PART-II
(To be filled by the concerned Deputy Conservator of Forest)
State Serial No. of proposal : HR-073/2022
1. Location of the project/Scheme : Haryana
 (i) State / Union Territory : Haryana  (ii) District : Sirsa  (iii) Forest Division : Sirsa  (iv) Area of forest land proposed for diversion (in ha.) : 0.003  (v)

Category of the Proposal: Approach Access
2. Legal status of forest land proposed for diversion
S. No. DivisionForest Land(ha.)Legal Status
1Sirsa0.003Protected Forest
Total 0.003
Division 1. : Sirsa
3. District wise area to be diverted in the division
S. No. DistrictArea(ha.)
1Sirsa0.003
Total0.003
4. Details of Vegetation available in the forest land proposed for diversion
 (i) Density of vegetation
S. No. Area(in ha.)Density Eco-Class
10.0030.5Eco 3
Total. 0.003


(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.
1Misc. SpeciesP.Papri100000
2Misc. SpeciesNeem000100
Total 1 00 10 0
Sub Total (No of Trees.) 2


5. Working plan prescription for the forest land proposed for diversion : NIL
6. Brief note on vulnerability of the forest area to erosion : Not prone to erosion
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 : Local Wildlife
 (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): 2.33133
Patch Wise Details
S.no Patch No.Area(ha.)Name of PF/RFRangeCompartment NoUploaded KML file of patch
110.10Saharani Minor RD 15-55 L/SideKalanwalinil    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 Check List Part 1
2 Proposed Site toposheet
3 CA SITE TOPOSHEET
4 PROPOSED SITE LAYOUT
5 Check List Part 2
6 Land Suitability Certificate
7 REVENUE DOCUMENTS
8 Letter of Intent
9 AFFIDAVIT of DISTANCE
10 NOC DTP
11 CETTIFICATE for HT & LPG
12 MARKING LIST
13 Check List 17
14 Check List 18 CA Scheme
15 NOC PWD
16 PROPOSED SITE DGPS
17 Undertaking FRA
18 Check List 16
19 CA Site DGPS

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.)
1Sirsa4276004804.81305.79425324558.0308231/12/2021437.29042.00
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
SirsaWest Circle HissarDFOYesOne09/02/2022
 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
SirsaWest Circle HissarDFO RecommendedRecommended in public interest
West Circle HissarCF RecommendedRecommendedYes
Nodal Officer RecommendedRecommendation
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
HaryanaState SecretaryRecommended25/04/2022Recommendation State Govt. OfficerNo Data
17. Stage-I Clearance Report
Regional OfficeRecommendation ByMoEF File No.Date of Stage-I ClearanceClearance Letter
ChandigarhRegional Office9-HRB066-2022-CHA25/05/2022
18. Payment made by User Agency
Proposal No.Application No.Total Amount (Rs.)Recieved Amount (Rs.)Transaction DateTransaction IDBank NameMode of PaymentUploaded Demand Letter
FP/HR/Approach/150645/2021APPROACH150645202180923313323313311 Jan 2023843900Union Bank Of IndiaNEFT/RTGS (Challan)
19. Uploaded Status of Land to be transferred to Forest Department under FCA (Mutation Details) : No
20. Mutation Details Verified By Nodal Officer
Proposal No.Verified DateMutation LetterRemarks
FP/HR/Approach/150645/202125 Jan 2023No DataNA
21. Compliance Details Submitted by User Agency
Proposal No.Compliance Details submitted on(Date)Uploaded Letter
FP/HR/Approach/150645/202131 Jan 2023
22. Compliance Details Verified by Nodal Officer
Proposal No.RemarksVerified DateUploaded Letter
FP/HR/Approach/150645/2021Compliance sent to SG for stage II 10 Feb 2023
23. Stage-II Clearance Details
Proposal No.Date of Stage-II ClearanceProposal StatusClearance Letter
FP/HR/Approach/150645/202103 Mar 2023APPROVED