File No. : Date of Proposal: to Divisional Forest Officer, Ludhiana

Full Title of the Project: Diversion 0.004076 Ha. of Forest Land for access road to the Agriculture Industry (Multi Commodity Cold Store & Food Processing) Namely M/s GMH Agri Hub at village Salempur on Bhundri-Sidhwan Bet Road Tehsil Jagraon & Distt Ludhiana. Under Forest Division & Distt Ludhiana. File No. : Date of Proposal:

Divisional Forest Officer, Ludhiana Forest Division, Ludhiana

Sub: Full Title of the Project: Diversion 0.004076 Ha. of Forest Land for access road to the Agriculture Industry (Multi Commodity Cold Store & Food Processing) Namely M/s GMH Agri Hub at village Salempur on Bhundri-Sidhwan Bet Road Tehsil Jagraon & Distt Ludhiana. Under Forest Division & Distt Ludhiana.

Dear Sir,

We are hereby applying for prior approval under section 2 of State Govt. & other authorities (See Rule 4) Please find enclosed herewith four set of application on prescribed format.

We would be highly thankful for your early approval on the subject.

Thanking You,

Gurmit Singh S/o Late Sh. Sarbjit Singh, Village Salempur, Tehsil Jagraon, Distt Ludhiana Mb. No: 9811030151 Email:[email protected]

Date:

Place: LUDHIANA

FORM -'A'

From for seeking prior approval under section 2 of the proposals by the State Governments and other authorities. PART-I (To be filled up by user agency) 1 Project details:- (i) Short narrative of the proposal and project / scheme 0.004076 Ha. of Forest Land for access road to the for which the forestland is required. Agriculture Industry (Multi Commodity Cold Store & Food Processing) Namely M/s GMH Agri Hub at village Salempur on Bhundri-Sidhwan Bet Road Tehsil Jagraon & Distt Ludhiana And the 1.50 Ha Non Forest Area of User Agency. (ii) Map showing the required forest land, boundary of Attached adjoining forest on a 1:50,000 scale map

(iii) Cost of the project. Approx Rs. 90 Lac approximately

(iv) Justification for locating the project in the forest area There is no other alternative for access road to the Agriculture Industry (Multi Commodity Cold Store & Food Processing) Namely M/s GMH Agri Hub at village Salempur on Bhundri-Sidhwan Bet Road Tehsil Jagraon & Distt Ludhiana. (v) Cost-benefit analysis (to be enclosed) NA

(vi) Employment likely to be generated Approx.5 Person Permanent

2 Purpose-wise break-up of the total land required: Forest area under driveway X=6.00 Mt. X 6 Mt. =36.00 Sqmt. Y=(1/2 x 6 x 2.7)-(2/3 x 6.6 x 1.3) Area of Curve =8.10-5.72=2.38 Sqmt. Z=(1/2 x 6 x 2.7)-(2/3 x 6.6 x 1.3) Area of Curve =8.10-5.72=2.38 Sqmt. Total Area=(X+Y+Z) =(36.00+2.38+2.38)=40.76 Sqmt. = 0.004076 HA. 3 Details of displacement of people due to the project, NA if any:

(i) Number of families. NA

(ii) Number of Scheduled Castes / Scheduled Tribe NA Full Title of the Project: Diversion 0.004076 Ha. of Forest Land for access road to the Agriculture Industry (Multi Commodity Cold Store & Food Processing) Namely M/s GMH Agri Hub at village Salempur on Bhundri-Sidhwan Bet Road Tehsil Jagraon & Distt Ludhiana. Under Forest Division & Distt Ludhiana. File No. : Date of Proposal:

families

(iii) Rehabilitation plan (to be enclosed) NA

4 Whether clearance under Environment (Protection) NA Act, 1986 required? (Yes/No).

5 Undertaking to bear the cost of raising and Attached maintenance of compensatory afforestation and/or penal compensatory afforestation as well as cost for protection and regeneration of Safety Zone, etc. as per the scheme prepared by the State Government (undertaking to be enclosed)

6 Details of Certificates/documents enclosed as 1.Project map required under the instructions. 2.DGPS Map 3.Jastification 4Undertakings

Gurmit Singh S/o Late Sh. Sarbjit Singh, Village Salempur, Tehsil Jagraon, Distt Ludhiana Mb. No: 9811030151 Email:[email protected] Place: Ludhiana Date:______State serial No. of proposal ______(To be filled up by the Nodal Officer with date of receipt)

Annexure – A

Breakup of Total Land Required for the Project

Sr. Name of strip Forest Area (Ha.) Non-Forest Area Total Trees No. No. Forest to be of of No. Area felle Smal Un (Ha.) d l der Plant Siz s e Pol es

From Length Width Area To (Mt.) (Mt.) (Ha.)

