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/14903/2015   (ii). Name of Project for which Forest Land is required : missing link dooni anwa road to chandli maata jee   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : missing link dooni anwa road to chandli maata jee   (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) : 136.32   (viii). Area of forest land proposed for diversion(in ha.): 2.1   (ix). Non-forest land required for this project(in ha.): 0   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : EXECUTIVE ENGINEER RAJASTHAN STATE AGRICULTURAL MARKTING BOARD DIVISION TONK   (ii). Address1 : Astal Rood Plat No. 21 chhawani Chouraha Tonk   (iii). Address2 : NIL   (iv). State : Rajasthan   (v). District : Tonk   (vi). Pin : 304001   (vii). Landmark : Chhawani chouraha   (viii). Email address : eersamb.tonk@gmail.com   (ix). Landline Telephone No. : 1432-247821   (x). Fax No. : 1432-247821   (xi). Mobile No. : 9413387027   (xii). Website (if any) : Nill   (xiii). Legal status of User Agency : Others
A-3. Details of Person Making Application
  (i). First Name: Gopal   (ii). Middle Name: Singh   (iii). Last Name: Meena   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: Astal Rood Plat No.21 Chhawani Churaha Tonk   (vii). Address 2: NIL   (viii). State: Rajasthan   (ix). District: Tonk   (x). Tehsil: Tonk   (xi). Pin: 304001   (xii). Landmark: Chhawani choraha   (xiii). Email Address: eersamb.tonk@gmail.com   (xiv). Landline Telephone No.: 1432-247821   (xv). Fax No.: 01432247821   (xvi). Mobile No.: 9413387027   (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
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
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.Tonk Territorial2.10
Total2.10
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Tonk2.10
Total2.10
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Kanwarpura1.460
2Chandli0.640
Total 2.1 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1missing link dooni anwa road to chandli maata jee2.10
Total 2.1 0
C. Maps of forest land proposed to be diverted
Division 1. : Tonk Territorial
  (i). Area of forest land proposed to be diverted(in ha.) : 2.1   (ii). Nature of the Project: Linear   (b). No. of Segments : One
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).
1.2.1    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: We have proposed the Road on Existing Katcha Rasta
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): 50
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 ?: Yes   (iii). No. of districts involved for raising Compensatory Afforestation: 1   (iv). No. of patches: One
District 1. : Tonk
  (a). Village: Bishanpura   (b). Area(in ha.): 2.1   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 182   (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 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
1Sanction Letter
2Jambandi Ki Nakal
3Undertaking for Conservation of Flora Fauna During Construction of road
4Undertaking for no changes in statutory position of diverted forest land
5Undertaking for no Other Feasible Alternative and Diversion of Minimum forest land
6Undertaking for Payment of any Other Cost and Condition
7Undertaking for Payment of cost of Compensatory Afforestation
8Undertaking for Payment of Net Persent Value of forest Area
9Undertaking for use of Forest Land
10MAP SHOWING DiGITAL MAP WITH IDENTIFIED LAND FOR COMPENSATORY AFORESTATION
11MAP SHOWING GOOGLE IMAGERY WITH FOREST LAND BOUNDARY AND PROPOSED ROAD ALIGNMENT
12MAP SHOWING ZOOM VIEW OF GOOGLE IMAGERY WITH FOREST LAND BOUNDARY AND PROPOSED ROAD ALIGNMENT.
13Area Calculation Sheet.
14FRA Certificate.
15MAP SHOWING ZOOM VIEW OF GEO REFERENCED SURVEY OF INDIA TOPOSHEET WITH FOREST LAND BOUNDARY AND PROPOSED ROAD ALIGNMENT.
16UNDERTAKING FOR WASTE MANAGEMENT DURING CONSTRUCTION ACTIVITY
17BAR CHART SHOWING THE REQUIRED FOREST LAND STATUS
18MAP SHOWING CADASTRAL MAP WITH FOREST LAND BOUNDARY AND PROPOSED ROAD ALIGNMENT
19Point Wise Reply and Compliance report of Observation's.
20Compliance Report of EDS Lette
21EDS Reply of 4th Oct 2017 Letter.
22CA Land Consent Letter.
23PWD Undertaking.
24Undertaking for Use of Any Material From Forest Land During Construction Activity