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/11810/2015   (ii). Name of Project for which Forest Land is required : Construction of Tilwara-Tolab-Maikot & Malkoti-Dangi-Gunao LVR to Motor Road under State Sector   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : This road is starts from Km 4 of Tilwara-Bawai motor road under PMGSY and connect Village Tolab & Malkoti to Motor road in NH 107 total area for conversiison on LVR to motor road is 2.375 Ha   (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) : 25.01   (viii). Area of forest land proposed for diversion(in ha.): 2.375   (ix). Non-forest land required for this project(in ha.): 1.175   (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 WORK DEPARTMENT   (ii). Address1 : PWD PROVINCIAL DIVISION RUDRAPRAYAG   (iii). Address2 : UTTARAKHAND   (iv). State : Uttarakhand   (v). District : Rudraprayag   (vi). Pin : 246171   (vii). Landmarks : NIL   (viii). Email address : eepwd_rpg@rediffmail.com   (ix). Landline Telephone No. : 233204   (x). Fax No. : 0   (xi). Mobile No. : 7500217670   (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: Er Indrajit   (ii). Middle Name: NIL   (iii). Last Name: Bose   (iv). Gender: Male   (v). Designation: EXEUTIVE ENGINEER   (vi). Address 1: P.D. PWD RUDRAPRAYAG   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Rudraprayag   (x). Tehsil: Rudraprayag   (xi). Pin: 246171   (xii). Landmarks: NIL   (xiii). Email Address: eepwd_rpg@rediffmail.com   (xiv). Landline Telephone No.: 233204   (xv). Fax No.: NIL   (xvi). Mobile No.: 7500217670   (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.Rudraprayag2.3751.175
Total2.3751.175
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Rudraprayag2.3751.175
Total2.3751.175
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Tolab (Karndhar)2.3750.625
2Kumoli (Malkoti)00.55
2.375 1.175
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road2.3751.175
Total 2.375 1.175
C. Maps of forest land proposed to be diverted
Division 1. : Rudraprayag
  (i). Area of forest land proposed to be diverted(in ha.) : 2.375   (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.
1.2.375    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: Road is Pre constructed in LVR and need to Convert
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): 2354
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 ?: Yes   (a). Provide reasons thereof: Other land not provided   (b). Area of non-forest or Revenue forest land required to be provided by User Agency for raising Compensatory Afforestation:(in ha.) 2.375   (iii). No. of districts involved for raising Compensatory Afforestation: 1   (iv). No. of patches: One
District 1. : Rudraprayag
  (a). Village: Maikoti & Tolab   (b). Area(in ha.): 4.75   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 22/1455   (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
1CA Calcullation new
2EDS letter dated 12-01-2018
3Receiving letter of Nodal dated 13-04-2018
4Online Part I
5Online Part II to V
6Online Part III
7Online Part IV
8Online Part V
9EDS latter dated 20-04-2018
10ACT 1980 uploaded with DFO Signature dated 29-11-2016
11Task force and manak rule
12NOV and Value of Land
13Hard copy submitted to Nodal and receiving letter attached dated 20-05-2017
14Fact sheet
15NOC of villagers , Gas kerosine , Benefited villagers RCC pillar, No loss of wild life etc
16Acknowlewdgement slip
17Agreement
18New Joint survey report, details of trees, value of trees
19DFO signed papers (Part I, MAPS, Part II, Minimum demand of land, land schedule, Bar chart, CA calculation, CA on blank space, National park and wild life, ACT 1980, work not started, NPV, Distance of National park Photographs etc)
20EDS removed and latter attached with annexure dated 6-07-2017
21Annexure 1
22Cover page, Check list, Report
23Annexure 2
24G.O.
25Annexure 3
26Annexure 4
27Muck Plan
28Annexure 5
29Geologist
30Annexure 6