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/25921/2017   (ii). Name of Project for which Forest Land is required : Proposed ESSAR OIL Retail Outlet   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Construction of Approach Road for Proposed ESSAR OIL Retail Outlet on Bikaner - Sri Ganganagar (NH-15) Between Chainage No. : 83 + 25 to 83 + 65 in the part of Murba No. 68/29 Killa No. : 12, 13/2 & 19/1 At Village - 253 RD (R) Tehsil - Lunkaransar, Dist. - 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) : 40   (viii). Area of forest land proposed for diversion(in ha.): 0.1933   (ix). Non-forest land required for this project(in ha.): 0.023   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : ESSAR OIL LTD   (ii). Address1 : 202, Shyam Anukampa,Ashok Marg, C-Scheme,   (iii). Address2 : Jaipur   (iv). State : Rajasthan   (v). District : Jaipur   (vi). Pin : 302001   (vii). Landmark : Opp. HDFC Bank   (viii). Email address : essarchak1bhd@gmail.com   (ix). Landline Telephone No. : 141-5105524   (x). Fax No. : 141-5105525   (xi). Mobile No. : 9929537905   (xii). Website (if any) : www.essaroil.co.in   (xiii). Legal status of User Agency : Private
A-3. Details of Person Making Application
  (i). First Name: Mayank   (ii). Middle Name: NIL   (iii). Last Name: Gupta   (iv). Gender: Male   (v). Designation: Territory Sales Manager   (vi). Address 1: 202, Shyam Anukampa, Ashok Marg   (vii). Address 2: C-Scheme, jaipur   (viii). State: Rajasthan   (ix). District: Jaipur   (x). Tehsil: NIL   (xi). Pin: 302001   (xii). Landmark: Opp. HDFC Bank   (xiii). Email Address: essaroillunkaransar@gmail.com   (xiv). Landline Telephone No.: 141-5105524   (xv). Fax No.: 01415105525   (xvi). Mobile No.: 9772585333   (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/14366/20158B/Raj/06/03/2016/FC0.15020.150214 Mar 201620 May 2016
2ApprovedFP/RJ/ROAD/14358/20158B/Raj/06/02/2016/FC0.14410.144114 Mar 201605 May 2016
Total 0.2943 0.2943
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 Territorial0.19330.023
Total0.19330.023
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Bikaner0.19330.023
Total0.19330.023
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Chak 253 RD (R )0.19330.023
Total 0.1933 0.023
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Construction of Approach Road (LHS)0.0916490.0115
2Construction of Approach Road (RHS)0.1016510.0115
Total 0.1933 0.023
C. Maps of forest land proposed to be diverted
Division 1. : Bikaner Territorial
  (i). Area of forest land proposed to be diverted(in ha.) : 0.1933   (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).
1.0.091649    View File
2.0.101651    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 Side land 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): 8   (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? : NIL
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 the project in forest area.
3Land Conversion Letter.
4Registry Copy.
5Undertaking for conservation of flora fauna during construction of road.
6Undertaking for FRA Certificate.
7Undertaking for no changes in statutory position of diverted forest land.
8Undertaking for no other feasible alternative and diversion of minimum forest land.
9Undertaking for Payment of any other cost and condition.
10Undertaking for Payment of cost of compensatory Afforestation.
11Undertaking for Payment of net present value of forest land.
12Undertaking for use of forest land.
13Area Calculation Sheet.
14Bar Chart.
15Digital Map.
16Toposheet map Zoom view.
17Toposheet map.
18Google Map.
19Khasra Map and jamabandi.
20Approved Layout Plan.
21MoRTH NOC.
22Previous Proposal Withdrawal Letter.