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/Pipeline/156684/2022   (ii). Name of Project for which Forest Land is required : permission for Laying 24” dia Sewerage and water Supply pipe from 31.100 Km to 32.350 Km (RHS) from Km 32.350 to Km 32.870 (LHS) by open Cut Method along NH-64 (New NH-07) Zirakpur –Patiala road Tehs   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Diversion of 0.2655 Ha of Forest land permission for Laying 24” dia Sewerage and water Supply pipe from 31.100 Km to 32.350 Km (RHS) from Km 32.350 to Km 32.870 (LHS) by open Cut Method along NH-64 (New NH-07) Zirakpur –Patiala road Tehsil: Rajpura under Forest division Patiala.   (iv). State : Punjab   (v). Category of the Proposal : Pipeline   (vi). Shape of forest land proposed to be diverted : Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 700   (viii). Area of forest land proposed for diversion(in ha.): 0.2655   (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 : PUNJAB WATER SUPPLY AND SEWERAGE DIVSION NO.1 PATIALA.   (ii). Address1 : Executive Engineer Punjab Water Supply and Sewerage Division No.1 Patiala, Punjab.   (iii). Address2 : NIL   (iv). State : Punjab   (v). District : Patiala   (vi). Pin : 147001   (vii). Landmarks : NIL   (viii). Email address : eep1.pwssb@punjab.gov.in   (ix). Landline Telephone No. : -   (x). Fax No. : NIL   (xi). Mobile No. : 8059232486   (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: Jugal   (ii). Middle Name: NIL   (iii). Last Name: Kishor   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: Executive Engineer Punjab Water Supply and Sewerage Division No.1 Patiala, Punjab.   (vii). Address 2: NIL   (viii). State: Punjab   (ix). District: Patiala   (x). Tehsil: NIL   (xi). Pin: 147001   (xii). Landmarks: NIL   (xiii). Email Address: eep1.pwssb@punjab.gov.in   (xiv). Landline Telephone No.: NIL   (xv). Fax No.: NIL   (xvi). Mobile No.: 8059232486   (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.Patiala0.26550
Total0.26550
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Patiala0.26550
Total0.26550
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Rajpura0.26550
0.2655 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Laying Pipeline0.26550
Total 0.2655 0
C. Maps of forest land proposed to be diverted
Division 1. : Patiala
  (i). Area of forest land proposed to be diverted(in ha.) : 0.2655   (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.
1.0.2655    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: No Data   (ii). Whether a copy of map indicating location of alternative examine is required to be provided: No   (a). Reason for not providing such map: No other alternate for Laying Pipeline
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 50   (iii). Temporary Employment(Number of person-days): 100
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? : 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?: 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
1Revised Approved Layout Plan
2National Highway Approved Layout Plan
3Form A
4Anexure A
5Authority Letter
6Justification Use for forest Land
7Minimum Use of Land
8Undertaking of CA
9Undertaking of NPV
10Undertaking of Addl CA
11Undertaking of Addl NPV
12Undertaking of Penal CA
13Undertaking of Penal NPV
14Undertaking of GOVT Project
15Undertaking of reserve Price of trees
16Survey of India Map
17DGPS Map
18Detail Note on Project
19Justification of EC
20NOC National Highway
21Undertaking of FRA
22Allotment Letter
23Our Project is single sewerage pipeline project. KML File is only affected Forest Land. The Forest Land is affected in Two Parts. In the kml file we Shown only Affected Forest Area. So Pls Process To My Proposal and Move on DFO Patiala Office.