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/SK/ROAD/36660/2018   (ii). Name of Project for which Forest Land is required : Diversion of 7.838 ha. Forest Land for non forest use in Kerang Op Dorjila (Gurudongmar Bend to Dorjila) Border Road Forest Proposal   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Present project road is a high altitude hill road to Indo-China border road in the State of Sikkim. The project road starts from Kerang (Gurudongmar Bend) and terminates at Op Dorjila (Dorjila) with a design length of 4.31 km.   (iv). State : Sikkim   (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) : 7484   (viii). Area of forest land proposed for diversion(in ha.): 7.838   (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): 100
A-2. Details of User Agency
  (i). Name : ITBP GANGTOK   (ii). Address1 : Sector Head Quarter ITBP   (iii). Address2 : Metro Point Tadong   (iv). State : Sikkim   (v). District : Gangtok   (vi). Pin : 737102   (vii). Landmarks : Near Ranka Monastery   (viii). Email address : eeccdsikkim@gmail.com   (ix). Landline Telephone No. : 252527   (x). Fax No. : 252528   (xi). Mobile No. : 9971999755   (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 : Central Government
A-3. Details of Person Making Application
  (i). First Name: Rakesh   (ii). Middle Name: Kumar   (iii). Last Name: Jain   (iv). Gender: Male   (v). Designation: ExecutiveEngineer   (vi). Address 1: BRPD- 1, CPWD, Opp- Post Office   (vii). Address 2: S. T. Lama Building, 3rd Floor, Chungthang   (viii). State: Sikkim   (ix). District: Mangan   (x). Tehsil: Chungthang   (xi). Pin: 737120   (xii). Landmarks: Opposite Post Office   (xiii). Email Address: eeccdsikkim@gmail.com   (xiv). Landline Telephone No.: 252527   (xv). Fax No.: 03592252528   (xvi). Mobile No.: 9971999755   (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.North Territorial7.8380
Total7.8380
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Mangan7.8380
Total7.8380
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1BOP_Gurudongmar Bend Dorjila7.8380
7.838 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road New Alignment7.7580
2Muck Point 10.020
3Muck Point 20.020
4Muck Point 30.020
5Muck Point 40.020
Total 7.838 0
C. Maps of forest land proposed to be diverted
Division 1. : North Territorial
  (i). Area of forest land proposed to be diverted(in ha.) : 7.838   (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.
1.7.838    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: This is a new proposed road alignment for Indo-Chi
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 200   (iii). Temporary Employment(Number of person-days): 1000
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
1This is GR of General Approval for Forest Clearance in Roads of ITBP.
2This is answer of EDS asked by the Nodal Officer.
3This is sanction order of Ministry of Home Affairs, Govt. of India for which CPWD is authorised.
4All Undertakings_Kerang to OP Dorjila Road
5Area Statement_Kerang to OP Dorjila Road
6Authorisation Letter_Kerang to OP Dorjila Road
7Check List_Kerang to OP Dorjila Road
8Cost Benefit Analysis_Kerang to OP Dorjila Road
9DPR Cover Page_Kerang to OP Dorjila Road
10DPR_Kerang to OP Dorjila Road
11Digital Map_Kerang to OP Dorjila Road
12EDS Raised By Nodal Officer_Kerang to OP Dorjila Road
13Form A_Kerang to OP Dorjila Road
14FRA Certificate_Kerang to OP Dorjila Road
15Front Page FCA_Kerang to OP Dorjila Road
16Georeference Map_Kerang to OP Dorjila Road
17Forest Joint Inspection Report_Kerang to OP Dorjila Road
18Acknowledgement Slip
19justification Letter_Kerang to OP Dorjila Road
20Forest Enumeration List_Kerang to OP Dorjila Road
21KML Files_Kerang to OP Dorjila Road
22Muck Disposal Plan_Kerang to OP Dorjila Road
23Revenue Department Joint Inspection Report_Kerang to OP Dorjila Road
24Road Buffer 18m_Kerang to OP Dorjila Road
25Rough Sketch Map_Kerang to OP Dorjila Road