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/16948/2015   (ii). Name of Project for which Forest Land is required : Proposed INDIAN OIL CORPORATION LIMITED Retail Outlet   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : “Construction of Approach Road for Proposed INDIAN OIL CORPORATION LIMITED Retail Outlet on Bikaner - Jaisalmer Road (NH-15) between KM. Stone 72 -73 on RHS (Ch.72+297-72+352 RHS), Khasra No. 158 at village-Chak-Mandalbandh, Tehsil – Shri Kolayat & District-Bikaner (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) : 50   (viii). Area of forest land proposed for diversion(in ha.): 0.158796   (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 : Indian Oil Corporation Limited   (ii). Address1 : Marketing Division, Jodhpur Divisional Office,   (iii). Address2 : Sector-12, Chopasni Housing Board   (iv). State : Rajasthan   (v). District : Jodhpur   (vi). Pin : 342008   (vii). Landmark : NIL   (viii). Email address : ioclnorangdesar@gmail.com   (ix). Landline Telephone No. : 291-2711760   (x). Fax No. : 291-2710422   (xi). Mobile No. : 8769248257   (xii). Website (if any) : www.iocl.com   (xiii). Legal status of User Agency : Central PSU
A-3. Details of Person Making Application
  (i). First Name: Jitendra   (ii). Middle Name: Kumar   (iii). Last Name: Gupta   (iv). Gender: Male   (v). Designation: Assistant Manager (RS)   (vi). Address 1: Marketing Division, Jodhpur Divisional Office,   (vii). Address 2: Sector-12, Chopasni Housing Board   (viii). State: Rajasthan   (ix). District: Jodhpur   (x). Tehsil: NIL   (xi). Pin: 342008   (xii). Landmark: NIL   (xiii). Email Address: ioclnorangdesar@gmail.com   (xiv). Landline Telephone No.: 291-2711760   (xv). Fax No.: 02912710422   (xvi). Mobile No.: 9413388829   (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
1Apporvedf 14() 2014/FC/PCCF/1368B/RJ/06/07/2014/Fc./15520.0960.09605 Nov 201412 Feb 2015
2Inprinciplef 14() 2013/FCA/PCCF/8048P1 (29) forest/20140.0571180.05711813 Nov 201412 Feb 2015
3Inprinciplef 14() 2013/FCA/PCCF/7913P1 (22) forest/20140.01840.018413 Nov 201412 Feb 2015
4Inprinciplef 14() 2013/FCA/PCCF/8022P1 (3) forest/20140.06510.065113 Nov 201412 Feb 2015
5Under Processing at State GovernmentFP/RJ/ROAD/14567/2015P1 (3) forest/20140.1278050.065113 Nov 201412 Feb 2015
Total 0.364423 0.301718
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.Bikaner Territorial0.1587960
Total0.1587960
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Bikaner0.1587960
Total0.1587960
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Chak-Mandalbandh0.1587960
Total 0.158796 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Construction of Approach Road (Left Side)0.09651950
2Construction of Approach Road (Right Side)0.0622160
Total 0.1587355 0
C. Maps of forest land proposed to be diverted
Division 1. : Bikaner Territorial
  (i). Area of forest land proposed to be diverted(in ha.) : 0.158796   (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).
1.0.0965195    View File
2.0.062216    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: Entire Road is declared as PF.
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): 20
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?: Not Applicable   (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 ?: Not Applicable   (iii) . Reason for not providing Non-Forest Land: Not Applicable
Additional information Details
Documents
S.No Documents
Remarks
1LOI Letter.
2JUSTIFICATION FOR LOCATING PROJECT IN FOREST AREA.
3Land Conversion Letter.
4Forest Gazette Notification1.
5Area Calculation.
6BAR CHART SHOWING THE REQUIRED FOREST LAND STATUS.
7UNDERTAKING FOR CONSERVATION OF FLORA FAUNA DURING CONSTRUCTION OF ROAD.
8UNDERTAKING FOR NO CHANGE’S IN STATUTORY POSITION OF DIVERTED FOREST LAND.
9UNDERTAKING FOR NO OTHER FEASIBLE ALTERNATIVE AND DIVERSION OF MINIMUM FOREST LAND.
10UNDERTAKING FOR PAYMENT OF ANY OTHER COST AND CONDITION.
11UNDERTAKING FOR PAYMENT OF COST OF COMPENSATORY AFFORESTATION.
12UNDERTAKING FOR USE OF FOREST LAND.
13UNDERTAKING FOR PAYMENT OF NET PRESENT VALUE OF FOREST AREA.
14Jamabandi and Khasra Map.
15Approved Layout plan.
16MAP SHOWING DIGITAL MAP OF REQUIRED FOREST LAND AND COORDINATES OF PROPOSED ROAD ALIGNMENT.
17MAP SHOWING GEO REFERENCED SURVEY OF INDIA TOPOSHEET WITH FOREST LAND BOUNDARY and PROPOSED ROAD ALIGNMENT.
18MAP SHOWING Zoom view of GEO REFERENCED SURVEY OF INDIA TOPOSHEET WITH FOREST LAND BOUNDARY and PROPOSED ROAD ALIGNMENT.
19MAP SHOWING GOOGLE IMAGERY WITH FOREST LAND BOUNDARY and PROPOSED ROAD ALIGNMENT.
20MAP SHOWING ZOOM VIEW OF GOOGLE IMAGERY WITH FOREST LAND BOUNDARY and PROPOSED ROAD ALIGNMENT.