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/33680/2018   (ii). Name of Project for which Forest Land is required : Widening / Strengthening / Up-gradation to two lane with paved shoulder from existing chainage km 250.600 to 266.843 (Wajwana-Banswara) Section of NH-927A in the State of Rajasthan   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Diversion of 4.99 ha Protected Forest Land for Widening / Strengthening / Up-gradation to two lane with paved shoulder from existing chainage km 250.600 to 266.843 (Wajwana-Banswara) Section of NH-927A in the State of 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) : 9690   (viii). Area of forest land proposed for diversion(in ha.): 4.99   (ix). Non-forest land required for this project(in ha.): 47.7605   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : MINISTRY OF ROAD TRANSPORT & HIGHWAYS   (ii). Address1 : National Highway Division Public Works Department   (iii). Address2 : Gulab Bagh Road Jawahar Nagar Near Udaipur Power House Udaipur   (iv). State : Rajasthan   (v). District : Udaipur   (vi). Pin : 313001   (vii). Landmark : Near Udaipur Power House   (viii). Email address : eepwdnhudaipur@rediffmail.com   (ix). Landline Telephone No. : 294-2413282   (x). Fax No. : 294-   (xi). Mobile No. : 9414164582   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Central Government
A-3. Details of Person Making Application
  (i). First Name: Rajendra   (ii). Middle Name: kumar   (iii). Last Name: Parmar   (iv). Gender: Male   (v). Designation: ExecutiveEngineer   (vi). Address 1: National Highway Division Public Works Department   (vii). Address 2: Gulab Bagh Road Jawahar Nagar Near Udaipur Power House Udaipur   (viii). State: Rajasthan   (ix). District: Udaipur   (x). Tehsil: Jhadol   (xi). Pin: 313001   (xii). Landmark: Near Udaipur Power House   (xiii). Email Address: eepwdnhudaipur@rediffmail.com   (xiv). Landline Telephone No.: 294-2413282   (xv). Fax No.: NIL   (xvi). Mobile No.: 9414102805   (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
List of 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
NIL
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.Banswara Territorial4.9947.7605
Total4.9947.7605
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Banswara4.9947.7605
Total4.9947.7605
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1WAJWANA2.73644.6796
2SANGETA03.534
3MUNGTHALI2.25361.1964
4MASOTIYA02.4
5SAMAGARA04.782
6TALWARA012.9645
7SAUNDANPUR05.175
8GORDI05.7
9ADARSHNAGAR04.65
10KHOPRA02.679
Total 4.99 47.7605
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Section of NH-927A 250.600 to 266.8434.9947.7605
Total 4.99 47.7605
C. Maps of forest land proposed to be diverted
Division 1. : Banswara Territorial
  (i). Area of forest land proposed to be diverted(in ha.) : 4.99   (ii). Nature of the Project: Linear   (b). No. of Segments : Five
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).
1.0.44    View File
2.0.3358    View File
3.0.7652    View File
4.1.1954    View File
5.2.2536    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: Widening / Up gradation / Strengthening of existin
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): 73000
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
1CERTIFICATE FOR MINIMUM USE OF FOREST LAND
2CROSS SECTIONS
3JUSTIFICATION FOR LOCATING THE PROJECT IN FOREST AREA.pdf
4UNDERTAKING FOR COMPENSATORY AFFORESTATION LAND.pdf
5UNDERTAKING FOR CONSERVATION OF FLORA-FAUNA AND WILDLIFE ANIMALS DURING GAURAV PATH CONSTRUCTION.pdf
6UNDERTAKING FOR NO CHANGES IN STATUTORY POSITION OF DIVERTED FOREST LAND.pdf
7UNDERTAKING FOR MUCK DISPOSAL DURING CONSTRUCTION OF ROAD.pdf
8UNDERTAKING FOR FRA CERTIFICATE.pdf
9UNDERTAKING FOR PAYMENT OF COST OF COMPENSATORY AFFORESTATION.pdf
10UNDERTAKING FOR PAYMENT OF NET PRESENT VALUE OF FOREST AREA.pdf
11UNDERTAKING FOR USE OF ANY MATERIAL FROM SURROUNDED FOREST LAND DURING CONSTRUCT ROAD.pdf
12UNDERTAKING FOR WASTE MANAGEMENT DURING CONSTRUCTION ACTIVITY.pdf
13VILLAGE WISE AREA CALCULATION FOREST AND NON FOREST LAND.pdf
14Segment Wise Area Calculation Sheet.pdf
15DIGITAL MAP SHOWING FOR REQUIRED FORESTS LAND COORDINATE AND PROPOSED ROAD ALIGNMENT
16DIGITAL MAP SEGMENT - 1 to 4.pdf
17Administrative Approval
18AUTHORIZATION LETTER.pdf
19PROJECT REPORT.pdf
20EDS REPLY LETTER-18-06-2019.pdf
21BHUMI AWANDTAN PATRA CHECK LIST.pdf
22C A LAND ORDER COPY BY SDM.pdf
23CA LAND REPORT BY TEHSILDAR.pdf
24GRAM PANCHYAT CA LAND MEETING COPY.pdf
25GRAM PANCHYAT NOC FOR CA LAND.pdf
26JAMABANDI FOR REQUIRED FOREST LAND.pdf
27KHASRA MAP FOR CA LAND.pdf
28PATWARI AND FORESTER MOKA REPORT.pdf
29PATWARI REPORT.pdf
30SDM LETTER FOR CA LAND.pdf
31SITE REPORT FOR CA LAND.pdf
32JAMABNDI CA LAND.pdf
33GEO-REFERENCED SURVEY OF INDIA TOPO SHEET FOR COMPENSTORY AFFORESTATION LAND
34Statement Showing Details of Forest Area Proposed for Diversion.
35Bar Chart.
36Forest Gazette Notification.
37Cretificate of Tehsildar Road Constructed 1980 before .pdf
38GEO-REFERENCED GOOGLE MAP FOR COMPENSTORY AFFORESTATION LAND
39GEO-REFERENCED DIGITAL MAP FOR COMPENSTORY AFFORESTATION LAND
40EDS Reply of UA -12-07-2019
41MoEF 08.08.2019 EDS Reply Letter
42DIGITAL MAP SEGMENT -5.pdf
43GOOGLE MAP.pdf
44MAPSHOWING FOR GEO-REFERENCED SURVEY OF INDIA TOPO SHEET WITH FOREST LAND AND PROPOSED ROAD ALIGNMENT SCALE 1: 50,000