FORM - B
Form for seeking prior approval under Section-2 of the proposals by the State Governments and other authorities, in respect of renewal of leases,
which have been earlier granted clearance under Forest (Conservation) Act,1980
PART - I
(To be filled up by User Agency)
A. General Details
A-1. Project Details
  (i). Proposal No. : FP/UK/WATER/47887/2020   (ii). Name of Project for which Forest Land is required : Bhatad Drinking Water Supply Scheme   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : This scheme will provide drinking water to vill-Bhatad, who are suffering from drinking water problem.   (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) : 36.41   (viii). Area of forest land proposed for diversion(in ha.): 0.067   (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): 15
A-2. Details of User Agency
  (i). Name : CONSTRUCTION DIVISION UTTARAKHAND PAYJAL NIGAM   (ii). Address1 : Construction Division   (iii). Address2 : Uttarakhand Payjal Nigam, Purodi, Chakrata.   (iv). State : Uttarakhand   (v). District : Dehradun   (vi). Pin : 248001   (vii). Landmarks : NIL   (viii). Email address : eecdpurodi@gmail.com   (ix). Landline Telephone No. : 2751879   (x). Fax No. : NIL   (xi). Mobile No. : 9756844393   (xii). Website (if any) : NIL   (xiii). Details of Proposals seeking prior approval of Central Government under the Act for diversion of forest land submitted by the User Agency 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
  (xiv). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Sohit   (ii). Middle Name: Kumar   (iii). Last Name: Burnwal   (iv). Gender: Male   (v). Designation: executiveengineer   (vi). Address 1: Construction Division, Uttarakhand Payjal Nigam, Vikasnagar   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Dehradun   (x). Tehsil: Chakrata   (xi). Pin: 248001   (xii). Landmarks: near puliya no. 1 nawabghar dakpather road   (xiii). Email Address: eecdpurodi@gmail.com   (xiv). Landline Telephone No.: 2751879   (xv). Fax No.: NIL   (xvi). Mobile No.: 9756844393   (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:
A-7. Details of the forest land returned back to the State Forest Department or any other Authority from the forest land diverted in favour of the user agency
A-9. Details of Transfer of Lease
Serial No Name of person Address of person Date of transfer MMDR File Transfer Deed Conservation MoEF_file No Date of approval MoEF file
NIL
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
  (i). Whether any proposal seeking prior approval of Central Government under the Act for diversion of forest land required for the project has been submitted in the past?. : No
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.Chakrata0.0670
Total0.0670
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Dehradun0.0670
Total0.0670
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Lakho Com.No.-140.0670
0.067 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Pipeline0.0670
Total 0.067 0
C. Maps of forest land proposed to be diverted
Division 1. : Chakrata
  (i). Area of forest land proposed to be diverted(in ha.) : 0.067   (ii).Shape of forest land proposed to be diverted : Linear   (b). No. of Segments : One
Segments wise details
Segmenst Segment Area(in ha.) Kml File of SegmentsTo view KML file on google the same may be downloaded and then open if in google earth install in your computer.
1.0.067    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 DGPS 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: No   (a). Reason for not providing such map: NIL
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?: NIL   (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 ?: NIL   (iii) . Reason for not providing Non-Forest Land: NIL
Additional information Details
Documents
S.No Documents
Remarks
1Manak Shartien
2Muck disposal certificate
3No affected tree certificate
4non violence certificate under FCA 1980
5NPV Estimate
6Part-I to IV
7Prashasnik avm vitya swikriti
8Site suitability certificate
9Task force certificate
10vakalpik bhumi ka certificate
11Barchart
12Partivedan
13certificate for affected trees
14certificate for arrenge kerosin to the site labour
15certificate for beneficiaries village
16certificate for minimum cutting of trees
17certificate for no damage trees
18certificate for no damages flora and fauna
19Certificate for no religious site
20certificate for Work no start
21certificate of aerial distance of wildlife park from the site
22Form I to Form II FRA issued by DM
23FRA SDM and gram pradhan
24geogolist report and certificate
25gapfilling plantation
26Joint inspection report
27Land schedule
28lease rent
29Layout plan of project
30length and width certificate of project
31Part-I and II online generated and authenticated by user agency submission letter.
32Regarding Bhatar letter
33hard copy submission receiving letter