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/46681/2020   (ii). Name of Project for which Forest Land is required : New Construction of Tilari to Sera Motor Road.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The proposed motorway passes through villages like Tiladi, Dugatad Serasunali etc., which has a population of 718. This motorway starts from km 11 of the Sandev Chaubati motor route to the last point km 2 of the Tiladi motorway. The construction of the proposed motorway will facilitate the traffic o   (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) : 53.71   (viii). Area of forest land proposed for diversion(in ha.): 3.02   (ix). Non-forest land required for this project(in ha.): 3.105   (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 : PD PWD Didihat PO- Didihat   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Pithoragarh   (vi). Pin : 252651   (vii). Landmarks : Didihat   (viii). Email address : eepwdddt@rediffmail.com   (ix). Landline Telephone No. : 232124   (x). Fax No. : 232124   (xi). Mobile No. : 7351404701   (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: Sarfaraz   (ii). Middle Name: NIL   (iii). Last Name: Alam   (iv). Gender: Male   (v). Designation: ASSISTANT ENGINEER   (vi). Address 1: PD PWD Didihat PO- Didihat   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Pithoragarh   (x). Tehsil: Didihat   (xi). Pin: 262551   (xii). Landmarks: Didihat   (xiii). Email Address: eepwdddt@rediffmail.com   (xiv). Landline Telephone No.: 232124   (xv). Fax No.: 05964232124   (xvi). Mobile No.: 7351404701   (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.Pithoragarh3.023.105
Total3.023.105
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Pithoragarh3.023.105
Total3.023.105
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Serasunali00.9
2Tilari2.471.665
3Dubtar0.550.54
3.02 3.105
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Muck Disposal0.50
2Bridge0.0270
3Road2.4933.105
Total 3.02 3.105
C. Maps of forest land proposed to be diverted
Division 1. : Pithoragarh
  (i). Area of forest land proposed to be diverted(in ha.) : 3.02   (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.
1.3.02    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): 87500
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 ?: 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.) 6.04   (iii). No. of districts involved for raising Compensatory Afforestation: 1   (iv). No. of patches: One
District 1. : Pithoragarh
  (a). Village: Tilari   (b). Area(in ha.): 6.04   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 28   (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
1FRA Certificate
2Objection Removed as per Indian Gov Letter 531 Dt. 14-07-2022
3(2.1) A short narrative and importance of the project
4(2.2) Administrative and Financial sanction
5(2.3) Preliminary Joint Inspection report (by user agency, forest department, revenue department etc.)
6(2.4) Comperative chart showing statement of both alignment or alternate site explored for the proposed project and reasons for their rejection duly countersigned by DFO
7(2.5) Certificate 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
8(2.6) Land schedule (for RF signed by DFO and civil soyam, Van panchayat and private nap land signed by DM).
9(2.7) Category wise (RF,civil soyam, Van panchayat and private nap land, Notified forest land etc.) land length, width and area in Ha.
10(2.8) Bar Chart with index (counter signed by DFO).
11(2.10) Certificate Regarding. suitability of indentified land for Comensatory Afforestation by DFO
12(2.11) Undertaking by the User Agency to bear the cost of compensatory afforestation duly counter signed by the DFO
13(2.12) Road side/gap filling plantation estimate (by DFO)
14(2.13) Undertaking by the User Agency to bear the cost of Road side /gap filling plantation (by user agency)
15(2.15) Details 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
16(2.18) Certificate of felling minimum trees during the project work.
17(2.19) Muck disposal scheme
18(2.20) Whather project area is a part of National Park or sanctuary and airal distance of the project from National Park or sanctuary signed by DFO
19(2.23) No voilation has taken place, FC Act. 1980 reg.
20(2.24) NOC from local Gram Sabhas.
21(2.25) Approved general lay out plan/alignment and estimate from competent authority with name and designation
22(2.27) Certificate- work has not been started reg.
23(2.28) Geologist Report (Govt. approved Geologist).
24(2.29) Task Force report
25(2.30) Standard Condition details of works.
26(2.31) Certificate by user agency for complying the condition imposed in Manak Shartain
27(2.32) Certificate by user agency for complying the condition imposed in geologist report/Task force recommendation in hill areas
28(2.33) Certificate by user agency for complying the condition imposed in geologist report/Task force recommendation in hill areas
29(2.34) Undertaking regarding no animal will be effected adversely by the project
30(2.35) Undertading to provide alternative fuelwood, kerosene or LPG to labours involved in project.
31(2.36) Benefited villages/Families/Population Certificate
32(2.37) NPV calculation certificate as per Hon'ble Supreme court /MoEF orders by DFO
33(2.38) Undertaking of payment of NPV, if Hon'ble Supreem Court increses the rates of NPV
34(2.39) Cost of the forest land and lease rent certificate by DM.
35(2.40) Certificate of Lease period by user agency
36(2.41) Demarcation of land to be diverted
37(2.42) Undertaking of user agency to bear the cost for demarcation work
38(2.44) Check list/Fact sheet
39(2.9) (REVISED) Compensatory afforestation scheme in Civil and Soyam land (10 years) by DFO
40Reply of Regional Office, Dehradun Letter No 8B/UCP/06/79/2021/FC/460 Dt. 30-07-2021
41Objection Removed
42Reply of Letter No 1071/FP/UK/ROAD/46681/2020 Dt. 26-10-2021