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/PB/Approach/34187/2018   (ii). Name of Project for which Forest Land is required : Construction of the Access Approach to Jaswant Agriculture Works at Village Bigarwal, Tehsil Sunam Distt. Sangrur.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Diversion of 0.00674 Hec. of Forest land for Approach access to Jaswant Agriculture Works Situated at Village Bigarwal, on Bhawanigarh to Kotshamir Road, SH - 12 A, at RD M 21.800, L.H.S. Tehsil Sunam, Distt. Sangrur (PB)   (iv). State : Punjab   (v). Category of the Proposal : Approach Access   (vi). Shape of forest land proposed to be diverted : Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 50   (viii). Area of forest land proposed for diversion(in ha.): 0.00674   (ix). Non-forest land required for this project(in ha.): 0.7716   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : JASWANT AGRICULTURE WORKS SUNAM   (ii). Address1 : Jaswant Agriculture Works, Sangrur Road Sunam. Tehsil Sunam   (iii). Address2 : NIL   (iv). State : Punjab   (v). District : Sangrur   (vi). Pin : 148028   (vii). Landmarks : NIL   (viii). Email address : jaswantagricultureworks1@gmail.com   (ix). Landline Telephone No. : 6120895   (x). Fax No. : NIL   (xi). Mobile No. : 9876120895   (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 : Private
A-3. Details of Person Making Application
  (i). First Name: Navinder   (ii). Middle Name: NIL   (iii). Last Name: Singh   (iv). Gender: Male   (v). Designation: Manager   (vi). Address 1: Navinder Singh, Manager at Jaswant Agriculture Works, Sangrur Road Sunam.   (vii). Address 2: NIL   (viii). State: Punjab   (ix). District: Sangrur   (x). Tehsil: Sunam   (xi). Pin: 148028   (xii). Landmarks: NIL   (xiii). Email Address: jaswantagricultureworks1@gmail.com   (xiv). Landline Telephone No.: 6120895   (xv). Fax No.: NIL   (xvi). Mobile No.: 9876120895   (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.Sangrur0.006740.7716
Total0.006740.7716
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Sangrur0.006740.7716
Total0.006740.7716
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Bigarwal0.006740.7716
0.00674 0.7716
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
11. Project Site Area00.7715
22. Area of the Gate0.0067320
Total 0.006732 0.7715
C. Maps of forest land proposed to be diverted
Division 1. : Sangrur
  (i). Area of forest land proposed to be diverted(in ha.) : 0.00674   (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.
1.0.00674    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): 20   (iii). Temporary Employment(Number of person-days): 0
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
1Authority Letter
2Application
3Application2
4Annexure A
5Affidavit
6Blue Map
7Certificate
8CLU
9Detail of Non Forest Land
10Detail note of the Project
11Letter
12Letter
13Form A
14Jamabandi in English
15Jamabandi in Punjabi
16Justification
17Minimum Use of Forest Land
18NOC from PWD in English
19NOC from PWD in Punjabi
20Revised NOC from PWD in Punjabi
21Registry in English
22Registry in Punjabi
23Schedule Tribe Certificate
24Toposheet
25Undertaking for Non forest land
26Undertaking for Payment of Additional amount of Net Present Value
27Undertaking for Payment of Net Present Value
28Undertaking for Payment of cost of Compensatory Afforestation
29Undertaking for Payment of cost of Trees
30Undertaking for PPCB
31Undertaking for the project is private
32Justification for NOC from PPCB
33GEO REFERENCE MAP
34Justification for Environment Clearance
35Undertaking for FCA 1980