.)
B-2.3 Village wise breakup
Villages wise breakup Village Forest Land(ha.) Non-Forest Land(ha.)
Total 0.0625 0
B-2.4 Component wise breakup
Component wise breakup Component Forest Land(ha.) Non-Forest Land(ha.)
1Over Head Tank0.06250
Total 0.0625 0
C. Maps of forest land proposed to be diverted
Division 1. : Mussoorie
  (i). Area of forest land proposed to be diverted(in ha.) : 0.0625   (ii). Nature of the Project: Non Linear   (a). No. of patches : One
Patch wise details
Patch No. Area of Patch(in ha.) Kml File of PatchesTo view KML file on google the same may be downloaded and then open if in google earth install in your computer.
1.0.0625    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:
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): 350
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
S.No Documents
1Vittiya Sweekriti evam shashan approval
2Summary of the Project
3free connection to nearest forest chowki certificate
4Gram sabha noc certificate
5joint inspection certificate
6layout of project
7lease certificate
8national park certificate
9No alternation of land certificate
10no harmness to tree certificate
11no special land certificate
12vacant land tree planting certificate
13war chart
14vaikalpik Sthal Nirast certificate
15Arial Distance certificate (Revised)
16Reply Letter againt Letter No- 198/FP/UK/WATER/121733/2021 dated 20.07.2021
17Muck Disposal Scheme Certificate
18FRA document according to Query
19NOC of the GRAM Panchayat by Parshad
20Check list
21Fact Sheet
22Geologist Report
23Work not Start certificate
24Certificate to bear the expenses of Demarcation
25Certificate to comply Geologist Report and Task Force Report
26Certificate to pay NPV amount
27Task Force Report
28Certificate for complying the condition imposed in standard condition
29Certificate for no historical/monumental or religious place will be affected
30Certificate for no wild life affected
31Undertaking to provide alternative fuel wood kerosene or LPG to labours involved in project
32Certificate for benefitted village/families/population
33Summary of tree affected in different legal classes of land
34Part I tree list with dated
35Tree list as per format
36Certificate of felling minimum tree
37Plantation scheme estimate