For access Forest area under driveway - - 1.50 0.004076 - - - road to the Agriculture X=6.00 Mt. X 6 Mt. =36.00 Industry Sqmt. (Multi Y=(1/2 x 6 x 2.7)-(2/3 x 6.6 x Commodity 1.3) Area of Curve Cold Store & =8.10-5.72=2.38 Sqmt. Food Processing) Z=(1/2 x 6 x 2.7)-(2/3 x 6.6 x Namely M/s 1.3) Area of Curve GMH Agri =8.10-5.72=2.38 Sqmt. Hub at village Total Area=(X+Y+Z) Salempur on =(36.00+2.38+2.38)=40.76 Bhundri- Sqmt. Sidhwan Bet Road Tehsil =0.004076 HA. Jagraon & Distt Ludhiana Total 1.50 0.004076 - - -

Signature of User Agency

CHECK LIST SERIAL NUMBER-03

DETAILED NOTE ON THE PROJECT

Mr. Gurmit Singh S/o Late Sh. Sarbjit Singh, Village Salempur, Jagraon, Ludhiana To develop Agriculture Industry along Bhundri-Sidhwan Bet Road L/Side at Village Salempur, Tehsil Jagraon Distt Ludhiana the Land measuring is 1.50 Ha. Falling in the revenue estate of village Salempur Distt Ludhiana. Total cost of this project is Ninety Lac approximately.

“M/s GMH Agri Hub at village Salempur on Bhundri-Sidhwan Bet Road L/s Tehsil Jagraon Distt Ludhiana. In an area of 0.004076 Ha. To need entry & exit at places.

“M/s GMH Agri Hub at village Salempur on Bhundri-Sidhwan Bet Road L/s Tehsil Jagraon Distt Ludhiana. Will generate employment near about 5 Persons.

Signature of User Agency

Place :Ludhiana Date :......

CHECK LIST SERIAL NUMBER-07 STATEMENT SHOWING DETAILS OF NON FOREST AREA INVOLVED IN THE PROPOSAL S. District Division Range/Tehsil Khasra/ Survey or Non Present land Remar No. /Village Compartment Forest Use ks Number of Km. Area Stone involved in the proposal (Ha.) 1 2 3 4 5 6 7 8

Ludhiana Ludhiana Jagraon Hadbast No. 26, Khewat/Khatoni 1. Jagraon No. 341/360 Salempur Khasra No. 73//10/2/1 (1-6), 1.50 Cold Store - 11/2 (7-12), 20/1 (7- Ha. 12), 9/1/2(1-9), 12/1 (5-12), 19/2 (5-12) Total Land 29 Kanal 3 Marle

Signature of User Agency

Place: Ludhiana Date: ......

CHECK LIST SERIAL NUMBER-09

JUSTIFICATION FOR LOCATING THE PROJECT IN FOREST AREA

As the proposed land for access road to the Agriculture Industry

(Multi Commodity Cold Store & Food Processing) Namely M/s GMH Agri Hub at

village Salempur on Bhundri-Sidhwan Bet Road Tehsil Jagraon & Distt Ludhiana

there is no other alternative but to use the forest land for approaches.

Signature of User Agency

Place :Ludhiana Date :......

CHECK LIST SERIAL NUMBER-10

CERTIFICATE FOR MINIMUM USE OF FOREST LAND

This is to certify that the forest area involved in the proposal unavoidable and barest minimum forest area i.e. 0.004076 ha area is proposed diversion.

Signature of User Agency

Place :Ludhiana Date :......

CHECK LIST SERIAL NUMBER-11

UNDERTAKING FOR PAYMENT OF COST OF COMPENSATORY AFFORESTATION

I Gurmit Singh S/o Late Sh. Sarbjit Singh, Village Salempur, Jagraon, Ludhiana Do hereby, undertakes to pay the entire amount for compensatory Afforestation in lieu of the forest area diverted for access road to the Agriculture Industry (Multi Commodity Cold Store & Food Processing) Namely M/s GMH Agri Hub at village Salempur on Bhundri-Sidhwan Bet Road Tehsil Jagraon & Distt Ludhiana as per prevailing wage rates at the time of plantation.

Signature of User Agency

Place :Ludhiana Date :......

