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/TN/Others/145957/2021   (ii). Name of Project for which Forest Land is required : Diversion of Forest Land 0.251 Ha in S.V.G Puram Reserve Forest for Shri Shivashakthi Sideswara Temple   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Diversion of Forest Land 0.251 Ha in S.V.G Puram Reserve Forest for Shri Shivashakthi Sideswara Temple   (iv). State : Tamil Nadu   (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) : 10   (viii). Area of forest land proposed for diversion(in ha.): 0.251   (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): 25
A-2. Details of User Agency
  (i). Name : SHRI SHIVASAKTHI SIDDESWARATEMPLE   (ii). Address1 : Shri Shivasakthi Siddeswara Temple, K.G.Kandigai, Thiruthani Taluk, Thiruvallur District, TamilNAdu   (iii). Address2 : NIL   (iv). State : Tamil Nadu   (v). District : Tiruvallur   (vi). Pin : 631205   (vii). Landmarks : S.V.G.Puram Forest   (viii). Email address : Kasalasubbaraman@gmail.com   (ix). Landline Telephone No. : 27876904   (x). Fax No. : NIL   (xi). Mobile No. : 9443521526   (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 : Private
A-3. Details of Person Making Application
  (i). First Name: Kasala   (ii). Middle Name: NIL   (iii). Last Name: Subbaraman   (iv). Gender: Male   (v). Designation: Temple Trust Secretary   (vi). Address 1: 1/20, South Street, K.G. Kandigai, Thiruthani Taluk, Thiruvallur Distirct.   (vii). Address 2: NIL   (viii). State: Tamil Nadu   (ix). District: Tiruvallur   (x). Tehsil: Tiruttani   (xi). Pin: 631205   (xii). Landmarks: S.V.G. Puram Forest   (xiii). Email Address: Kasalasubbaraman@gmail.com   (xiv). Landline Telephone No.: 27876904   (xv). Fax No.: NIL   (xvi). Mobile No.: 9443521526   (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
1FP/TN/OTHERS/21/1997F(CA)/11.2/58/RO/TN17 Feb 19970.25110
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
1FP/TN/OTHERS/21/1997F(CA)/11.2/58/RO/TN1. The legal status of the diverted forest land remains unchangedThe Legal status of Diverted Forest land shall be as SVG Puram RF
2FP/TN/OTHERS/21/1997F(CA)/11.2/58/RO/TN2. Approval for diversion shall remain valid for a period of 10 years.Agreed.
3FP/TN/OTHERS/21/1997F(CA)/11.2/58/RO/TN3. The State Government shall ensure that no new construction will be undertaken in the land being transferred.No New construction carried out in this area.
4FP/TN/OTHERS/21/1997F(CA)/11.2/58/RO/TN4. The entire land including the 110 metres approach road shall be strongly fenced with RCC Pillars & barbed wires to prevent further encroachment into the neighbouring forests.The entire area RCC Pillars are there but not barbed wire fence is erected.
5FP/TN/OTHERS/21/1997F(CA)/11.2/58/RO/TN5. The temple authority shall ensure that there will be no felling or lopping of trees in the said area or adjoining forest areaThe temple authority shall ensure that there will be no felling or lopping of trees in the said area.
6FP/TN/OTHERS/21/1997F(CA)/11.2/58/RO/TN6. The user agency shall transfer 0.515 ha non forest land to the State Forest Department & the state forest department shall raise compensatory afforestation on this land at the cost of user agency.The user agency shall transfer 0.515 ha non forest land to the forest department.
7FP/TN/OTHERS/21/1997F(CA)/11.2/58/RO/TN7. The Penal compensatory afforestation shall be raised over 1 ha of degraded forest land by the Forest Department at the cost of user agency.Does not arise
8FP/TN/OTHERS/21/1997F(CA)/11.2/58/RO/TN8. Any other condition stipulated by the State Government.Does not arise
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
1FP/TN/OTHERS/21/1997F(CA)/11.2/58/RO/TNCompensatory Afforestation2500020 Mar 2000
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?. : 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.Tiruvallur0.2510
Total0.2510
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Tiruvallur0.2510
Total0.2510
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1S.V.G Puram RF0.2510
0.251 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Temple area0.0720
2Temple area 10.0140
3Waiting shed0.030
4Road0.0440
5Open space around temple0.0910
Total 0.251 0
C. Maps of forest land proposed to be diverted
Division 1. : Tiruvallur
  (i). Area of forest land proposed to be diverted(in ha.) : 0.251   (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.
1.0.251    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): 10   (iii). Temporary Employment(Number of person-days): 50
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
1collector non availability of non forest land
2EDS reply
3stage2 AppLr.pdf
4CA land
5Ceritificate no work in violation
6Certificate cost of felling trees
7Certificate no suitable non forest land
8Certificate of firka
9Certificate of not vilolated
10Certificate of saplings
11Diversion land topo
12GPS reading
13AREA STATEMENT
14No alternate non forest land collector
15Undertaken Addl NPV
16Undertaken CA
17Undertaken lease rent
18Undertaken NPV
19goi approval
20Lease receipt
21Letter to PCCF
22Lease receipt 2010
23CA documents