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/UP/SCH/24178/2017   (ii). Name of Project for which Forest Land is required : Nirmala Convent School, Renukoot, Dist: Sonebhadra U.P.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : 4 acre of land owned by M/s Grasim Industries Limited is to be given on lease to missionary school i.e. Nirmala Convent School to provide educational facilities of company's staff & workers.   (iv). State : Uttar Pradesh   (v). Category of the Proposal : School   (vi). Shape of forest land proposed to be diverted : Non Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 410   (viii). Area of forest land proposed for diversion(in ha.): 1.6187   (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): 30
A-2. Details of User Agency
  (i). Name : GRASIM INDUSTRIES LIMITED CHEMICAL DIVISION   (ii). Address1 : Grasim Industries Limited, Renukoot, Sonebhadra (U.P.)   (iii). Address2 : NIL   (iv). State : Uttar Pradesh   (v). District : Sonbhadra   (vi). Pin : 231217   (vii). Landmarks : Near Railway Stataion   (viii). Email address : pawan.vyas@adityabirla.com   (ix). Landline Telephone No. : 252087   (x). Fax No. : 252088   (xi). Mobile No. : 9977400567   (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: RAVINDRA   (ii). Middle Name: KUMAR   (iii). Last Name: SITANI   (iv). Gender: Male   (v). Designation: UNITHEAD   (vi). Address 1: Grasim Industries Limited, Renukoot, Sonebhadra U.P.   (vii). Address 2: NIL   (viii). State: Uttar Pradesh   (ix). District: Sonbhadra   (x). Tehsil: Dudhi   (xi). Pin: 231217   (xii). Landmarks: Near Railway Station   (xiii). Email Address: pawan.vyas@adityabirla.com   (xiv). Landline Telephone No.: 252087   (xv). Fax No.: 05446252088   (xvi). Mobile No.: 9977400567   (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-4. Details of approvals under the Forest (Conservation) Act , 1980 accorded in the past
Serial No Proposal No MoEF File No Date of approval Area of forest land diverted Period of diversion
1FP/UP/Others/21283/19988B/UP/9/16/2001/FC07 Aug 20031.61870
A-5. Status of compliance to conditions stipulated in the previous approvals
Serial No Proposal No MoEF File No Conditions stipulated by the MoEF Details of the compliance
1FP/UP/Others/21283/19988B/UP/9/16/2001/FCMOEF Letter No. 8B/U.P/09/16/2001/F.C/471 Dated 07/08/2003Letter Enclosed
2FP/UP/Others/21283/19988B/UP/9/16/2001/FC1.There will be no change in legal status of the forest land. 2.On the expenses of user agency forest department will carry compensatory forestation and its maintenance on double demote forest area i.e. 3.2374 ha. 3.On the expenses of user agency forest department will carry penalized compensatory forestation and its maintenance on 1 ha. demote forest area. 4.On the expenses of user agency forest department will plant reasonable plantation on the proposed area nearby free/empty places. 5.There will be no loss to plantation and animals of the nearby area of the project while construction and maintenance. 6.Repatriated Forest land will not be used for any other purpose. 7.Other conditions if any imposed by the State Government will be complied.1.No change has taken place in the legal status of the land. 2.In compliance with this condition, amounting Rs. 1,11,781/- already submitted through DD No. 783105 dt. 16.06.2003. 3.In compliance with this condition, amounting Rs. 31,389/- already submitted through DD No. 839214 dt. 30.07.2002. 4.In compliance with this condition, amounting Rs. 40,000/- already submitted through DD No. 0508/ 900904 dt. 17.06.2004 on 1 ha. Demote forest area. 5.Compliance of this condition had been made. 6.Compliance of this condition had been made. 7.State Government has not yet issued any order under this condition.
A-6. Details of payments made in respect of the approval under the Forest (Conservation) Act , 1980 accorded in the past
Serial No Proposal No MoEF File No Item/Nature Amount paid (in Rupees) Date of Payment
1FP/UP/Others/21283/19988B/UP/9/16/2001/FCNet present value148900008 May 2012
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
  (i). 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: No
Serial No Area No of patch Area of patch Uploaded patch Uploaded GPS Date of return Authority Uploaded documentary proof
NIL
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.Forest Division Renukoot1.61870
Total1.61870
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Renukoot1.61870
Total1.61870
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Murdhawa Compartment1.61870
1.6187 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Murdhawa Compartment1.61870
Total 1.6187 0
C. Maps of forest land proposed to be diverted
Division 1. : Forest Division Renukoot
  (i). Area of forest land proposed to be diverted(in ha.) : 1.6187   (ii).Shape of forest land proposed to be diverted : Non Linear   (a). No. of patches : One
Patch wise details
Patch No. Area of Patch(in ha.) Kml File of Patches To view KML file on google the same may be downloaded and then open if in google earth install in your computer.
1.1.6187    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:
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): 40
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?: 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
1Area calculation
2Estimated cost
3Grand Letter
4Standard Conditions
5Certificate
6Condition of Certificate of GOI and GOUP.
7Undertaking of payment of NPV.
8Compensation of commitment of GOI and GOUP.
9Certificate of lease period
10Joint Inspection Certificate
11Cost Benifit
12Order of Hon'ble High Court
13Notification against cost of land
14Memorandum of Article and Association
15Environmental Clearance
16Power of Attorney
17Compliance
18Gazette Notification.