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/16889/2015   (ii). Name of Project for which Forest Land is required : Widening, Strengthening and Reconstruction of Sawai Madhopur - Shivpuri Road (SH-30)   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Widening, Strengthening and Reconstruction of Sawai Madhopur - Shivpuri Road (SH-30) KM 82/700 to 93/390 at Tehsil & District-Sawai Madhopur (Rajasthan)”.   (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) : 7404.35   (viii). Area of forest land proposed for diversion(in ha.): 6.86   (ix). Non-forest land required for this project(in ha.): 0.623   (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   (ii). Address1 : Collectorate Road, Opposite Nagar Parisad.   (iii). Address2 : NIL   (iv). State : Rajasthan   (v). District : Sawai Madhopur   (vi). Pin : 322025   (vii). Landmark : NIL   (viii). Email address : pwdsawaimadhopur4@gmail.com   (ix). Landline Telephone No. : 7462-220394   (x). Fax No. : 7462-220527   (xi). Mobile No. : 9667294393   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Ashish   (ii). Middle Name: NIL   (iii). Last Name: Verma   (iv). Gender: Male   (v). Designation: Assistant Engineer   (vi). Address 1: Collectorate Road, Opposite Nagar Parisad, Sawai Madhopur   (vii). Address 2: NIL   (viii). State: Rajasthan   (ix). District: Sawai Madhopur   (x). Tehsil: NIL   (xi). Pin: 322025   (xii). Landmark: NIL   (xiii). Email Address: pwdsawaimadhopur4@gmail.com   (xiv). Landline Telephone No.: 7462-220394   (xv). Fax No.: 07462220527   (xvi). Mobile No.: 9667294393   (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/6954/20148B/RJ/06/04/2015/FC2.962.9606 Jan 2017
2InprincipleFP/RJ/ROAD/6955/20148B/RJ/06/12/20152.792.7905 Feb 2016
3InprincipleFP/RJ/ROAD/6956/20148b/RJ/06/13/20153.23.204 Aug 2016
4InprincipleFP/RJ/ROAD/6982/20148B/Rj/06/20/20152.222.2205 Feb 2016
5InprincipleFP/RJ/ROAD/6985/20148B/Rj/06/16/2015/FC4.24.211 Feb 2016
Total 15.37 15.37
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.RTR Core Sawaimadhopur Wildlife6.860.623
Total6.860.623
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Sawai Madhopur6.860.623
Total6.860.623
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Sawai Madhopur00.623
2Nimli Khurd2.8120
3Kusalipura1.67740
4Ajabpura1.01970
5Bodal1.35090
Total 6.86 0.623
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Widening, Strengthening and Reconstruction of SH-36.860.623
Total 6.86 0.623
C. Maps of forest land proposed to be diverted
Division 1. : RTR Core Sawaimadhopur Wildlife
  (i). Area of forest land proposed to be diverted(in ha.) : 6.86   (ii). Nature of the Project: Linear   (b). No. of Segments : Three
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).
1.4.249    View File
2.1.26    View File
3.1.351    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: This is the Existing Road Widening, Strengthening
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): 987246
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? : Yes   (a). Whether Project or a part thereof is located within a Protected Area ? : Yes   (b). Status of approval of the Supreme Court : Approval obtained   (c). Date of Approval : NIL   (d).Copy of the approval of the Supreme Court:   (ii). Status of approval of the Standing Committee of National Board for the Wildlife(NBWL) to the Project : Approval obtained   (a). MoEF File No : F. No. 6-13/2017 W L (41st Meeting)   (b). Copy of approval of Standing of the NBWL:   (c). Date of Approval : 28 Mar 2017
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. : Sawai Madhopur
  (a). Village: Awand   (b). Area(in ha.): 6.86   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 758/1147 and 809   (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
1NBWL Permission
2Google Map Zoom view.
3Google Map.
4Toposheet Map zoom view.
5Area Calculation Sheet.
6FRA Certificate.
7Jamabandi.
8DPR Documents.
9Khasra Map1.
10Khasra Map2.
11Khasra Map3.
12Khasra Map4.
13Khasra Map5.
14Khasra Map6.
15Khasra Map7.
16Khasra Map8.
17Khasra Map9.
18Khasra Map10.
19Khasra Map11.
20PWD Old Proposal Status.
21JUSTIFICATION FOR LOCATING PROJECT IN FOREST AREA.
22DPR Copy.
23NBWL Compliance and Approval.
24Undertaking of NPV and Minimum Forest Land.
25Approved DPR Copy and reply letter.
26Authorization Letter.
27UNDERTAKING FOR CONSERVATION OF FLORA FAUNA DURING CONSTRUCTION OF ROAD.
28UNDERTAKING FOR NO CHANGE’S IN STATUTORY POSITION OF DIVERTED FOREST LAND.
29UNDERTAKING FOR NO OTHER FEASIBLE ALTERNATIVE AND DIVERSION OF MINIMUM FOREST LAND
30UNDERTAKING FOR PAYMENT OF ANY OTHER COST AND CONDITION.
31UNDERTAKING FOR PAYMENT OF COST OF COMPENSATORY AFFORESTATION.
32UNDERTAKING FOR PAYMENT OF NET PRESENT VALUE OF FOREST AREA.
33UNDERTAKING FOR USE OF FOREST LAND.
34Undertaking for Use of Any Material From Forest Land.
35Undertaking for Waste Management.