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/146449/2021   (ii). Name of Project for which Forest Land is required : Construction of Simli to Nakholi Motor Road.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The road shall provide connectivity to village Simli, Nakholi with a population of 1059 numbers.   (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) : 38   (viii). Area of forest land proposed for diversion(in ha.): 1.632   (ix). Non-forest land required for this project(in ha.): 0.189   (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 : Tharali   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Chamoli   (vi). Pin : 246481   (vii). Landmarks : NIL   (viii). Email address : pwdtharali@gmail.com   (ix). Landline Telephone No. : 271224   (x). Fax No. : NIL   (xi). Mobile No. : 8439950507   (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/10775/2015FP/UK/Road/10775/20150.7220.72230 Oct 201518 Oct 2016
2ApprovedFP/UK/ROAD/25814/20178B/UCP/06/103/20170.9550.95524 Sep 201823 Oct 2018
Total 1.677 1.677
  (xiv). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Jitendra   (ii). Middle Name: NIL   (iii). Last Name: Kumar   (iv). Gender: Male   (v). Designation: Assistant Engineer   (vi). Address 1: Con. Div. P.W.D. Tharali   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Chamoli   (x). Tehsil: Tharali   (xi). Pin: 246481   (xii). Landmarks: NIL   (xiii). Email Address: pwdtharali@gmail.com   (xiv). Landline Telephone No.: 271224   (xv). Fax No.: 01363271224   (xvi). Mobile No.: 8439950507   (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.Badrinath,Gopeshwar1.6320.189
Total1.6320.189
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Chamoli1.6320.189
Total1.6320.189
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Simli1.3220.117
2Nakholi0.310.072
1.632 0.189
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Muck Dumping0.2740
2Road Construction1.35790.189
Total 1.6319 0.189
C. Maps of forest land proposed to be diverted
Division 1. : Badrinath,Gopeshwar
  (i). Area of forest land proposed to be diverted(in ha.) : 1.632   (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.
1.1.632    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): 1000
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. : Chamoli
  (a). Village: Kuling   (b). Area(in ha.): 3.264   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 339   (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
1Whather project area is a part of National Park or sanctuary and airal distance of the project from National Park or sanctuary
2Benefited villages/Families/Population Certificate.
3NPV calculation certificate as per Hon'ble Supreem court /MoEF orders by DFO
4Undertaking of payment of NPV, if Hon'ble Supreem Court increses the rates of NPV
5Cost of the forest land and lease rent certificate by DM.
6Undertaking of user agency to bear the cost for dimarcation work
7Part I
8Administrative and Financial sanction
9index
10Part - II
11If non-forest or Revenue forest land is required to be provided by User Agency? A Copy of ownership proof and No Objection Certificate
12Preliminary Joint Inspection report (by user agency, forest department, revenue department etc.)
13Comperative chart showing statement of both alignment or alternate site explored for the proposed project and reasons for their rejection duly countersigned by DFO.
14Certificate from the DM that no alternative suitable non-forest land is available for the project in question and the demand of the forest land for the project is barest minimum.
15Land schedule (for RF signed by DFO and civil soyam, Van panchayat and private nap land signed by DM).
16Category wise (RF,civil soyam, Van panchayat and private nap land, Notified forest land etc.) land length, width and area in Ha.
17Compensatory afforestation scheme in Civil and Soyam land (10 years)
18Copy of Mou/agreement executed between the Present owner and the User Agency.
19Undertaking by the User Agency to bear the cost of compensatory afforestation duly counter signed by the DFO
20Road side/gap filling plantation estimate
21Undertaking by the User Agency to bear the cost of Road side /gap filling plantation
22Estimate of 100 trees plantation by DFO ( less then 1.0 ha. cases )
23Details of the trees with their scientific name in RF, Civil Soyam, Van Panchayat, Private Notified land and in Nap Land should be mentioned (with valuation of the trees to be felled ) (0-10 dia trees will be mentioned as saplings).
24Felling of Oak trees (if involves, inspection report of the concerning CF has to be provided)
25Certificate of felling minimum trees during the project work.
26No voilation has taken place, FC Act. 1980 reg.
27NOC from local Gram Sabhas.
28Certificate- work has not been started reg.
29Task Force report
30Geologist Report (Govt. approved Geologist).
31Certificate by user agency for complying the condition imposed in Standard Condition
32Certificate by user agency for complying the condition imposed in geologist report/Task force recommendation in hill areas
33No historical/monumental or relegeous place will be effected certificate reg
34Undertakoing regarding no animal will be effected adversely by the project.
35Undertading to provide alternative fuelwood, kerosene or LPG to labours involved in project.
36NPV Calculation
37Bar Chart with index
38Affected Trees list on alternate road.
39Tree list
40Muck disposal scheme