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/151866/2022   (ii). Name of Project for which Forest Land is required : Maithana-Syaltari Motor road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The proposed road/project length is 04 km. It starts from Km. 6 of Paini-Kujasu motor road. The project will give profit in access to market for agriculture productivity, higher education and medical facilities.   (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) : 48.35   (viii). Area of forest land proposed for diversion(in ha.): 1.631   (ix). Non-forest land required for this project(in ha.): 1.225   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : OFFICE OF THE EXECUTIVE ENGINEER CONSTRUCTION DIVISION PUBLIC WORKS DEPARTMENT POKHARI   (ii). Address1 : office of the executive engineer construction division public works department pokhari   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Chamoli   (vi). Pin : 246473   (vii). Landmarks : NIL   (viii). Email address : eepwdpokhari@rediffmail.com   (ix). Landline Telephone No. : 222156   (x). Fax No. : 222156   (xi). Mobile No. : 9411166945   (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 : Others
A-3. Details of Person Making Application
  (i). First Name: Sanjay Prasad Sinha   (ii). Middle Name: NIL   (iii). Last Name: NIL   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: office of the executive engineer, construction division, public works department, pokhari   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Chamoli   (x). Tehsil: Pokhari   (xi). Pin: 246473   (xii). Landmarks: NIL   (xiii). Email Address: eepwdpokhari@rediffmail.com   (xiv). Landline Telephone No.: 222156   (xv). Fax No.: NIL   (xvi). Mobile No.: 9411166945   (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.Kedarnath Wild Life Division,Gopeshwar1.6311.225
Total1.6311.225
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Chamoli1.6311.225
Total1.6311.225
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1kujasu (Maithana & Syaltari)1.6311.225
1.631 1.225
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road1.5751.225
2Musk Disposal 10.0140
3Musk Disposal 20.0140
4Musk Disposal 30.0140
5Musk Disposal 40.0140
Total 1.631 1.225
C. Maps of forest land proposed to be diverted
Division 1. : Kedarnath Wild Life Division,Gopeshwar
  (i). Area of forest land proposed to be diverted(in ha.) : 1.631   (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.
1.1.631    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): 100   (iii). Temporary Employment(Number of person-days): 5000
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: Tunji   (b). Area(in ha.): 3.262   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 756   (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 has been corrected
2the objection has been corrected
3A short narrative and importance of the project.. (pdf file).
4Administrative and Financial sanction (pdf file)
5Preliminary Joint Inspection report (by user agency, forest department, revenue department etc.) (pdf file).
6Comperative chart showing statement of both alignment or alternate site explored for the proposed project and reasons for their rejection duly countersigned by DFO. (pdf file)
7Certificate 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. (pdf file).
8Land schedule (for RF signed by DFO and civil soyam, Van panchayat and private nap land signed by DM). (pdf file) .
9Category wise (RF,civil soyam, Van panchayat and private nap land, Notified forest land etc.) land length, width and area in Ha. (pdf file)
10Bar Chart with index (counter signed by DFO). (pdf file).
11Compensatory afforestation scheme in Civil and Soyam land (10 years) by DFO (pdf file).
12Certificate regarding suitability of indentified land for Comensatory Afforestation by DFO (pdf file).
13Undertaking by the User Agency to bear the cost of Road side /gap filling plantation (by user agency) (pdf file)
14Details 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). (pdf file) Tree count.
15Certificate of felling minimum trees during the project work. (pdf file) .
16Muck disposal scheme (in prescribed format) (pdf file).
17Whather project area is a part of National Park or sanctuary and airal distance of the project from National Park or sanctuary signed by DFO. (pdf file).
18No voilation has taken place, FC Act. 1980 reg. (pdf file).
19Objection has been Removed
20NOC from local Gram Sabhas. (pdf file).
21Certificate- work has not been started reg. (pdf file).
22Geologist Report (Govt. approved Geologist). (pdf file).
23Task Force report
24Certificate by user agency for complying the condition imposed in Standard Condition (pdf file).
25Certificate by user agency for complying the condition imposed in geologist report/Task force recommendation in hill areas (excluding drinding water
26No historical/monumental or relegeous place will be effected certificate reg. (by DM/DFO) (pdf file).
27Undertakoing regarding no animal will be effected adversely by the project. (Pdf file)
28Undertading to provide alternative fuelwood, kerosene or LPG to labours involved in project. (Pdf file).
29Objection has been Removed
30Benefited villages/Families/Population Certificate. (pdf file).
31NPV calculation certificate as per Hon'ble Supreem court /MoEF orders by DFO (pdf file)
32Objection has been Removed
33Undertaking of payment of NPV, if Hon'ble Supreem Court increses the rates of NPV (by user agency)
34Undertaking of user agency to bear the cost for dimarcation work (pdf file)
35Check list/Fact sheet . /Other imp details