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/23290/2016   (ii). Name of Project for which Forest Land is required : NH 94 KHARADI NAGADGAON KM 9.00 TO BACHAN GAON UNDER PMGSY   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : This project started under central goverment scheme pmgsy who connect all habitation those have 250 and plus . bachangaon is one of them. BACHAN GAON is connect to NH 94 Motor Road FOR SPENT LIFE EASYLLY,the Object connect to NH 94 and provide connectivity facilities from Kharadi inter college,   (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) : 273.5   (viii). Area of forest land proposed for diversion(in ha.): 1.346   (ix). Non-forest land required for this project(in ha.): 2.514   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : PMGSYID PUROLA   (ii). Address1 : Executive Engineer P.M.G.S.Y.I.D. Purola (Uttarkashi)   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Uttarkashi   (vi). Pin : 248185   (vii). Landmarks : Yamuna river   (viii). Email address : eepmgsypurola@rediffmail.com   (ix). Landline Telephone No. : 223730   (x). Fax No. : 0   (xi). Mobile No. : 8126979342   (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: Sumit   (ii). Middle Name: NIL   (iii). Last Name: Jaguri   (iv). Gender: Male   (v). Designation: junior Engineer   (vi). Address 1: Executive Engineer P.M.G.S.Y.I.D. Purola (Uttarkashi)   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Uttarkashi   (x). Tehsil: Puraula   (xi). Pin: 248185   (xii). Landmarks: NIL   (xiii). Email Address: eepmgsypurola@rediffmail.com   (xiv). Landline Telephone No.: 223730   (xv). Fax No.: NIL   (xvi). Mobile No.: 8126979342   (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.Upper Yamuna,Barkot1.3462.514
Total1.3462.514
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Uttarkashi1.3462.514
Total1.3462.514
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1RF Masalgaon Comp 4c0.8220
2Bachangaon0.5242.514
1.346 2.514
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road1.3462.13948
2Muck disposal00.37452
Total 1.346 2.514
C. Maps of forest land proposed to be diverted
Division 1. : Upper Yamuna,Barkot
  (i). Area of forest land proposed to be diverted(in ha.) : 1.346   (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.
1.1.346    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): 14600
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? : Yes
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. : Uttarkashi
  (a). Village: bachangaon   (b). Area(in ha.): 2.692   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 1133,1313,1365M,2320   (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
1land schudule and bar chart
2justification of online part I para D(i)
3justification of nodal query
4MOU of DISTRICT MAGESTRET UTTARKASHI
5OWNERSHIP CIRTIFICATE OF SDM BARKOT
6objection justification
7VAN PANCAYAT LAND NO OBJECTION CERTIFICATE
8OBJECTION REMVED BY USER
9justification
10justification
11nodal letter query
12justification
13tree details
14fuel provider cer. and other cer.
15geological report
16inspecction report
17khasra certificate
18objection justified
19minimum tree falling cert.
20muck disposal digital map.
21muck disposal toposheet map.
22no alternate land availability cert.
23national park related cer
24religious land related cer
25Ca suitability cer.
26administrative approved
27Path Plantation
28justification and original hard copy summit approved
29pillar and boundry estimate
30objeiion short out letter
31project detail
32Muck Disposal Plan/ Management
33Work Not Started
34ca secheme
35objection justified
36query justification letter
37documents part II to V and other
38query justification
39query ans
40NPV
41Justification of Nodal office