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/ROAD/31362/2018
(ii). Name of Project for which Forest Land is required :
Diversion of (40MX9M) 0.036Ha.of Forest land in F.Sy.No. 49, Chipgi Village Sirsi taluka for laying out a approach road renewal proposal.
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Renewal proposal for Diversion of 40MX9M (0.036Ha) area of Forest land in F.Sy.No. 49, Chipgi Village Sirsi taluka for laying-out a approach road.
(iv). State :
Karnataka
(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) :
0.5
(viii). Area of forest land proposed for diversion(in ha.):
0.036
(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):
50
A-2.
Details of User Agency
(i). Name :
PANCHAYAT DEVELOPMENT OFFICE, ISLUR SIRSI TALUK
(ii). Address1 :
Panchayat Development Officer, Islur, Sirsi Taluk.
(iii). Address2 :
Panchayat Development Officer, At:Taluk Pamchayat Quarters, TSS Petrol Bunk Back Side, Sirsi.
(iv). State :
Karnataka
(v). District :
Uttara Kannada
(vi). Pin :
581402
(vii). Landmarks :
Islur govt. High School
(viii). Email address :
isalur.sir.utt@gmail.com
(ix). Landline Telephone No. :
268628
(x). Fax No. :
NIL
(xi). Mobile No. :
9449769458
(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 :
Others
A-3.
Details of Person Making Application
(i). First Name:
Manjunath
(ii). Middle Name:
Rama
(iii). Last Name:
Naik
(iv). Gender:
Male
(v). Designation:
PDO
(vi). Address 1:
Panchyat Development Officer, Islaur, Sirsi
(vii). Address 2:
NIL
(viii). State:
Karnataka
(ix). District:
Uttara Kannada
(x). Tehsil:
Sirsi
(xi). Pin:
581358
(xii). Landmarks:
isalur
(xiii). Email Address:
isalur.sir.utt@gmail.com
(xiv). Landline Telephone No.:
268628
(xv). Fax No.:
NIL
(xvi). Mobile No.:
9449769458
(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
1
FP/KA/ROAD/38/1992
F(C)A/11.2/4/RO/1992
22 Apr 1993
0.036
10
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
1
FP/KA/ROAD/38/1992
F(C)A/11.2/4/RO/1992
1) The legal status of the forest land will remain unchanged.
yes
2
FP/KA/ROAD/38/1992
F(C)A/11.2/4/RO/1992
2) The total forest area utilised for laying of new approach road for public use shall not exceed 0.036 Ha.
yes
3
FP/KA/ROAD/38/1992
F(C)A/11.2/4/RO/1992
3) The lease is for a period of 10 years
Yes
4
FP/KA/ROAD/38/1992
F(C)A/11.2/4/RO/1992
4) Proposals for renewal of lease shall be submitted six months for expiry of lease period.
Yes
5
FP/KA/ROAD/38/1992
F(C)A/11.2/4/RO/1992
5) The Compensatory afforestation shall be raised at the cost of the user agency. The minimum number of trees to be planted in the vicinity of the area proposed for diversion shall be computed at the rate of 2500 trees per Ha. for the forest area being actually dirvicted.
Yes, User agency Compensatory afforestation charges paid. Rs.1800.00 This office cash book item No. 29/9-94 Dt:29-09-1994 for information.
6
FP/KA/ROAD/38/1992
F(C)A/11.2/4/RO/1992
6) Lease rent at the rate of Rs. 250/ per Ha. per ennum.
Urse agency paid lease rent from 1993-1994 to 2002-03 Rs 2500/- This office cash book item No. 29/9-94 Dt:29-09-1994 for information.
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
1
FP/KA/ROAD/38/1992
F(C)A/11.2/4/RO/1992
Compensatory Afforestation
1800.00
29 Sep 1994
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?. :
Yes
(ii). 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.
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
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.
Sirsi
0.036
0
Total
0.036
0
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Uttara Kannada
0.036
0
Total
0.036
0
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Chipgi F.Sy.No.49 Approach Road
0.036
0
0.036
0
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Chipgi F.Sy.No49, Approach Road
0.036
0
Total
0.036
0
C.
Maps of forest land proposed to be diverted
Division 1. : Sirsi
(i). Area of forest land proposed to be diverted(in ha.) :
0.036
(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 Segments
To view KML file on google the same may be downloaded and then open if in google earth install in your computer.
1.
0.036
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:
not providing such map
E.
Employment likely to be generated
(i). Whether the Project is likely to generate employment ?:
No
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?:
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
1
Government of India land approval letter scan copies.
2
Under taking towards making payment of NPV, CA charges.
3
Area Map
4
Payment of Lease rent, CA charges