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/AR/ROAD/30479/2017   (ii). Name of Project for which Forest Land is required : Proposal for diversion of 30.99 Ha of forestland for improvement/up-gradation of Pakke-Seijosa-Itakhola road (62 KM) under NEC scheme at East Kameng District of Arunachal Pradesh   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : All efforts were made to locate alternate area but since the old alignment adjoining to Pakke Tiger Reserve hence new alignment of the 30 KM proposed is diverted to Papum RF under Khellong Forest Division.   (iv). State : Arunachal Pradesh   (v). Category of the Proposal : Road   (vi). Shape of forest land proposed to be diverted : Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 16616   (viii). Area of forest land proposed for diversion(in ha.): 30.99   (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): 99
A-2. Details of User Agency
  (i). Name : EE PAKKE KESSANG DIVISION PWD ARUNACHAL PRADESH   (ii). Address1 : The Executive Engineer, Pakke Kessang division, PWD, A.P Camp Office: Naharlagun   (iii). Address2 : (Behind NRL Petrol Pump), Papu nallah, PO- Naharlagun   (iv). State : Arunachal Pradesh   (v). District : East Kameng   (vi). Pin : 790102   (vii). Landmarks : NIL   (viii). Email address : eepkdpwd@gmail.com   (ix). Landline Telephone No. : 2212536   (x). Fax No. : NIL   (xi). Mobile No. : 9436229780   (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: Nabam   (ii). Middle Name: NIL   (iii). Last Name: Takar   (iv). Gender: Male   (v). Designation: EE   (vi). Address 1: Same as User Agency   (vii). Address 2: Same as user Agency   (viii). State: Arunachal Pradesh   (ix). District: East Kameng   (x). Tehsil: Pakke Kessang Circle   (xi). Pin: 790102   (xii). Landmarks: NIL   (xiii). Email Address: eepkdpwd@gmail.com   (xiv). Landline Telephone No.: 2212536   (xv). Fax No.: NIL   (xvi). Mobile No.: 9436229780   (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.Khellong Forest Division, Bhalukpong30.990
Total30.990
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.East Kameng30.990
Total30.990
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
NIL
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Forest land required for existing road4.640
2Forest land required for new road22.350
3Muck Disposal40
Total 30.99 0
C. Maps of forest land proposed to be diverted
Division 1. : Khellong Forest Division, Bhalukpong
  (i). Area of forest land proposed to be diverted(in ha.) : 30.99   (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.
1.30.99    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: Present alignment of the road is shortest and econ
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 60   (iii). Temporary Employment(Number of person-days): 500
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?: Yes   (a). Copy of Cost-Benefit analysis:
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? : Yes
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? : No
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
1Executive Summary
2NPV
3Sanction Order
4Cost of Afforestation
5Cost of Extraction of Tree
6Necessity of Project
7Calculation sheet
8Muck Disposal Plan
9Cross Section of Culvert
10Statement of Case
11Layout Plan
12Cost Benefit Analysis
13Brief Note
14Form - I & II
15Suitability Certificate & CA Map