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/45918/2020   (ii). Name of Project for which Forest Land is required : Construction of Chaturkot- Kafalta M/R   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The Proposed road starts from km 23.00 of SH-64 i.e. Champawat-Manch-Tamli M/R. It's sanctioned length is 6.00 Km .This Road will connect two villages Malla Kafalta and talla Kafalta and native people will be connected with district head champawat & there will be upliftment in Socio-economic status   (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) : 74.3   (viii). Area of forest land proposed for diversion(in ha.): 3.455   (ix). Non-forest land required for this project(in ha.): 1.015   (x). Total period for which the forest land is proposed to be diverted(in years): 100
A-2. Details of User Agency
  (i). Name : PUBLIC WORK DEPARTMENT   (ii). Address1 : Prov. Div. P.W.D. office Champawat distt- champawat   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Champawat   (vi). Pin : 262523   (vii). Landmarks : Near Main Post Office   (viii). Email address : eechampawat@rediffmail.com   (ix). Landline Telephone No. : 230034   (x). Fax No. : 230034   (xi). Mobile No. : 9412044730   (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: Anupam   (ii). Middle Name: NIL   (iii). Last Name: Rai   (iv). Gender: Male   (v). Designation: Assistant Engineer   (vi). Address 1: Prov. Div. P.W.D. office Champawat Distt- Champawat   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Champawat   (x). Tehsil: Champawat   (xi). Pin: 262523   (xii). Landmarks: Near Main Post Office   (xiii). Email Address: eechampawat@rediffmail.com   (xiv). Landline Telephone No.: 230034   (xv). Fax No.: 05965230034   (xvi). Mobile No.: 9412044730   (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.Champawat3.4551.015
Total3.4551.015
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Champawat3.4551.015
Total3.4551.015
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Malla kafalta2.9930.735
2Talla kafalta0.4620.28
3.455 1.015
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road3.1851.015
2Muck Disposal0.270
Total 3.455 1.015
C. Maps of forest land proposed to be diverted
Division 1. : Champawat
  (i). Area of forest land proposed to be diverted(in ha.) : 3.455   (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.
1.3.455    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): 2500
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?: No   (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: NIL   (b). Area of non-forest or Revenue forest land required to be provided by User Agency for raising Compensatory Afforestation:(in ha.) NIL   (iii) . Reason for not providing Non-Forest Land: Others
Additional information Details
Documents
S.No Documents
Remarks
1Query removed letter 10-5-2021
2Short narrative and importance of the project.
3Preliminary joint inspection report.
4Comperative chart showing statement of both alignment or alterate site explored for th e proposed.
5Certificate from the DM that no alternative suitable non forest land is available.
6Land schedule.
7Category wise brekup.
8Adminstrative and Financial sanction.
9Bar chart.
10C.A. Scheme.
11Certificate Regarding.
12Undertaking by the user agency to bear the cost of C.A.
13Road side/gap filling plantation estimate.
14Undertaking by the user agency to bear the cost of Road side/ gap filling plantation.
15Certificate of fellin g minimum trees during th e project work.
16Muck disposal scheme.
17Whather project area is a part of National Park or sanctuary and airaul.
18No voilation has take a place.
19Noc from laocal Gram sabhas.
20Certificate work has not been started.
21query removed letter -13.5.22
22Geo. report.
23Aerial Distance
24EDS 12june20 Query removed
25Task force.
26Standrad condition and certificate by user agency for complying the conditon.
27Ceritficate by user agency for complyin the condition imposed in geologist report/task force.
28No historical/monumental or relegeoue place.
29Undertaking regarding no anmial will be effecte adversely by the project.
30Undertaking to provide alternative fuelwood,Kerseno.
31Benefied village/Families/Population certificate.
32NPV calculation certificate .
33Undertaking of payment of NPV.
34Demarcation of land to be diverted and Undertaking of user agency to berr the cost .
35check list.
36fact sheet.
37others main.
38query removed letter
39Details of the trees with their scientfic name in RF,Civil soyam.
40query removed letter
41Query removed letter date 21-03-2022
42removed Query date 24-05-2024
43removed Query
44query removed letter no 3360/2 lh date 26-12-2024
45removed query