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/23445/2017   (ii). Name of Project for which Forest Land is required : Construction of Naugaon Purola MR Km 2 To Thali Gaon   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The object connect to Thali Gaon with facilities of road and connect to facilities of Hospital,School etc. this road is very necessary for villagers because no school,hospital in village every people went for that is very long distance from it own.Cash crops such as pototo,tomato,pees, are productio   (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) : 623.03   (viii). Area of forest land proposed for diversion(in ha.): 11.6735   (ix). Non-forest land required for this project(in ha.): 0.945   (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,Barkot9.5810
2.Tons,Purola2.09250.945
Total11.67350.945
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Uttarkashi11.67350.945
Total9.5810
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Naugaon Range (Bhankoli B-2b)4.07250
2Purola Range (Thadung-1)2.09250
3Thali00.945
4Civil soyam Thali5.50850
11.6735 0.945
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road7.44750.945
2muck disposal-10.2510
3muck disposal-30.2990
4muck disposal-20.3820
5muck disposal-41.5350
6muck disposal-51.7590
Total 11.6735 0.945
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.) : 9.581   (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.
1.9.581    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:
Division 2. : Tons,Purola
  (i). Area of forest land proposed to be diverted(in ha.) : 2.0925   (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.
1.2.0925    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): 53724
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?: Yes   (a). Copy of Cost-Benefit analysis:
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. : Uttarkashi
  (a). Village: thali   (b). Area(in ha.): 23.347   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 2635,2672,3202,2797,etc   (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
1Muck dumping Scheme
2Financial Outlay of road
3C A Scheme 19.162+4.185=23.347
4C A Suitability certificate
5C A Cost bear Undertaking
6Geo reference point of muck dumping point
7Reclamation Plan of muck dumping
8objection removed letter RO
9obj remove letter jan
10obj rem letter15 mar 2018
11obj removed letter june 2018
12obj removed letter june 2018
13obj removed letter 23 july18
14obj removed april 2018
15Objection justification letter
16Bar Chart
17Land Sechdule
18Govt. Order For Project senction
19site inspection report and other document
20geological report and standard condition
21N.P.V. and other related certificate
22tree counting and tree cost certificate
23tree plantantion both side of road
24similar land transfer govt.order
25objection justified
26objection removed & atteched copy of similar land GO
27objection letter 23 dec 2017
28objection removed letter