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/AS/ROAD/48518/2020   (ii). Name of Project for which Forest Land is required : Diversion of forest land for improvement and upgradation of Hamren to Howrahghat Section of SH-19 under Axom Mala roads in the state of Assam   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : This project is an improvement and upgradation of existing road from single lane to 2 lanes with paved shoulder from Hamren to Howrahghat Section of SH-19 in West Karbi Anglong and Hojai districts in the state of Assam. The project road is passing through the suburb of Hamren, Dongkamukam, Satgaon,   (iv). State : Assam   (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) : 58653   (viii). Area of forest land proposed for diversion(in ha.): 4.193   (ix). Non-forest land required for this project(in ha.): 46.197   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : ASSAM PWRD   (ii). Address1 : Block B, Ground Floor, Janata Bhawan, dispur, Guwahati   (iii). Address2 : NIL   (iv). State : Assam   (v). District : Kamrup   (vi). Pin : 781006   (vii). Landmarks : NIL   (viii). Email address : diganta5000@gmail.com   (ix). Landline Telephone No. : 2237378   (x). Fax No. : NIL   (xi). Mobile No. : 9954024240   (xii). Website (if any) : https://pwdroads.assam.gov.in   (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: Diganta   (ii). Middle Name: NIL   (iii). Last Name: Goswami   (iv). Gender: Male   (v). Designation: AEE and OSD   (vi). Address 1: PWRD, EAP, ASSAM, FATASIL AMBARI, GUWAHATI   (vii). Address 2: NIL   (viii). State: Assam   (ix). District: Kamrup   (x). Tehsil: Guwahati   (xi). Pin: 781025   (xii). Landmarks: NIL   (xiii). Email Address: diganta5000@gmail.com   (xiv). Landline Telephone No.: 2237378   (xv). Fax No.: NIL   (xvi). Mobile No.: 9954024240   (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.Nagaon South Division, Hojai4.19346.197
Total4.19346.197
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Hojai4.19346.197
Total4.19346.197
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Somupong03.641
2Linchika09.865
3Mulokbong03.991
4Taralangso Bl No 401.675
5Taralangso Bl No 200.314
6Taralangso BL no 100.298
7Phankari Gaon Block No.400.265
8Phankari Gaon Block No.300.022
9Phankri Gaon Sheet No. 200.031
10Donka No 100.825
11Donka No. 200.176
12Pub Ghilani00.119
13Bhelapara00.022
14Mugasong00.01
15Tumpreng No. 100.013
16Tumpreng00.335
17Kumurokata RF Village4.1930
18Uttar Kumorakata Part 101.138
19Uttar Kumorakata00.06
20Dakhin Kumurakata00.802
21Maina Pathar00.393
22Matikhola00.045
23Singari Basti00.072
24Dakhin Bidyanagar00.014
25Hojai town No. 300.11
26Hojai town 200.378
27Dimrupar00.055
28Fatehpur00.023
29Islampur00.021
30Jayantia Basti01.748
31Nilbagan01.958
32Mathigaon01.977
33Singi Par00.371
34Sowpur00.043
35Rohini Pathar01.324
36Sabajpur03.082
37Dighal Jarani03.135
38Barhawar01.461
39Moudanga Pathar00.581
40Howraghat Town01.259
41Dakhin Borbil Gaon00.141
42Beloguri 2 sheet-100.027
43Gorokhia Pukuri Part 200.068
44Kospukhuri00.193
45Cheng Biri Block No 100.347
46Sutarpur00.007
47Debasthan03.724
48Pachim Dhaniram pather00.038
4.193 46.197
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road4.19346.197
Total 4.193 46.197
C. Maps of forest land proposed to be diverted
Division 1. : Nagaon South Division, Hojai
  (i). Area of forest land proposed to be diverted(in ha.) : 4.193   (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.
1.4.193    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: 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): 391500
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?: Yes   (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). No. of districts involved for raising Compensatory Afforestation: 1   (iv). No. of patches: One
District 1. : Hojai
  (a). Village: Baliram Pathar   (b). Area(in ha.): 5.6   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 117   (e). Present owner: Others   (f). Copy of ownership proof:   (g). Copy of Mou/agreement executed between the Present owner and the User Agency:   (h). Copy of non encumberence certificate for the forest land:
  (v). Scanned copy of the map of the land identified for creation of Compensatory Afforestation prepared by using DGPS ot Total Station:   (vi). Copy of Survey of India Toposheet in 1:50,000 scale indicating location of the land identified for creation of Compensatory Afforestation:
Additional information Details
Documents
S.No Documents
Remarks
1CA Land MoU
2CA Land circle officer letter
3CA Land Land suitability certificate
4CA Land Non Encumberance certificate
5EDS Reply letter 06052022
6Area Change Letter
7EDS reply letter 140921
8NPV Undertaking
9Layout Plan
10EDS Reply 19th Sept 2020
11UT Conservation of flora fauna
12UT for Cost of CA
13UT for FRA Certificate
14UT for Labour camp
15UT for No change in statutory position of Forest land
16UT for No other feasible alternative
17UT for No use of forest material
18UT for Other cost and condition
19UT for survey using DGPS/Total station
20UT for use of forest land
21UT for waste management
22Ariel distance of wildlife sanctuary and Proposed Road
23NoC of DFO Hamren ie. no forest area involve in Hamren division
24EDS Compliance PWRD Letter No. 37 dated 02.09.2021