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/UK/ROAD/145876/2021   (ii). Name of Project for which Forest Land is required : Construction work of motor road from Machiyali - Charakot motor road to Dehalchori via Kamarghar in district Pauri Garhwal assembly constituency, Srinagar Under SCSP   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Approval of the said work, Government Order No. 5921/III 2/11-105 P.A. /2011 dated 24.12.2011, the length of the first phase is 5.00 km. and Rs 63.00 lakh has been received. With the construction of the said motor road, the main market of villages Panchur, Del, Kamarghar and Tapradi etc. connects wi   (iv). State : Uttarakhand   (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) : 63   (viii). Area of forest land proposed for diversion(in ha.): 1.19   (ix). Non-forest land required for this project(in ha.): 2.52   (x). Total period for which the forest land is proposed to be diverted(in years): 100
A-2. Details of User Agency
  (i). Name : PUBLIC WORK DEPARTMENT   (ii). Address1 : Construction Division PWD Pauri,Pauri Garhwal   (iii). Address2 : Construction Division PWD Pauri,Pauri Garhwal   (iv). State : Uttarakhand   (v). District : Pauri Garhwal   (vi). Pin : 246001   (vii). Landmarks : Pauri   (viii). Email address : eepwdcdpauri@gmail.com   (ix). Landline Telephone No. : 222284   (x). Fax No. : 222284   (xi). Mobile No. : 9634412527   (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: Ravi   (ii). Middle Name: Kumar   (iii). Last Name: Saini   (iv). Gender: Male   (v). Designation: Assistant Engineer   (vi). Address 1: Construction Division PWD Pauri, Pauri Garhwal   (vii). Address 2: Construction Division PWD Pauri, Pauri Garhwal   (viii). State: Uttarakhand   (ix). District: Pauri Garhwal   (x). Tehsil: NIL   (xi). Pin: 246001   (xii). Landmarks: Pauri   (xiii). Email Address: eepwdcdpauri@gmail.com   (xiv). Landline Telephone No.: 222284   (xv). Fax No.: 01368222284   (xvi). Mobile No.: 9634412527   (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.Civil Soyam Pauri Forest Division1.192.52
Total1.192.52
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Pauri Garhwal1.192.52
Total1.192.52
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Panchur0.3060.18
2Kamarghar ( Jaskot )0.2610.558
3Del0.6231.782
1.19 2.52
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Muck Disposal00.877
2Road Cutting1.191.643
Total 1.19 2.52
C. Maps of forest land proposed to be diverted
Division 1. : Civil Soyam Pauri Forest Division
  (i). Area of forest land proposed to be diverted(in ha.) : 1.19   (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 SegmentsTo view KML file on google the same may be downloaded and then open if in google earth install in your computer.
1.1.19    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: Yes   (a). Copy of map indicating location of alternative examined:
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 0   (iii). Temporary Employment(Number of person-days): 20
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? : 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: One
District 1. : Pauri Garhwal
  (a). Village: Kala malla   (b). Area(in ha.): 2.38   (c). Copy of KML file of the patch:     View File   (d). Khasra details: Non za 07 khasra number 2383   (e). Present owner: Others   (f). Copy of ownership proof:   (g). Copy of Mou/agreement executed between the Present owner and the User Agency:   (h). Copy of non encumberence certificate for the forest land:
  (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
1Cover Page Proposal
2Check List
3Authorization Certificate
4Format 2
5Format 3 & 4
6Administrative and Financial Approval
7First Inspection Report
8GIS Map Road
9Justification Certificate
10Alternative map
11Alternative Alignments comparison
12Certificate of Non availability of any other alternative Land and minimum demand of forest land
13Land Schedule
14land schedule Length and width
15Bar Chart
16Work Not started yet
17Tree Details
18Aerial Distance Certificate
19No Objection Certificate Villagers
20FRA Certificate
21Geologist Certificate
22Task Force Certificate
23No Historical Monumental or religious place will be affected
24No wild life adversely affected certificate
25Undertaking to provide alternative fuel wood, Kerosene, LPG
26Benefitted Villages Families Population Certificate
27Lease Letter
28Plantation Scheme ( 10 time the affected tree)
29MOU All Performa
30Muck Disposal Plan
31Muck Disposal Site Photos
32NPV Certificate
33Demarcation by the RCC Pillars
34Forest Protection Act 1980 and Cat Plan
35black spot renewal certificate
36reply of eds .
37EDS reply of the query raised.
38Eds reply of point number 5 i.e joint inspection report .
39Eds reply of point number 3 i.e proceedings of DLC meeting .
40Eds reply of point number 4 i.e VLC meeting .
41new map for ca land
42new topo sheet for ca land