FORM - A
Form for seeking prior approval of Central Government under section 2 of the Forest(Conservation) Act,1980 for Diversion of fresh forest area
PART - I
(To be filled up by User Agency)
A. General Details
A-1. Project Details
  (i). Proposal No. : FP/RJ/ROAD/127971/2021   (ii). Name of Project for which Forest Land is required : CONSTRUCTION OF UPGRADATION RURAL ROAD FROM T11-SUHAGPUR TO ACHALAWDA UPTO BLOCK BORDER ROAD KM 0/0 TO 8/000   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Pradhan Mantri Gram Sadak Yojana (PMGSY)   (iv). State : Rajasthan   (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) : 583.59   (viii). Area of forest land proposed for diversion(in ha.): 4.62   (ix). Non-forest land required for this project(in ha.): 3.38   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : PWD DN II PRATAPGARH   (ii). Address1 : PWD DN II PRATAPGARH   (iii). Address2 : H.Q. ARNOD   (iv). State : Rajasthan   (v). District : Pratapgarh   (vi). Pin : 312615   (vii). Landmark : arnod   (viii). Email address : eepwdarnod@gmail.com   (ix). Landline Telephone No. : 0-   (x). Fax No. : 0-   (xi). Mobile No. : 9351747250   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Ram   (ii). Middle Name: Charan   (iii). Last Name: meena   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: PWD DN II   (vii). Address 2: PRATAPGARH   (viii). State: Rajasthan   (ix). District: Pratapgarh   (x). Tehsil: NIL   (xi). Pin: 312615   (xii). Landmark: arnod   (xiii). Email Address: eepwdarnod@gmail.com   (xiv). Landline Telephone No.: 0-   (xv). Fax No.: NIL   (xvi). Mobile No.: 9351747250   (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:
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
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
1ApprovedFP/RJ/ROAD/1555/20077-RJB022/2007-LUC0.570.5712 Apr 200721 May 2007
2ApprovedFP/RJ/ROAD/1986/20067-RJBO18/2006-LUC0.720.7223 Jun 200621 Aug 2006
Total 1.29 1.29
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.Pratapgarh Territorial4.623.38
Total4.623.38
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Pratapgarh4.623.38
Total4.623.38
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Patar0.660.78
2Kuni1.020.64
3Shujanpura1.430
4Panavla0.860.15
5Danpura0.650.68
6Shuhagpura01.13
Total 4.62 3.38
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Segment101.96
2Segment23.420
3Segment300.64
4Segment41.20
5Segment500.78
Total 4.62 3.38
C. Maps of forest land proposed to be diverted
Division 1. : Pratapgarh Territorial
  (i). Area of forest land proposed to be diverted(in ha.) : 4.62   (ii). Nature of the Project: Linear   (b). No. of Segments : Two
Segment wise details
Segments Segment Area(in ha.) Kml File of Segments
(To view KML file on google the same may be downloaded and then open if in google earth install in your computer).
1.3.42    View File
2.1.2    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 GPS 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: No   (a). Reason for not providing such map: Widening and Improvement of existing Road
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): 90
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 ?: No   (iii). No. of districts involved for raising Compensatory Afforestation: 1   (iv). No. of patches: One   (v). Scanned copy of the map of the land identified for creation of Compensatory Afforestation prepared by using GPS 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
1Any Material from SurroundedForest Land
2Area Calculation Sheet
3Jamabandi
4Check list 11-Minimun Cost of Forest Land
5Check list 12-Cost of Compensatory Afforestation
6Check list 13-Payment of NET PERSENT VALUE of Forest Area
7Feasible Alternative an Diversion of Minimum Forest Land
8Flora_Fauna During Construction of Road
9Justification for Location the Project in Forest Area
10Segment wise Area Calculations
11Statutory Position of Diverted Forest Land
12Undertaking for FRA
13Village wise Area Calculation
14Waste Management During Construction Activity
15UNDERTAKING FOR CA LAND (NFL)
16TS Report
17khashra wise Details
18PAYMENT OF COST OF COMPENSATORY AFFORESTATION
19UNDERTAKING FOR FOR CA LAND (NFL)
20UNDERTAKING FOR NO DEEMED FOREST LAND IS INVOLVED IN CONSTRUCTION ROAD
21UNDERTAKING FOR USE OF FOREST LAND
22Bar Chart
23EDS Reply Letter
24Revenue Map
25Cross Section
26Project Report
27DIGITAL-MAP
28GT SHEET-MAP
29EDS-Arnod-24.11.2021
30EDS-10-02-2022