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/37699/2018   (ii). Name of Project for which Forest Land is required : Construction of Village Amotha to Dola Highschool Link Road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Construction of Village Amotha to Dola Highschool Link Road (Van Panchayat Forest 1.665 hect). This road connect to Devipura saud Motor Road and reduce the 80 Km Length for these Villages.   (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) : 54.6   (viii). Area of forest land proposed for diversion(in ha.): 1.665   (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): 99
A-2. Details of User Agency
  (i). Name : PWD RAMNAGAR   (ii). Address1 : Construction Division, Ramnagar (Nainital)   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Nainital   (vi). Pin : 244715   (vii). Landmarks : NIL   (viii). Email address : eecdrmr@rediffmail.com   (ix). Landline Telephone No. : 254591   (x). Fax No. : 254591   (xi). Mobile No. : 9412023055   (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: Mahendra   (ii). Middle Name: NIL   (iii). Last Name: Kumar   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: Construction Division, Ramnagar (Nainital)   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Nainital   (x). Tehsil: Ramnagar   (xi). Pin: 244715   (xii). Landmarks: NIL   (xiii). Email Address: eecdrmr@rediffmail.com   (xiv). Landline Telephone No.: 254591   (xv). Fax No.: 05947254591   (xvi). Mobile No.: 9412023055   (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.Ramnagar1.6650
Total1.6650
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Nainital1.6650
Total1.6650
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Amotha0.47250
2Riyaad Malla1.19250
1.665 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Muck Dumping00
2Amotha, Riyaad Malla1.6650
Total 1.665 0
C. Maps of forest land proposed to be diverted
Division 1. : Ramnagar
  (i). Area of forest land proposed to be diverted(in ha.) : 1.665   (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.
1.1.665    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: Other
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): 2500
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. : Nainital
  (a). Village: Bagad Talla   (b). Area(in ha.): 3.3   (c). Copy of KML file of the patch:     View File   (d). Khasra details: Other   (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
1Check List
2Fact Sheet
3Justification
4Gov of India
5Joint Inspection Report
6Land Secdule
7Tree Cutting Certificate
8Certificate of National Park
9Topo Sheet of Road
10Joint Inspection CA Land
11Map of CA Land
12Estimate of Plantation
13Importance of Compensatory Plantation Certificate
14Bar Chart
15Plantation of Rickt Place
16Estimate of Road Side Plantation
17No Effected Tree Certificate
1810 Time Plantation Certificate
19
20Require Document Submited
21Aam Sabha
22FRA
23Length and Width Certificate
24Vakalpik Samrakhen Certificate
25Work not Start Certificate
26Geologist Report
27Task Foce/Geologist Certificate
28Wild Animal Not effected Certificate
29Minimum Land Demand Certificate
30No Relegios and Historical Certificate
31Village, Family, Population profitable Certificate
32Dugunay Avatan Amount Submitted Certificate
33Environmental Certificate
34Valuation of Forest Land Certificate
35NPV Certificate
36No Important Place Certificate
37Muck Disposal
38NOC Certificate
39Standard Condition
40EDS DT 10.02.2020 Arial Distance
41EDS Dt. 10.02.2020 Forwarding Letter
42EDS 24.12.2020 Forwarding
43EDS Dt 10.02.2020 CA Scheme
44EDS Dt. 10.12.2020
45EDS Dt 18.03.2021 No Effected Tree Certificate
46EDS DT 10.02.2020 Bar Chart
47EDS DT 10.02.2020 CA Site suitability Certificate
48EDS Dt 18.03.2021 SDM Report about CA Area
49EDS DT 10.02.2020 Geo Refrance Map GPS Map
50EDS Dt 18.03.2021 CA Scheme
51EDS DT 10.02.2020 Geo Refrance Map GPS Map
52EDS Dt 18.03.2021 Work Not Started Certificate by DFO
53EDS DT 10.02.2020 Joint Inspection For CA Land
54EDS Dt 18.03.2021 Muck Disposal Documents
55EDS DT 10.02.2020 Justification sign by DFO
56EDS DT 10.02.2020 Land Schedule
57EDS DT 10.02.2020 MoU
58EDS DT 10.02.2020 Non Incumbrance Certificate
59EDS DT 10.02.2020 NPV Calculation
60EDS DT 10.02.2020 Onwership Proof
61EDS DT 10.02.2020 Topo CA
62EDS 10.02.2020 Topo Road
63EDS 24.12.2020 Arial Distance Certificate
64RCC Certificate
65Lay Out Plane
66Gairvaniki Compansatory Plantation Certificate
67Minimum Land Certificate
68Explosive No Use Certificate
69Certificate of Coocking Gas
70Forest Land Adhiniyam 1980
71Minimum Tree Cutting Certificate
72Check List Certificate
73Nirast Samrakhen Tree list Certificate
74EDS 18.03.2021 Forwarding letter
75EDS 19.07.2021 New CA Schame
76EDS 19.07.2021 New Forwarding
77Forwarding Letter
78Line Plan
79Aapattiyo ka Nirakaran Letter No. 100/23C, Dated 08.01.2026
80EDS Dt 10.02.2020 CA Site Suitability Certificate