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/14661/2015   (ii). Name of Project for which Forest Land is required : Construction of Steel Girder Bridge with approch Road connecting Km 02 of Ghansaali Ghuttu Motor Road and Km 03(6-8) of ghansali Koti Akhori Motor Road at Ardhangi.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The construction of this new road will facilitates the population of 3836 .and it will connect the two important road ghansali koti akhori and ghansali guttu motor road which also facilitates the chardham yatries   (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) : 275   (viii). Area of forest land proposed for diversion(in ha.): 0.245   (ix). Non-forest land required for this project(in ha.): 0.09   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : PUBLIC WORKS DEPARTMENT GHANSALI   (ii). Address1 : OFFICE OF EXECUTIVE ENGINEER TEMP. DIV. PWD GHANSALI UTTRAKHAND   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Tehri Garhwal   (vi). Pin : 249155   (vii). Landmarks : NIL   (viii). Email address : eepwdghansali@rediffmail.com   (ix). Landline Telephone No. : 258327   (x). Fax No. : 1379   (xi). Mobile No. : 9012475006   (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  
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
1Under Processing at State GovernmentFP/UK/ROAD/47739/20201.0850
Total 1.085 0
  (xiv). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: BIRENDRA   (ii). Middle Name: SINGH   (iii). Last Name: BASERA   (iv). Gender: Male   (v). Designation: ASST.ENGINEER   (vi). Address 1: C/O EXECUTIVE ENGINEER TEMP. DIV PWD GHANSALI, TEHRI GARHWAL, UTTARAKHAND   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Tehri Garhwal   (x). Tehsil: NIL   (xi). Pin: 249155   (xii). Landmarks: NIL   (xiii). Email Address: eepwdghansali@rediffmail.com   (xiv). Landline Telephone No.: 258327   (xv). Fax No.: 01379258327   (xvi). Mobile No.: 9012475006   (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.Tehri,New Tehri0.2450.09
Total0.2450.09
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Tehri Garhwal0.2450.09
Total0.2450.09
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Phalenda (Motor Road)0.1330
2Phalenda (Steel Girder Bridge Span)0.0420
3Raunsal0.070.09
0.245 0.09
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Phalenda-5A (Steel Girder Bridge Span)0.0420
2Phalenda-5A (Motor Road)0.1330
3Revenue land (Motor Road)0.050.09
4Revenue land (Muck Dumping)0.020
Total 0.245 0.09
C. Maps of forest land proposed to be diverted
Division 1. : Tehri,New Tehri
  (i). Area of forest land proposed to be diverted(in ha.) : 0.245   (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.
1.0.245    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): 10000
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?: 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
1Land schedule new
2New Bar chart
3Authorised person
4Topo sheet
5GIS map diverted land
6complete land schedule
7Objection reply for original hard copy proposal.
8acknowledgement
9Administrative and Financial sanction (pdf file)
10Preliminary Joint Inspection report (by user agency, Forestdepartment, revenue department etc.) (pdf file)
11Comparative chart showing statement of both alignment and alternate site explored for the proposed project and reason for their rejection duly countersigned by DfO. (Pdf file).
12Certificate from the DM that no alternative suitable non-forest land is available for project in question and the demand of the forest land for the project is barest minimum.(pdf file)
13Land schedule (for RF signed by DFO and civil soyam, Van panchayat and privet nap land, Notified forest land etc.) (pdf file)
14Category wise (RF,civil soyam,Van panchayat and privet nap land, Notified forest land etc.) land length, width and area in Ha.(pdf file)
15Category wise (RF,civil soyam,Van panchayat and privet nap land, Notified forest land Bar chart with index (counter signed by DFO). (Pdf file).
16Compensatory afforestation scheme in Civil and Soyam land (10 years) by DFO (pdf file).Notified forest land Bar chart with index (counter signed by DFO). (Pdf file).
17Certificate regarding suitability of identified land for Compensatory Afforestation by DFO (pdf file).
18Undertaking by the user agency to bear the cost of compensatory afforestation duly counter signed by the DFO (pdf file)
19Road side/gap filling plantation estimate (by DFO) (pdf file)
20Estimate of 100 tree plantation by DFO (less than 1.0 he. Cases)(pdf file)
21Details of the tree with their scientific name in RF.Civil Soyam ,Van panchayat ,Privet Land should be mentioned (with valuation of the trees to be filled)(0-10 dia trees will be mentioned as saplings).(pdf file)
22Felling of Oak Trees (if involves, inspection report of the concerning CF has to be provided)(pdf file)
23If felling of tree is not involved, certificate by DFO in this regard.(pdf file)
24Certificate of felling minimum trees during the project work. (pdf file).
25Muck disposal scheme (in prescribed format)(pdf file)
26WatherProject area Is not Part Of National Park Or Sanctuary And Arial Distance Of The Project From National Park Or Sanctuary Singed By DFO(Pdf File)
27In The Project Area Is Within 10 K.M Radios Of N/P Or Centuary Comments/No Objection Certificate Of CCE Wild Life Has To Be Provided.(Pdf File)
28In The Project Falling Within The National Park Or Centaury ,Needs Recommendation Of State Wild Life Board Of wild Life(NBWL) And Permission Of Hon Ble Supreme Court/MOEF(Pdf File)
29No Violation Has Taken Place,FC Act 1980 Reg( Pdf File)
30Component Wise Details Of Construction Work.(Pdf File)
31Certificate Work Has Not Been Started Reg.(Pdf File)
32Geologist report (Govt Approved Geologist).(Pdf File)
33Task Force Certificate
34Certificate By user Agency For Complying The Condition Imposed In Standard Condition(Pdf File)
35Certificate By User Agency For Complying The Condition Imposed In Geologist Report/Task Force Recommendation In Hill Areas(Excluding Drinking Water)
36No Historical / Monumental Or Religious Place Will Be Effected Certificate Reg (By DM/Dfo Pdf File)
37Under The Provide Alternative Fuel wood, Kerosene Or LPg To Labors Involved In Project.(Pdf File)
38Benefited Village/Families/Population Certificate.(Pdf File)
39NPV Calculation Certificate As Per Hon’bleSupreme Court/MOEF Orders By DFO (Pdf File)
40Undertaking Of Payment Of NPV If Hon’ble Supreme Court Increase The Rates Of NPV (By User Agency) Court/MOEF Orders By DFO (Pdf File)
41Cost Of Forest Land And Lease Rent Certificate By DM.(Pdf File)
42Undertaking Of User Agency To Bear The Cost Of Demarcation Work( Pdf File)
43Check List/Fact Sheet/Other Important Detail.
44If non-forest or Revenue forest land is required to be provide by User Agency ? A Copy of ownership proof and No objection Certificate (pdf file)
45EDS reply letter
46FRA with date
47Digital map with GPS coordinates
48KML objecion
49eds letter part-I
50
51kml revised ojection