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/42100/2019   (ii). Name of Project for which Forest Land is required : Tilwara Nagar Panchayat Water Supply Scheme   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Tilwara Nagar Panchayat Water Supply Scheme has been proposed for Tilwara Nagar Panchayat. The old existing water Supply system is 35 years old. Due to which most of pipe lines are rusted badly and it affects the water Quality and is all so not safe for drinking purpose. The present rate of water su   (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) : 476   (viii). Area of forest land proposed for diversion(in ha.): 1.234   (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 PEYJAL NIGAM   (ii). Address1 : Construction Division Uttarakhand peyjal nigam Rudraprayag   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Rudraprayag   (vi). Pin : 246171   (vii). Landmark : Belani   (viii). Email address : cdupjnrudraprayag@gmail.com   (ix). Landline Telephone No. : 1364-233207   (x). Fax No. : 1364-   (xi). Mobile No. : 9410568370   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Naval   (ii). Middle Name: NIL   (iii). Last Name: Kumar   (iv). Gender: Male   (v). Designation: EE   (vi). Address 1: Construction Division Uttarakhand Peyjal Nigam Rudraprayag   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Rudraprayag   (x). Tehsil: Rudraprayag   (xi). Pin: 246171   (xii). Landmark: NIL   (xiii). Email Address: cdupjnrudraprayag@gmail.com   (xiv). Landline Telephone No.: 1364-233207   (xv). Fax No.: NIL   (xvi). Mobile No.: 9410568370   (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.Rudraprayag1.2340
Total1.2340
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Rudraprayag1.2340
Total1.2340
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Tilwara1.2340
Total 1.234 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Pipe Line (Reserve forest)0.0240
2Treatment Plant0.250
3Pipe Line (van panchaat)0.90
4CWR(BR &SR)0.060
Total 1.234 0
C. Maps of forest land proposed to be diverted
Division 1. : Rudraprayag
  (i). Area of forest land proposed to be diverted(in ha.) : 1.234   (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).
1.1.234    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): 38080
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?: No   (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) . Reason for not providing Non-Forest Land: Others
Additional information Details
Documents
S.No Documents
Remarks
1Front Page
2Check List
3Partivedan
4Foramt 1
5format 10
6format 13 (Bar Chart)
7format 24
8format 31
9format 34
10format 43
11format 45
12format 47
13Removal of Shortcoming
14Administration approval & format 3
15PARPTRA 4(joint Inspection report)
16Digital, GEO Refrence MAP
17format 14 (No work Start Certificate )
18format 15 & 15.6 (Effected tree)
19format 16 (Banj birchho ka patan)
20format 17 (Nuntam birchho ka patan)
21format 18 (Not part of National Park)
22format 22 (Cost benefit Ratio Chart)
23format 25 (Lay out plan)
24Task Force Certificate (format 28)
25(format 29)Conditions Certificate
26format 30 (Religious Mythological Certificate )
27Forest Rights Acts (format 23 to 23.4
28Removal of Shortcoming
29EDS DFO remove proposal objection.
30To DFO Regarding Tilwara water supply Querry
31Justification for non applicability for Format 8
32Format 8 corrected
33(Land Schedule ) Format 11.1 corrected
34(Land Schedule ) Format 11 corrected
35format 12 (Scheme Length& Width Details) Corrected
36Format 21 (No objection Certificate of aam Saba) Corrected
37Format 19 (Distance Certificate of National Park) Corrected
38Removal of Shortcoming To DFO Regarding Tilwara water supply Querry
39Letter of remove proposal objection
40Format 2 Appendix Part 1
41Format 2.1 Part II
42Letter for Removal of Shortcoming Regarding Tilwara water supply Querry
43Digital Map of Plantation Area
44UA Letter for remove proposal objection
45Format 26 & 27 Geological Compliance Certificate
46Format 33 Certificate in respect of the villages / families / population to be benefited
47Format 32 Certificate of providing kerosene / cooking gas to workers
48Format 36 Compensatory Plantation Site Suitability Certificate
49Format 35 ten years for compensatory plantation (SSP)
50Digital Map of Plantation Area
51format 41 Certificate of Debris Disposal Project
52format 42 Estimation of amount of NPV
53format 44 Pillar construction