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/10556/2015   (ii). Name of Project for which Forest Land is required : Construction of motor road to connect Thalmar village.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Construction of motor road to connected village Thalmar of freedom fighter to main road sanction by Uttarakhand Govt. order no. 2454/III-2/05-07(Pra. Aa.)/05TC-01 dated 25-10-05 length of road 6.00 km.   (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) : 83.4   (viii). Area of forest land proposed for diversion(in ha.): 2.205   (ix). Non-forest land required for this project(in ha.): 1.995   (x). Total period for which the forest land is proposed to be diverted(in years): 300
A-2. Details of User Agency
  (i). Name : EXECUTIVE ENGINEER   (ii). Address1 : Provincial Division P.W.D., Ranikhet   (iii). Address2 : Mall Raod Ranikhet   (iv). State : Uttarakhand   (v). District : Almora   (vi). Pin : 263645   (vii). Landmarks : NIL   (viii). Email address : eepdrani@yahoo.com   (ix). Landline Telephone No. : 220679   (x). Fax No. : NIL   (xi). Mobile No. : 9412919971   (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
1ApprovedFP/UK/ROAD/19725/20168B/UCP/06/173/2016/FC/19532.162.1629 Dec 201621 Feb 2018
Total 2.16 2.16
  (xiv). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Lalit   (ii). Middle Name: Kumar   (iii). Last Name: Goel   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: Provincial Division PWD, Ranikhet   (vii). Address 2: Mall Road Ranikhet   (viii). State: Uttarakhand   (ix). District: Almora   (x). Tehsil: NIL   (xi). Pin: 263645   (xii). Landmarks: Ranikhet   (xiii). Email Address: eepdrani@yahoo.com   (xiv). Landline Telephone No.: 220679   (xv). Fax No.: 05966220679   (xvi). Mobile No.: 9412919971   (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.Almora2.2051.995
Total2.2051.995
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Almora2.2051.995
Total2.2051.995
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Devayal1.2950.945
2Thalmar0.911.05
2.205 1.995
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Km 1 to 62.2051.215
2Muck Disposal Yard00.78
Total 2.205 1.995
C. Maps of forest land proposed to be diverted
Division 1. : Almora
  (i). Area of forest land proposed to be diverted(in ha.) : 2.205   (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.
1.2.205    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): 50   (iii). Temporary Employment(Number of person-days): 1250
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. : Almora
  (a). Village: Dewayal   (b). Area(in ha.): 4.41   (c). Copy of KML file of the patch:     View File   (d). Khasra details: Kata no 54   (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
1Objection removed by letter no. 861/36c dated 04-05-2017 in ref of dfo almora letter no. memo/12-1(2) dated 03-12-2016
2Hard copy receiving letter
3A Short Narrative and Importance of the Project
4Administrative and Financial Sanction
5Preliminary Joint Inspection Report
6Comperative chart showing statement of both alignment or alternate site
7Certificate from the DM that no alternative suitable non-forest land
8Land schedule
9Category wise land length
10Bar Chart With Index
11Compensatory afforestation scheme in Civil and Soyam land (10years)
12Certificate Regarding suitability of indentified hand for CA
13Undertaking by the user agency to bear the cost of CA
14Road Side/Gap Filling Plantation Estimate
15Undertaking by the User Agency to bear the cost of Road Side/Gap Filling Plantation
16Details of the trees with their scientific name in RF, Civil Soyam, Van panchayat, Private Notified land
17Felling of Oak trees (If involves, inspection report of the concerning CF has to be provided)
18Certificate of felling minimum trees during the project work.
19Muck disposal scheme
20Whather project area is a part of National Park or sanctuary and airal distance of the project from National Park or sanctuary signed by DFO
21No voilation has taken place, FC Act. 1980 reg.
22NOC from local Gram Sabhas
23NPV calculation certificate as per S. court/MoEF orders by DFO
24objection removed by letter no. 3127/36c dated 27-12-2017 in ref of dfo letter no. Zero dated 11-12-2017(Hard copy received to Nodal office Dun)
25objection removal by letter no. 1911/36c dated 17-08-2017 in ref of dfo almora letter no. memo/12-1 dt. 30-05-2017
26Certificate work has not been started reg.
27objection removal by letter no. 1853/36c dated 09-08-2017 in ref dfo almora letter no. memo/12-1 dt. 30-05-2017
28objection removed by letter no. 2793/36c dated 27-11-2017 in ref of dfo letter no. memo/12-1(2) dated 11-09-2017(Hard copy received to Nodal office Dun)
29Geologist Report
30Task Force Report
31Item wise details of works
32Certificate by user agency for complying the condition imposed in Manak Shartain
33Certificate by user agency for complying the condition imposed in geologist report/Task forcex
34historical/monumental or relegeous place will be effected certificate reg.
35Undertaking regarding no animal will be effected adversely by the project
36Undertading to provide alternative fuel wood, kerosene or LPG to labours
37Benefited villagers/families/population certificate
38NPV calculation certificate as per S. court/MoEF orders by DFO
39Undertaking of payment of NPV S. court increases the rates of NPV
40Cost of the forest land and lease rent certificate
41Cost of the forest land and lease rent certificate
42Undertaking of user agency to bear the cost for dimarcation work
43Check list/Fact Sheet
44Part-I
45Objection Removed by letter no. 2265/36c dated 21-09-2016 in ref. of your letter no. memo/12-1(2) dated 14-09-2016