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/29601/2017   (ii). Name of Project for which Forest Land is required : PROPOSED DIVERSION OF FOREST LAND FOR RENEWAL,WIDENING & STRENGTHENING OF SIKAR-HARSH ROAD (ODR-04)KM 8/750 TO 15/100 IN HARSHNATH PF VILLAGE- ANTRI TEHSIL-DHOD,DISTT.- SIKAR (RAJ.)   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : PROPOSED DIVERSION OF FOREST LAND FOR RENEWAL,WIDENING & STRENGTHENING OF SIKAR-HARSH ROAD (ODR-04)KM 8/750 TO 15/100 IN HARSHNATH PF VILLAGE- ANTRI TEHSIL-DHOD,DISTT.- SIKAR (RAJ.)   (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) : 600   (viii). Area of forest land proposed for diversion(in ha.): 6.35   (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 : PUBLIC WORKS DEPATMENT SIKAR   (ii). Address1 : Executive Engineer PWD division Sikar   (iii). Address2 : Distt.-Sikar rajasthan   (iv). State : Rajasthan   (v). District : Sikar   (vi). Pin : 332001   (vii). Landmark : NIL   (viii). Email address : skr_ee@rediffmail.com   (ix). Landline Telephone No. : 1572-251142   (x). Fax No. : 1572-   (xi). Mobile No. : 9413339757   (xii). Website (if any) : no   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Prahlad   (ii). Middle Name: NIL   (iii). Last Name: Singh   (iv). Gender: Male   (v). Designation: ExecutiveEngineer   (vi). Address 1: Executive Engineer PWD Division -sikar   (vii). Address 2: Distt.- Sikar raj   (viii). State: Rajasthan   (ix). District: Sikar   (x). Tehsil: NIL   (xi). Pin: 332001   (xii). Landmark: NIL   (xiii). Email Address: skr_ee@rediffmail.com   (xiv). Landline Telephone No.: 1572-251142   (xv). Fax No.: NIL   (xvi). Mobile No.: 9413339757   (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
1Inprinciple8B/RAJ/06/02/2011/FC/2366/DATE-10/2/118B/RAJ/06/02/2011/FC/23660.830.8310 Feb 2011
2Inprinciple8b/raj/06/15/2013/fc/8328b/raj/06/15/2013/fc/8322.4092.40907 Aug 2013
3Approved8b/raj/06/22/2006/fc/16438b/raj/06/22/2006/fc/16434.355.3523 Nov 200604 Mar 2008
4Inprinciplefp/rj/road/5210/20138b/raj/06/33/2015/fc/1212.072.0717 Jun 2016
5Approved8B/RAJ/06/22/2006/FC/16438B/RAJ/06/22/2006/FC/16435.355.3523 Nov 200604 Mar 2008
6Inprinciple8b/raj/06/02/2011/fc/23668b/raj/06/02/2011/fc/23660.830.8310 Feb 2011
7Inprinciple8b/raj/06/15/2013/fc/8328b/raj/06/15/2013/fc/8322.4092.40907 Aug 2013
8Inprinciplefp/rj/road/5210/20138b/raj/06/33/2015/fc/1212.072.0717 Jun 2016
Total 20.318 21.318
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.Sikar Territorial6.350
Total6.350
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Sikar6.350
Total6.350
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1antri6.350
Total 6.35 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1SIKAR-HARSH ROAD, ANTRI SIKAR6.350
Total 6.35 0
C. Maps of forest land proposed to be diverted
Division 1. : Sikar Territorial
  (i). Area of forest land proposed to be diverted(in ha.) : 6.35   (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).
1.6.35    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: PROPOSED ROAD IS SITUATED INSIDE FOREST BLOCK
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): 1000
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. : Sikar
  (a). Village: shyam nagar   (b). Area(in ha.): 6.35   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 243   (e). Present owner: User Agency   (f). Copy of Ownership proof:
  (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
1PWD forwarding latter
2chainanewise area cal sheet
3Layout Plan of road
4cross section plan
5Reply of Query, Committee Decision, Undertaking, Muck Disposal Plan etc.
61 pwd demand letter of road
72 Breakup of (khasara wise) forest land
83 Project Reprot of PWD
94 Sanction Road
105 Bar Chart
116 CA INVOLVED NON FOREST LAND
127 NON FOREST LAND INVOLVED PROPODED
138 INTRODUCTION ROADS
149 Certificate for Existing Road
1510 Certificate for minimum use forest land
1611 certificate for correct road length
1712 Undertaking waste Management during const activity pdf
1813 Undertaking use of forest land
1914 Undertaking for diversion of Minimun forest land
2016 Undertaking use of any material from surrounded forest land pdf
2117 UNDERTAKING FOR MATERIAL GENERATED
2218 UNDERTAKING FOR MUG DISPOSAL OUTSIDE FOREST LAND
2319 Undertaking for Com Affors
2420 Undertaking for NPV
2521 GEO REF GOOGLE MAP(F LAND)
2622 GOOGLE F BOLCK MAP(F LAND)
2723 GEO REF GOOGLE MAP(NFL)
2824 forest land jamabandi- Antri
2925 Gajat Notification -village- Antri
3028 Status of four old diversion proposals in favour of user agency
3115 Undertaking of other cost and condition
3229 khasara patwari NFL map
33L-section plan
34List of Trees actually to be Felled