CHECK LIST SERIAL NUMBER-12

UNDERTAKING FOR PAYMENT OF NET PRESENT VALUE OF FOREST AREA

It is to certify that Mr. Gurmit Singh S/o Late Sh. Sarbjit Singh, Village Salempur, Jagraon, and Ludhiana have applied for diversion of 40.76 Sq.mt or says 0.004076 ha. Of forest area for the purpose of lying means of access road to the Agriculture Industry (Multi Commodity Cold Store & Food Processing) Namely M/s GMH Agri Hub at village Salempur on Bhundri-Sidhwan Bet Road Tehsil Jagraon & Distt Ludhiana. I/We, hereby, undertake to pay the net present value (NPV) of the above forest land. I/we also hereby undertake to pay the additional amount of NPV, if so determined as per the decision of the Hon’ble Supreme Court.

Signature of User Agency

Place :Ludhiana Date :......

CHECK LIST SERIAL NUMBER-12-b

UNDERTAKING FOR PAYMENT OF ADDITIONAL AMOUNT OF NET PRESENT VALUE OF FOREST AREA

It is to certify that I Gurmit Singh S/o Late Sh. Sarbjit Singh, Village Salempur, Jagraon, Ludhiana have applied for diversion of 0.004076 Hector of forest land for access road to the Agriculture Industry (Multi Commodity Cold Store & Food Processing) Namely M/s GMH Agri Hub at village Salempur on Bhundri- Sidhwan Bet Road Tehsil Jagraon & Distt Ludhiana. I hereby, undertake to pay the additional amount of Net Present Value (NPV), if so determined as per final decision of the Hon’ble Supreme Court of India.

Signature of User Agency

Place: Ludhiana Date :…………………..

UNDERTAKING FOR PROVIDING NON FOREST LAND OR ITS COST EQUIVALENT TO THE FOREST AREA BEING DIVERTED UNDER FCA, 1980.

I Gurmit Singh S/o Late Sh. Sarbjit Singh, Village Salempur, Jagraon, Ludhiana. Hereby, undertakes to provide the cost of non-forest land for compensatory afforestation as per Pb. Govt. Policy No. 46/103/2010-vx-3/9978 dated 20-12-2011, after receipt of the in principal approval from MoEF (GoI).

Signature of User Agency

Place: Ludhiana Date……………….

CERTIFICATE

Certified that the Legal status of the forest land involved in the project will not change with the approval as granted under forest (conservation) Act 1980.

Signature of User Agency

AFFIDAVIT/ UNDERTAKING

I Gurmit Singh S/o Late Sh. Sarbjit Singh, Village Salempur, Jagraon, Ludhiana do hereby solemnly affirm and declares under:- 1. That I am the Operation Manager/Partner/holder/owner of M/s GMH Agri Hub at village Salempur on Bhundri-Sidhwan Bet Road Tehsil Jagraon & Distt Ludhiana That I hereby, undertake to pay the amount of Compensatory Afforestation, if so determined as per final decision of the Hon’ble Supreme Court of India 2. That I hereby, undertake to pay the amount of Net Present Value (NPV), if so determined as per final decision of the Hon’ble Supreme Court of India 3. That I hereby, undertake to pay the additional amount of Net Present Value (NPV), if so determined as per final decision of the Hon’ble Supreme Court of India. 4. That I hereby, undertake to provide the cost of non-forest land for compensatory Afforestation as per Pb. Govt. Policy No. 46/103/2010-vx- 3/9978 dated 20-12-2011 5. That I hereby, undertake to pay the amount of Greening Punjab Mission Funds 6. That my said statement is true and correct.

Verification.

Verification that the above said statement is true and correct to the best of my knowledge and belief and nothing has been concealed therein.

Dated

JUSTIFICATION

As above mentioned subject, I request you that this project has only

3498 Sq Mt Built up area. But this condition is only applied on the meter Built up area that is above from 20,000 Sq Mt areas. So, we have no need to take Environment

Clearance for our project (copy of Notification is also attached)

Signature of User Agency

Date:- Place:-Ludhiana

UNDERTAKING

Regarding Scheduled tribes & other traditional forest dwellers Recognition of forest right act 2006

Gurmit Singh S/o Late Sh. Sarbjit Singh, Village Salempur, Jagraon, Ludhiana It is hereby undertake that before your final approval we will give you the necessary certificate regarding Scheduled tribes & other traditional forest dwellers Recognition of forest right act 2006, from the office of Deputy Commissioner, Ludhiana. It is to mention that as per recent census of the State Government NO TRIBAL/FOREST dweller exit in the state of Punjab including this area. It is requested you to please issue us in principle approval for the proposed diverted area.

Signature of User Agency