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/42102/2019   (ii). Name of Project for which Forest Land is required : Ukhimath Nagar Panchayat Water Supply Scheme   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Ukhimath Nagar Panchayat Water Supply Scheme has been proposed for Ukhimath Nagar Panchayat. The old existing water Supply system is 33 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   (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) : 1488   (viii). Area of forest land proposed for diversion(in ha.): 0.88   (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.Rudraprayag0.880
Total0.880
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Rudraprayag0.880
Total0.880
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Ukhimath0.880
Total 0.88 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Pipe Line (Van Panchayat)0.720
2Treatment (Van Panchayat)0.150
3CWR (SR) (Van Panchayat)0.010
Total 0.88 0
C. Maps of forest land proposed to be diverted
Division 1. : Rudraprayag
  (i). Area of forest land proposed to be diverted(in ha.) : 0.88   (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).
1.0.88    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): 119040
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
Documents
S.No Documents
Remarks
1Front Page
2Partyavedan
3Format 1
4Digital Map
5Geo reference map
6Format ( joint Inspection report)
7Format 8
8Format 14
9Format 16
10Format 24
11Format 26 &27
12Format 28
13Format 29
14Format 30
15Format 31 & 32
16Format 34
17Format 36
18Estimate of Tree
19NPV
20Format 43
21Format 45 &46
22Format 47
23Essential Details Sough
24Format 2
25Administration approval
26Digital, GEO Refrence MAP
27Format 11 (land schedule )
28format 17 (Nuntam birchho ka patan)
29format 18 (Not part of National Park)
30format 21 (No objection Certificate of Aam Saba
31format 22 (Cost benefit Ratio Chart)
32format 15 (Effected tree details)
33Essential Details Sough
34Essential Details Sough
35FRA
36Essential Details Sough
37Letter
38Format 11.1 (land schedule )
39Format 9
40Format 10
41Format 13 Bar chart
42format 12 (Scheme Length& Width Details)
43format 15.4
44format 17 (Nuntam birchho ka patan)
45format 19 (Distance Certificate of National Park)
46Format 22 Cost Benefit Chart
47Format 25
48format 33 feeded Village and Population
49No duse Certificate
50Essential Details Sough Removal
51Hard Copy submitted Letter