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/38474/2019
(ii). Name of Project for which Forest Land is required :
Construction of Approach Road for Proposed Hindustan petroleum Retail Outlet on Ganganagar -Bikaner NH-15(R.H.SIDE) ,Between Chainage ms stone 89/760 to 89/841.40,Lunkaransar-Malkisar at Village- Chak -2 BHM, Tehsil-Lunkaransar, District Bikaner
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Construction of Approach Road forProposed Hindustan petroleum Retail Outlet,on Ganganagar -Bikaner NH-15(R.H.S.) ,Between Chainage from ms stone 89/760 to 89/841.40,Lunkaransar-Malkisar at Village- Chak -2 BHM, Tehsil-Lunkaransar, District Bikaner
(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) :
55
(viii). Area of forest land proposed for diversion(in ha.):
0.1276
(ix). Non-forest land required for this project(in ha.):
0.3639
(x). Total period for which the forest land is proposed to be diverted(in years):
19.99
A-2.
Details of User Agency
(i). Name :
Hindustan Petroleum Corporation Limited
(ii). Address1 :
JODHPUR RETAIL REGION, BHAGAT KI KOTHI,JODHPUR
(iii). Address2 :
NIL
(iv). State :
Rajasthan
(v). District :
Jodhpur
(vi). Pin :
342005
(vii). Landmark :
BHAGAT KI KOTHI
(viii). Email address :
pariharsunny84@gmail.com
(ix). Landline Telephone No. :
291-5131301
(x). Fax No. :
291-2747183
(xi). Mobile No. :
9413011935
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
Central PSU
A-3.
Details of Person Making Application
(i). First Name:
SHALABH
(ii). Middle Name:
RAJ
(iii). Last Name:
GUPTA
(iv). Gender:
Male
(v). Designation:
CHIEFREGIONALMANAGER
(vi). Address 1:
JODHPUR RETAIL REGION,BHAGAT KI KOTHI , JODHPUR
(vii). Address 2:
NIL
(viii). State:
Rajasthan
(ix). District:
Jodhpur
(x). Tehsil:
NIL
(xi). Pin:
342005
(xii). Landmark:
BHAGAT KI KOTHI
(xiii). Email Address:
pariharsunny84@gmail.com
(xiv). Landline Telephone No.:
291-5131301
(xv). Fax No.:
NIL
(xvi). Mobile No.:
9413011935
(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
1
Approved
FP/RJ/ROAD/29398/2017
F.1(76)Forest/2017
0.0593
0.0593
01 Jan 2018
07 Feb 2018
2
Approved
FP/RJ/ROAD/25888/2017
F.1(46)Forest/2017
0.1421
0.1421
09 Aug 2018
05 Mar 2019
Total
0.2014
0.2014
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 Territorial
0.1276
0.3639
Total
0.1276
0.3639
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Bikaner
0.1276
0.3639
Total
0.1276
0.3639
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
2BHM
0.1276
0.3639
Total
0.1276
0.3639
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
PROPOSED DECELERATION LANE (LHS)
0.0531
0.0298
2
PROPOSED ACCELERATION LANE (RHS)
0.0745
0.0206
3
HPCL RETAIL OUTLET PLOT AREA
0
0.3135
Total
0.1276
0.3639
C.
Maps of forest land proposed to be diverted
Division 1. : Bikaner Territorial
(i). Area of forest land proposed to be diverted(in ha.) :
0.1276
(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.
0.0531
View File
2.
0.0745
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 NH-15 Road Side Row is Declared as P.F.
E.
Employment likely to be generated
(i). Whether the Project is likely to generate employment ?:
Yes
(ii). Permanent/Regular Employment(Number of persons):
5
(iii). Temporary Employment(Number of person-days):
350
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
1
MORTH PERMISSION RELETED LETTER
2
JAMABANDI AND KHASRA MAP.pdf
3
GRAMPANCHYAT NOC.pdf
4
JUSTIFICATION FOR LOCATING THE PROJECT IN FOREST AREA.pdf
5
LAND CONVERSION DOCUMENTST.pdf
6
UNDERTAKING FOR CONSERVATION OF FLORA-FAUNA AND WILDLIFE ANIMALS DURING ROAD CONSTRUCTION.pdf
7
UNDERTAKING FOR FRA CERTIFICATE.pdf
8
UNDERTAKING FOR MUCK DISPOSAL DURING CONSTRUCTION OF ROAD.pdf
9
UNDERTAKING FOR NO CHANGE’S IN STATUTORY POSITION OF DIVERTED FOREST LAND.pdf
10
UNDERTAKING FOR USE OF ANY MATERIAL FROM SURROUNDED FOREST LAND DURING CONSTRUCT ROAD.pdf
11
UNDERTAKING FOR WASTE MANAGEMENT DURING CONSTRUCTION ACTIVITY.pdf
12
Eds Reply letter by Hindustan Petroleum Retail outlet on Ganganagar- Bikaner .pdf
13
EDS REPLY Hindustan Petroleum Retail outlet -22-08-2019
14
BAR CHART.pdf
15
AREA CALCULATION SHEET WITH LAYOUT
16
CERTIFICATE FOR MINIMUM USE OF FOREST LAND
17
UNDERTAKING FOR PAYMENT OF COST OF COMPENSATORY AFFORESTATION
18
UNDERTAKING FOR PAYMENT OF NET PRESENT VALUE OF FOREST AREA
19
STATMENT OF AREA IN INVOLEMENT FOREST AND NON FOREST
20
LAND CONVERSION DOCUMENTS
21
MAP SHOWING FOR GEO-REFERENCED SURVEY OF INDIA TOPOSHEET WITH FOREST LAND AND PROPOSED APPROACH ROAD ALIGNMENT OF HPCL OUT LET SCALE 1: 50.000
22
DIGITAL MAP SHOWING FOR REQUIRED FOREST T LAND COORDINATE AND PROPOSED APPROACH ROAD ALIGNMENT OF HPCL OUT LET
23
GOOGLE MAP SHOWING FOR FOREST T LAND COORDINATE AND PROPOSED APPROACH ROAD ALIGNMENT OF HPCL OUT LET
24
AUTHORIZATION LETTER
25
LOI LETTER
26
APPROVED LAY OUT PLAN