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/KA/QRY/31539/2018   (ii). Name of Project for which Forest Land is required : Diversion of 8.80388 Ha of forest land in forest survey number 52A1A of Arghe Village, Baada Hobli, Karwar Taluk, Uttara Kannada district for establishing stone quarry, dumping yards and its approach roads in favour of Shivaprasad Industries, Kodibhag village, Baada Hobli, Karwar taluk, Uttara Kannada district.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Diversion of 8.80388 ha Forest land for stone quarry purpose in Arghe village, Baada Hobli,Karwar taluk, Uttara Kannada district .   (iv). State : Karnataka   (v). Category of the Proposal : Quarrying   (vi). Shape of forest land proposed to be diverted : Hybrid   (vii). Estimated cost of the Project(Rupees in lacs) : 100   (viii). Area of forest land proposed for diversion(in ha.): 8.80388   (ix). Non-forest land required for this project(in ha.): 0.455   (x). Total period for which the forest land is proposed to be diverted(in years): 50
A-2. Details of User Agency
  (i). Name : M/s Shivaprasad Indsustries   (ii). Address1 : Ramshree Construction Company, Engineers & Contractors, Shree Ram Complex, G. Floor, NH-17, Kodibag, Karwar   (iii). Address2 : NIL   (iv). State : Karnataka   (v). District : Uttara Kannada   (vi). Pin : 581303   (vii). Landmarks : NIL   (viii). Email address : shivaprasadpillai@gmail.com   (ix). Landline Telephone No. : 222007   (x). Fax No. : 223860   (xi). Mobile No. : 9449597677   (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: SHIVAPRASAD   (ii). Middle Name: NIL   (iii). Last Name: GK   (iv). Gender: Male   (v). Designation: PARTNER   (vi). Address 1: Shree Ram Complex, Ground Floor, NH-17, Kodibag, Karwar 581303   (vii). Address 2: NIL   (viii). State: Karnataka   (ix). District: Uttara Kannada   (x). Tehsil: Karwar   (xi). Pin: 581303   (xii). Landmarks: NIL   (xiii). Email Address: shivaprasadpillai@gmail.com   (xiv). Landline Telephone No.: 222007   (xv). Fax No.: 8382223860   (xvi). Mobile No.: 9449597677   (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.Karwar8.803880.455
Total8.803880.455
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Uttara Kannada8.803880.455
Total8.803880.455
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Arghe Village Fsy Number 52 A1A, Rsy Number 52A2 a8.803880.455
8.80388 0.455
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Approach Road 10.50480
2Approach Road 20.16470
3Approach Road 30.1860
4Approach Road 40.06570
5Approach Road 50.001960
6Approach Road Non Forest in 52A200.05
7Quarry Area5.720720
8Dumpyard 10.69160
9Dumpyard 21.31620
10Labour Shed0.152190
11Crusher unit & Road00.405
Total 8.80387 0.455
C. Maps of forest land proposed to be diverted
Division 1. : Karwar
  (i). Area of forest land proposed to be diverted(in ha.) : 8.80388   (ii).Shape of forest land proposed to be diverted : Hybrid   (a). No. of patches : Five
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.
1.5.72072    View File
2.0.6916    View File
3.1.3162    View File
4.0.15219    View File
5.0    View File
  (b). No. of Segments : Six
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.
1.0.5048    View File
2.0.1647    View File
3.0.186    View File
4.0.0657    View File
5.0.00196    View File
6.0    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): 1500   (iii). Temporary Employment(Number of person-days): 547500
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?: Yes   (a). Copy of Cost-Benefit analysis:
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?: Yes   (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). No. of districts involved for raising Compensatory Afforestation: 1   (iv). No. of patches: Two
District 1. : Uttara Kannada
  (a). Village: Belur   (b). Area(in ha.): 7.8345   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 69   (e). Present owner: User Agency   (f). Copy of Ownership proof:
District 2. : Uttara Kannada
  (a). Village: Kadwad   (b). Area(in ha.): 0.96938   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 76A2   (e). Present owner: User Agency   (f). Copy of Ownership proof:
  (v). Scanned copy of the map of the land identified for creation of Compensatory Afforestation prepared by using DGPS ot Total Station:   (vi). Copy of Survey of India Toposheet in 1:50,000 scale indicating location of the land identified for creation of Compensatory Afforestation:
Additional information Details
Documents
S.No Documents
Remarks
1Cost of CA Letter
2Project Report
3Cost of NPV letter
4Cost of B.F. Anlysis letter
5DC Letter
6CA Suitability Certificate
7Authorization letter
8Quarry Addl Item No 6 reply
9FRA CERTIFICATE
10AreaTabcolumn
11Proposal boundary demarcation undertaking
12CA Total GPS
13Proposed Area Total GPS
14RTC of Proposed Forest Land Survey Number
15Forest Offence Clarification letter
16Mines and Geology dept Letter
17
18
19DGPS Survey Records
20Quarry Sketch on Village Map
21
22Reply to DCF SIR EDS Uploaded Revenue sketches of related Survey Numbers