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/45024/2020   (ii). Name of Project for which Forest Land is required : Upper Garhwali Drinking Water Scheme   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : This proposed Overhead Water Tank will provide drinking water to Aayuddh Vihar, Garhwali Colony, Doon Hills Colony, Upper Aadarh Colony having population of 4265.   (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) : 299.4   (viii). Area of forest land proposed for diversion(in ha.): 0.075   (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 : eeujsraipur@gmail.com   (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: BRIJMOHAN   (ii). Middle Name: SINGH   (iii). Last Name: NEGI   (iv). Gender: Male   (v). Designation: AAE   (vi). Address 1: Uttarakhand Jal Sansthan, Ring Road, Raipur.   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Dehradun   (x). Tehsil: Dehradun   (xi). Pin: 248001   (xii). Landmark: NIL   (xiii). Email Address: bmsnegi.ujs@gmail.com   (xiv). Landline Telephone No.: 135-2672069   (xv). Fax No.: NIL   (xvi). Mobile No.: 9690559722   (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.Mussoorie0.0750
Total0.0750
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Dehradun0.0750
Total0.0750
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Upper Garhwali Colony0.0750
Total 0.075 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Overhead Water Tank0.0750
Total 0.075 0
C. Maps of forest land proposed to be diverted
Division 1. : Mussoorie
  (i). Area of forest land proposed to be diverted(in ha.) : 0.075   (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.
1.0.075    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): 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?: 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
1Form_A_Part_1
2Form_A_Part_2
3Prativedan
4Administrative_Financial_Sanction
5Joint_Inspection_Report
6Land_Schedule
7Length_Width
8Bar_Chart
9No_Alternative_Land
10Geologist_Report
11Under_Taking_reg_Geologist_Repot
12Certificate_reg_No_Trees_Felling
13Distance_From_NP_certificate
14Distance_From_NP_certificate
15Beneficial_Colonies
16Lease_Period_Certificate
17Lay_Out_Plan_Componentwise_Breakup
18Certificate_reg_Alternative_Fuel
19Boundary_Demarcation_Certificate
20Certificate_reg_Environmental_Clearance
21Certificate_reg_Flora_Fauna
22Cost_Of_Land
23Lay_Out_Plan_Componentwise_Breakup
24Manak_Shartain
25No_Alternative_and_Minimum_Land
26Muck_Disposal_Undertaking
27No_Alternative_Land
28No_Hisorical_etc_Place
29NOC_Of_Gram_Sabha
30Not_A_Part_of_NP_certificate
31NPV_Calculation
32Site_Specific_certficate
33Under_Taking_reg_Vacant_places_Plantation
34Task_Force_certificate
35Vacant_places_Plantation_Estimate
36Under_Taking_reg_Vacant_places_Plantation
37Work_Not_Started
38Clarifications_reg_Components_Alternative_alignment
39Original Hard Copy of the proposal with Form A part 1, 2 and 3 have been submitted to Nodal Office.