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/MH/Others/32509/2018   (ii). Name of Project for which Forest Land is required : Forest Rest House, Saoli   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Diversion of forest land for construction of Forest Rest House Building at Saoli. Survey No. 793, Area 0.52 ha. Tah. Saoli, Distt. Chandrapur. Saoli Taluka is a taluka surrounded mostly by forest area. At present there is no any Forest Rest house to conduct the meeting of officer's and public in th   (iv). State : Maharashtra   (v). Category of the Proposal : Others   (vi). Shape of forest land proposed to be diverted : Non Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 99.19   (viii). Area of forest land proposed for diversion(in ha.): 0.52   (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): NIL
A-2. Details of User Agency
  (i). Name : FOREST DEPARTMENT MAHARASHTRA STATE   (ii). Address1 : Range Forest Officer, Saoli Tah. Saoli Distt. Chandrapur   (iii). Address2 : Range Forest Officer, Saoli Tah. Saoli Distt. Chandrapur   (iv). State : Maharashtra   (v). District : Chandrapur   (vi). Pin : 441225   (vii). Landmarks : Forest   (viii). Email address : rfosaoli@rediffmail.com   (ix). Landline Telephone No. : 277455   (x). Fax No. : 277455   (xi). Mobile No. : 9822464197   (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 : State Government
A-3. Details of Person Making Application
  (i). First Name: Gajanan   (ii). Middle Name: Vishwanath   (iii). Last Name: Dhade   (iv). Gender: Male   (v). Designation: RFO   (vi). Address 1: RFO Saoli,Tah-Saoli Distt-Chandrapur   (vii). Address 2: NIL   (viii). State: Maharashtra   (ix). District: Chandrapur   (x). Tehsil: Sawali   (xi). Pin: 441225   (xii). Landmarks: Forest   (xiii). Email Address: rfosaoli@rediffmail.com   (xiv). Landline Telephone No.: 277455   (xv). Fax No.: 7174277455   (xvi). Mobile No.: 9822464197   (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.Chandrapur0.520
Total0.520
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Chandrapur0.520
Total0.520
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Saoli0.520
0.52 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Construction of Forest Rest House Building0.02050
2Flowering Plants & Landscaping0.20560
3Ornamental Plants0.04670
4Medicinal Plants0.070
5Air Purifying Plants0.06980
6Approach Road / Paver Block0.0350
7Wild Animal Statues0.04840
8Open Space0.02180
9Check Post0.00220
Total 0.52 0
C. Maps of forest land proposed to be diverted
Division 1. : Chandrapur
  (i). Area of forest land proposed to be diverted(in ha.) : 0.52   (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.
1.0.52    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): 5   (iii). Temporary Employment(Number of person-days): 12232
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? : Yes
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?: 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
1Certificate of Net Present Value
2Certificate of Project Authority to get the Environment Clearance.
3Co-Ordinate List.
4Google Image Map
5Village Map
610 Km. Radius Map
7Collector Certificate of No Suitable Land for purpose.
8Collector Certificate of Absence of Alternative Land.
97/12 Extract
10Administrative Approval
11Technical Approval
12Estimate
13Estimate Map
1410 Km. from PA Area Map
15Certificate of Barest Minimum Demand.
16Certificate of Felling of Trees.
17Certificate of Fixing Boundary Stone.
18Certificate of No Monuments, Archaeological & Historical.
19Certificate of No Violation.
20Certificate of 10 Km. from Protected Area.
21Certificate of Within or Outside of Scheduled Area.
22Certificate of FRA.
23Certificate of National Park Or wildlife Sanctuary.
24Form A
25Item wise Area Statement.