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/12710/2015
(ii). Name of Project for which Forest Land is required :
Construction of Bageshwar-Balighat-Dharmghar motor road to Khantola(Khitoli) Bridge to Gurgucha Basic School motor road(Length 3.00 km)
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Construction to Khantola(Khitoli) Bridge to Gurgucha Basic School motor road(Length 3.00 km) Starting from Km 20 of BDDK Motor Road. Connecting Villages of Gurgucha,Basic School in Teshsil-Kapkot, District-Bageshwar
(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) :
138
(viii). Area of forest land proposed for diversion(in ha.):
0.63
(ix). Non-forest land required for this project(in ha.):
1.485
(x). Total period for which the forest land is proposed to be diverted(in years):
100
A-2.
Details of User Agency
(i). Name :
PWDKAPKOT
(ii). Address1 :
C.D.P.W.D.KAPKOTE
(iii). Address2 :
BAGESHWAR
(iv). State :
Uttarakhand
(v). District :
Bageshwar
(vi). Pin :
263642
(vii). Landmarks :
Kapkot
(viii). Email address :
cdpwdkapkot@gmail.com
(ix). Landline Telephone No. :
253385
(x). Fax No. :
253385
(xi). Mobile No. :
9719471059
(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 :
Central Government
A-3.
Details of Person Making Application
(i). First Name:
Sanjay Kumar Pandey
(ii). Middle Name:
Kumar
(iii). Last Name:
Pandey
(iv). Gender:
Male
(v). Designation:
E.E.
(vi). Address 1:
C.D.P.W.D.KAPKOTE
(vii). Address 2:
BAGESHWAR
(viii). State:
Uttarakhand
(ix). District:
Bageshwar
(x). Tehsil:
Kapkot
(xi). Pin:
263642
(xii). Landmarks:
kapkot
(xiii). Email Address:
cdpwdkapkot@gmail.com
(xiv). Landline Telephone No.:
253385
(xv). Fax No.:
05963253385
(xvi). Mobile No.:
9719471059
(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.
Bageshwar
0.63
1.485
Total
0.63
1.485
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Bageshwar
0.63
1.485
Total
0.63
1.485
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Gurgucha
0.63
1.485
0.63
1.485
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Road
0.63
0.765
2
Muck Dispogal
0
0.72
Total
0.63
1.485
C.
Maps of forest land proposed to be diverted
Division 1. : Bageshwar
(i). Area of forest land proposed to be diverted(in ha.) :
0.63
(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 Segments
To view KML file on google the same may be downloaded and then open if in google earth install in your computer.
1.
0.63
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):
10800
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:
non-forest
(b). Area of non-forest or Revenue forest land required to be provided by User Agency for raising Compensatory Afforestation:(in ha.)
1.26
(iii). No. of districts involved for raising Compensatory Afforestation:
1
(iv). No. of patches:
One
District 1. : Bageshwar
(a). Village:
Badikot
(b). Area(in ha.):
1.26
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
2
(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:
No Data
(vi). Copy of Survey of India Toposheet in 1:50,000 scale indicating location of the land identified for creation of Compensatory Afforestation:
No Data
Additional information Details
Documents
S.No
Documents
Remarks
1
EDS Dated 01-09-2017
2
Nodal office send to Hard Copy Government of India
3
Hard copy letter
4
Sir the hard copy of the proposal has been submitted with the referenced letter no-81/2E dated 10-01-2017.
5
FRA DOCUMENT
6
containing justification for locating the Project in forest land
7
Certificate by DM- Forest right act 2006 reg.(in MoEF revised (FRA)
8
A 1.9If non-forest or Revenue forest land is required to be provided by
9
Copy of Mou/agreement executed between the Present owner and
10
Administrative and Financial sanction
11
Preliminary Joint Inspection report
12
Comperative chart showing statement of both alignment or alternate
13
Certificate from the DM that no alternative suitable non-forest
14
Land schedule (for RF signed by DFO and civil soyam, Van
15
Land schedule (Khshra)
16
Category wise (RF,civil soyam, Van panchayat and private nap land
17
Bar Chart with index (counter signed by DFO).
18
Compensatory afforestation scheme in Civil and Soyam land (10 year
19
reg. suitability of indentified land for Comensatory
20
Undertaking by the User Agency to bear the cost of compensatory
21
Road side/gap filling plantation estimate
22
Details of the trees with their scientific name in RF, Civil Soyam 0-10 dia trees will be mentioned as saplings
23
Felling of Oak trees (if involves, inspection report of the concerning
24
Certificate of felling minimum trees during the project work.
25
Muck disposal scheme (
26
Whether project area is a part of National Park or sanctuary and airal
27
No voilation has taken place, FC Act. 1980 reg.
28
Obj remove Proposal No- 12710/2015 Obj dated 27-04-2016
29
EDS Dated 24-04-2016 & 26-10-2015
30
NOC from local Gram Sabhas.
31
Certificate- work has not been started reg
32
Geologist Report (Govt. approved Geologist).
33
Task Force report
34
Manak Shartain
35
Certificate by user agency for complying the condition imposed ingeologist report/Task Forcex
36
No historical/monumental or relegeous place will be effected
37
Undertaking regarding no animal will be effected adversely by the
38
Undertaking to provide alternative fuelwood, kerosene or LPG to
39
Benefited villages /Families/ Population certificateBenefited villages /Families/ Population certificate
40
2.36NPV calculation certificate as per Hon'ble Supreem court /MoEF
41
Undertaking of payment of NPV, if Hon'ble Supreem Court increses
42
other doc
43
Check list/Fact sheet.
44
Receiving copy
45
Eds Dated 25-09-2019
46
Eds Dated 30-04-2021
47
Eds Dated 28-11-2019
48
Eds dated 04-09-2021
49
eds Dated 19-08-2020
50
Eds dated 19-09-2020
51
Eds Dated 21.01.2021
52
Eds Dated 11-11-2020
53
khantoli bridge eds dated 25-05-2022
54
Eds Dated 16-08-2021
55
Eds Dated 30-07-2025_2025
56
Eds Dated 30-07-2025
57
eds Dated 28-09-2024
58
Balighat
59
Eds Dated 29-12-2021
60
Eds Dated 01-06-2026
61
Eds Dated 06-08-2024