PART-II
(To be filled by the concerned Deputy Conservator of Forest)
State Serial No. of proposal : UP-055/2021
1. Location of the project/Scheme : Uttar Pradesh
 (i) State / Union Territory : Uttar Pradesh  (ii) District : Sonbhadra  (iii) Forest Division : Forest Division Renukoot  (iv) Area of forest land proposed for diversion (in ha.) : 0.9594  (v)

Category of the Proposal: Dispensary/Hospital
2. Legal status of forest land proposed for diversion
S. No. DivisionForest Land(ha.)Legal Status
1Forest Division Renukoot0.9594Reserved Forest
Total 0.9594
Division 1. : Forest Division Renukoot
3. District wise area to be diverted in the division
S. No. DistrictArea(ha.)
1Sonbhadra0.9594
Total0.9594
4. Details of Vegetation available in the forest land proposed for diversion
 (i) Density of vegetation
S. No. Area(in ha.)Density Eco-Class
10.95940.2Eco 3
Total. 0.9594


(ii) Species-wise local/scientific names and girth-wise enumeration of trees at FRL
S. No. Scientific Name Local Name (0-30)cm. (31-60)cm. (61-90)cm. (91-120)cm. (121-150)cm. (>150)cm.
1EucalyptusEucalyptus1351000
2Cassia SiameaCasiya Syamia3192000
3Azadirachta IndicaNeem100000
4Albizia ProceraSiras010000
5Ficus ReligiosaPipal001000
6OthersGular010000
Total 5 564 00 0
Sub Total (No of Trees.) 65


5. Working plan prescription for the forest land proposed for diversion : The area is covered under of the Renukoot working plan 2013-14 to 2022-23 parishisth Page no 32 Murdhawa Southern Beat.
6. Brief note on vulnerability of the forest area to erosion : No erosion in forest area.
7. Approximate distance of the proposed site for diversion from boundary of forest(in km.) : 0
8. Significance of the forest land proposed for diversion from wildlife point of view
 (i). Details of wildlife present in and around the forest land proposed for diversion : n/a
 (ii). Whether forms part of national park, wildlife sanctuary, biosphere reserve,tiger reserve, elephant corridor, wildlife migration corridor etc. : No
 (iii). Whether the forest land proposed for diversion is located within eco-sensitive zone(ESZ) of the Protected Area notified under Wildlife(Protection) Act,1972 (Note: In case, ESZ of a Protected Area is not notified,then,10kms distance from boundary of the Protected Area should be treated as ESZ): No
 (iv). Whether any national park, wildlife sanctuary, biosphere reserve, tiger reserve, elephant corridor, wildlife migration corridor etc., is located within 1 Km. from boundary of the forest land proposed for diversion : No
 (v). Whether any rare/endangered/unique species of flora and fauna found in the area : No
9. Details of any protected archaeological/heritage site/defence establishment or any other important monument located in the area, if any
 (i). Whether any protected archaeological/heritage site/defence establishment or any other important monument is located in the area : No
10. Comment as to the reasonability of the extent of the forest land proposed for diversion
 (i). Whether the requirement of forest land as proposed by the user agency is unavoidable and bare minimum for the project : Yes
11. Details of violation(s), if any ,committed
 (i). Whether any work in violation of the Act or guidelines issued under the Act has been carried out : No
12. Whether work in violation is still in progres(Yes/No) : NIL
13. Details of compensatory afforestation scheme
Patch wise details for Degraded Area (To be earmarked by DFO)
(i). Total Financial Outlay for C.A(lacs): 2.70340
Patch Wise Details
S.no Patch No.Area(ha.)Name of PF/RFRangeCompartment NoUploaded KML file of patch
112.0RFPipri5    View file
(ii). Copy of CA scheme details: (iii). Scanned copy of the Geo-referenced map of the forest land proposed for C.A. prepared by using DGPS or Total Station: (iv). Copy of Survey of India Toposheet indicating boundary of forest land proposed for C.A.:
 (V). Copy of NOC from Competent Authority :

Additional information Details
S. No. DocumentsRemarks
1 Joint Inspection Certificate
2 Proposed Forest Land Certificate
3 DSS Analysis
4 Alternative land Certificate
5 CA Fund Deposit Certificate
6 Century Related Certificate
7 Work related Certificate
8 Forest Cover related Certificate
9 Lease duration Certificate
10 Muck Disposal Certificate
11 NPV Calculation
12 NPV Fund Esclation Certificate
13 Benifited Household Certificate
14 Govt Terms Related Certificate
15 Project Establishment
16 DM Certificate related Certificate
17 Lease rent Certificate
18 NPV Fund Certificate
19 Statement Certificate
20 Effected Tree Detail
21 Government Approval under Sec-2

14. District Profile
S.no District NameGeographical area of the district (in ha.)Forest area of the district (in ha.)Total forest area diverted since 1980 (in ha.)No. of Approved CasesForest Land including penal C.A. (in ha.)Progress of compensatory afforestation as on(date)A) Forest land (in ha.)B) Non-forest land (in ha.)
1Sonbhadra6788003782862960.6027220630/11/20202206129.6787
15. Site inspection report of the DFO/CCF/Nodal Officer highlighting important facts pertaining to the forest land
Division NameCircleSite inspected ByWhether site inspectedNo. of times site visited Site inspection reportDate of visit
Forest Division RenukootMirzapur Circle MirzapurDFOYesOne14/02/2021
 Nodal OfficerNoNo Data
(Specific recommendation of the DFO/CCF/Nodal Officer with(Part II,III & Part IV))
16. Specific recommendation of the DFO/CCF/Nodal Officer for acceptance or otherwise of the proposal with reason
DivisionCircleRecommendation ByRecommendationReasonLetter Whether CF agreed
Forest Division RenukootMirzapur Circle MirzapurDFO RecommendedThe Proposal is recommended for sanction.
Mirzapur Circle MirzapurCF Recommended RecommendedYes
Nodal Officer RecommendedRecommended for Approval.
Specific recommendation of the State Government(Part V)
17. Specific recommendation of the State Government for acceptance or otherwise of the proposal with reason ( Part V)
StateRecommendation ByRecommendationRecommendation DateRemarksSigning AuthorityNotificationRecommendation Letter
Uttar PradeshState SecretaryRecommended27/08/2021Recommended for Approval. State Govt. OfficerNo Data