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/149560/2021   (ii). Name of Project for which Forest Land is required : “Construction of Widening ,Strengthening on SH-32A From Jhameshwarji to Jagat Road KM Stone No-67/0 to 80/0, Tehsil–Girwa, District -Udaipur (Rajasthan)”   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : “Construction of Widening ,Strengthening on SH-32A From Jhameshwarji to Jagat Road KM Stone No-67/0 to 80/0, Tehsil–Girwa ,District -Udaipur (Rajasthan)” Total Road Length -13 km   (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) : 1625   (viii). Area of forest land proposed for diversion(in ha.): 6.75   (ix). Non-forest land required for this project(in ha.): 4.95   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : PUBLIC WORKS DEPARTMENT RAJASTHAN   (ii). Address1 : PUBLICK WORKS DEPARTMETN OF RAJASTHAN,JACOB ROA , NEAR AJMER PULIYA , JAIPUR   (iii). Address2 : NIL   (iv). State : Rajasthan   (v). District : Jaipur   (vi). Pin : 302006   (vii). Landmark : NIL   (viii). Email address : eedd1pwdudaipur@gmail.com   (ix). Landline Telephone No. : 0-   (x). Fax No. : 0-   (xi). Mobile No. : 9887806043   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Anil   (ii). Middle Name: NIL   (iii). Last Name: Khinchi   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: Office of the Executive Engineer PWD District Division-I ,Udaipur   (vii). Address 2: NIL   (viii). State: Rajasthan   (ix). District: Udaipur   (x). Tehsil: Girwa   (xi). Pin: 313001   (xii). Landmark: NIL   (xiii). Email Address: eedd1pwdudaipur@gmail.com   (xiv). Landline Telephone No.: 0-   (xv). Fax No.: NIL   (xvi). Mobile No.: 9462625838   (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
1InprincipleFP/RJ/ROAD/20389/20168B/RAJ/06/26/2019/FC2.672.6711 Oct 2019
2InprincipleFP/RJ/ROAD/20390/20168B/RAJ/06/36/2019/FC1.631.6327 Dec 2019
Total 4.3 4.3
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.Udaipur (South) Territorial6.754.95
Total6.754.95
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Udaipur6.754.95
Total6.754.95
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Jhamar kotra0.0181.7595
2Damron Ka Gurha0.810
3Mamadev4.50360
4Gaman Sagar00.9855
5Jagat01.845
6Phutpana1.41840.36
Total 6.75 4.95
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Construction of Widening ,Strengthening on SH-32A6.754.95
Total 6.75 4.95
C. Maps of forest land proposed to be diverted
Division 1. : Udaipur (South) Territorial
  (i). Area of forest land proposed to be diverted(in ha.) : 6.75   (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).
1.6.75    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: 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): 8207
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
District 1. : Udaipur
  (a). Village: Mamadev   (b). Area(in ha.): 6.75   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 1217   (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
1Administrative And Financial Sanction
2Authorization Letter
3Cross section
4TECHNICAL SANCTION
5EDS Reply-18-01-2022
6JAMABANDI Required Forest Areas
7Project Report
8EDS Reply-10-02-2022
9EDS Reply-05-05-2022
10Hard copy Receipt
11BAR CHART
12CERTIFICATE FOR MINIMUM USE OF FOREST LAND
13CERTIFICATE TOWARD MUCK DISPOSAL AND MANAGMENT PLAN
14JUSTIFICATION FOR LOCATING THE PROJECT IN FOREST AREA
15Segment Wise Area Calculation Sheet
16STATEMENT SHOWING DETAILS OF FOREST AREA PROPOSED FOR DIVERSION
17STATEMENT SHOWING DETAILS OF NON-FOREST AREA INVOLVED IN THE PROPOSAL
18Undertaking for all type forest (deemd forest-rund- oran land) included
19UNDERTAKING FOR CA LAND (Non-Forest Land)
20UNDERTAKING FOR CONSERVATION OF FLORA-FAUNA AND WILDLIFE ANIMALS DURING ROAD CONSTRUCTION
21UNDERTAKING FOR FRA CERTIFICATE
22UNDERTAKING FOR MUCK DISPOSAL DURING CONSTRUCTION OF ROAD
23UNDERTAKING FOR NO CHANGE S IN STATUTORY POSITION OF DIVERTED FOREST LAND
24UNDERTAKING FOR PAYMENT OF ANY OTHER COST AND CONDITION
25UNDERTAKING FOR PAYMENT OF COST OF COMENSATORY AFFORESTATION
26UNDERTAKING FOR PAYMENT OF NET PRESENT VALUE OF FOREST AREA
27UNDERTAKING FOR USE OF ANY MATERIAL FROM SURROUNDED FOREST LAND DURING CONSTRUCTION OF ROAD
28UNDERTAKING FOR WASTE MANAGEMENT DURING CONSTRUCTION ACTIVITY
29Village Wise Area Calculation Sheet
30Map Showing for Geo-Referenced Survey of India Toposheet with Proposed Road Alignment Full Toposheet no 45H/15 Scale 1 :50000
31Geo-Referenced DGPS Map Showing for Required Land Coordinate with Proposed Road Alignment
32Khasra Map Super Imposed with Proposed Road Alignment Part-1 Scale 1 :4000
33Khasra Map Super Imposed with Proposed Road Alignment Part-2 Scale 1 :4000
34Khasra Map Super Imposed with Proposed Road Alignment Part-3 Scale 1 :4000
35EDS Reply-10-06-2022
36Hard copy Receipt
37Allotment Letter for CA NFL by District collector
38JAMABANDI NFL
39SDM REPORT FOR CA NFL
40Tehsil report for CA NFL
41EDS Reply-12-08-2022
42KHASRA MAP NFL
43Reply Letter-02-09-2022
44Authorization Letter Revised
45EDS Reply-21-10-2022
46SOI TOPOSHEET MAP FOR CA (NFL)
47DGPS MAP FOR CA (NFL)