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/35989/2018   (ii). Name of Project for which Forest Land is required : “Construction of Road Widening & Strengthening of Lasadiya to Dhariyawad Road(ODR-20) KM 00 to 30km”   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : “Construction of Road Widening & Strengthening of Lasadiya to Dhariyawad Road(ODR-20) KM 00 to 30km” (Applied Area=17.1315)   (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) : 1860   (viii). Area of forest land proposed for diversion(in ha.): 17.1315   (ix). Non-forest land required for this project(in ha.): 5.3685   (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 RAJASTHAN   (ii). Address1 : PUBLIC WORKS DEPARTMENT RAJASTHAN,JACOB ROAD , JAIPUR   (iii). Address2 : NIL   (iv). State : Rajasthan   (v). District : Jaipur   (vi). Pin : 302006   (vii). Landmark : JACOB ROAD   (viii). Email address : roshanlalaen2018@gmail.com   (ix). Landline Telephone No. : 141-5110547   (x). Fax No. : 141-   (xi). Mobile No. : 9413849543   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Rajkumar   (ii). Middle Name: NIL   (iii). Last Name: Meena   (iv). Gender: Male   (v). Designation: AssitantEngineer   (vi). Address 1: Exicutive Engineer,PWD Division,Salumber,District -Udaipur   (vii). Address 2: Assitant Engineer,Sub Division,Lasariya, District Udaipur   (viii). State: Rajasthan   (ix). District: Udaipur   (x). Tehsil: NIL   (xi). Pin: 313027   (xii). Landmark: Government Hospital   (xiii). Email Address: roshanlalaen2018@gmail.com   (xiv). Landline Telephone No.: 1290-6232767   (xv). Fax No.: NIL   (xvi). Mobile No.: 9785515382   (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/20389/20168B/RAJ/06/26/2019/FC2.672.6711 Oct 2019
2InprincipleFP/RJ/ROAD/20390/20168B/RAJ/06/36/2019/FC1.631.6327 Dec 2019
Total 4.3 4.3
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.Pratapgarh Territorial17.13155.3685
Total17.13155.3685
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Udaipur11.4572.043
1.Pratapgarh5.67453.3255
Total17.13155.3685
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1LASARIYA1.6682.043
2KELKI KUAI1.82550
3DHAMANIYA JHA3.56250
4LALPURA1.6860
5SINGAWTO KA KHERA2.7150
6SATAKURI2.1210
7AARAMPURA2.10
8BHIMGONV00.2775
9JHAHIKHERA0.4830.825
10MUNIYA0.55650.117
11DAS KA GURHA0.4140.2565
12KALYANPURA01.35
13DHARIYAWAD00.4995
Total 17.1315 5.3685
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1DISTRICT BOUNDARY TO DHARIYAWAD5.67453.3255
2DISTRICT BOUNDARY TO LASARIYA11.4572.043
Total 17.1315 5.3685
C. Maps of forest land proposed to be diverted
Division 1. : Pratapgarh Territorial
  (i). Area of forest land proposed to be diverted(in ha.) : 17.1315   (ii). Nature of the Project: Linear   (b). No. of Segments : Four
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).
1.11.457    View File
2.4.221    View File
3.0.483    View File
4.0.9705    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: Only 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): 11272
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: 2   (iv). No. of patches: Four
District 1. : Udaipur
  (a). Village: KEL KI KUI, DHAMNIYA JANGIR, LASARIYA,   (b). Area(in ha.): 11.473   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 178,57/9,3700,314   (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
1ADMINISTRATIVE AND FINANCIAL SANCTION
2TECHNICAL SANCTION
3JAMABANDI PRATAPGARH DISTRICT
4PROJECT REPORT
5EDS REPLY LETTER-24-01-2019
6REVISED AUTHORIZATION LETTER
7EDS Reply Lasadiya to Dhariyawad road -18-02-2020
8KHASRA MAP LASADIYA SHEET-1
9KHASRA MAP KELKI KUI SHEET-2
10KHASRA MAP DHAMNIYA JHA SHEET-3
11KHASRA MAP LALPURA SHEET-4
12KHASRA MAP SINGAWATO KA KHERA SHEET-5
13KHASRA MAP MUNIYA SHEET-7
14KHASRA MAP JHAIKHERA SHEET-6
15KHASRA MAP DAS KA GUDA SHEET-8
16CA LAND REPORT SDM
17CA LAND REPORT TEHSILDAR AND PATWARI
18GRAM PANCHYAT NOC AND MEETING COPY
19SDM LEVEL AND BDO FRA NOC
20BAR CHART
21C A LAND KHASRA MAP AND JAMABANDI
22CERTIFICATE FOR MINIMUM USE OF FOREST LAND
23JUSTIFICATION FOR LOCATING THE PROJECT IN FOREST AREA
24UNDERTAKING FOR CONSERVATION OF FLORA-FAUNA AND WILDLIFE ANIMALS DURING ROAD CONSTRUCTION
25UNDERTAKING FOR FRA CERTIFICATE
26UNDERTAKING FOR MUCK DISPOSAL DURING CONSTRUCTION OF ROAD
27UNDERTAKING FOR NO CHANGES IN STATUTORY POSITION OF DIVERTED
28UNDERTAKING FOR PAYMENT OF ANY OTHER COST AND CONDITION
29UNDERTAKING FOR PAYMENT OF NET PRESENT VALUE OF FOREST AREA
30UNDERTAKING FOR USE OF ANY MATERIAL FROM SURROUNDED FOREST
31UNDERTAKING FOR WASTE MANAGEMENT DURING CONSTRUCTION ACTIVITY
32Village Wise area calculation sheet
33STATEMENT SHOWING DETAILS OF FOREST AREA PROPOSED FOR DIVERSION
34CROSS SECTION
35EDS REPLY Lasadiya to Dhariyawad Road-27-11-2020
36FRA CERTIFICATE PROCESSING DOCUMENTS
37JAMABANDI UDAIPUR DISTRICT
38Segment Wise Area Calculation Sheet
39Geo-Referenced Survey of India Toposheet With Road Alignment Scale 1 : 50000
40Geo-Referenced DGPS Map With Required Land Coordinate and Proposed Road Alignment
41Geo-Referenced Google Imagery map with Proposed Road Alignment
42Geo-referenced CA land Digital Map
43Geo-referenced CA land Toposheet Scale 1 : 50000