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/42305/2019   (ii). Name of Project for which Forest Land is required : Diversion of 0.980 Ha forest Land for Development and Maintenance of Siwana-Samdari- Balesr Section of SH-66   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Diversion of 0.980 Ha forest Land for Development and Maintenance of Siwana-Samdari- Balesar Section of SH-66   (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) : 30642   (viii). Area of forest land proposed for diversion(in ha.): 0.98   (ix). Non-forest land required for this project(in ha.): 35.813   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : ADD CHIEF ENGINEER PPP PWD JAIPUR RAJ   (ii). Address1 : Office of the Project Director, PPP PIU Jalore Flat No 303, 304 Shri shrimal Apartment, Sarawas, Tilakdwar Jalore   (iii). Address2 : NIL   (iv). State : Rajasthan   (v). District : Jodhpur   (vi). Pin : 343001   (vii). Landmark : Tilakdwar   (viii). Email address : pdpppjalore.pwd@gmail.com   (ix). Landline Telephone No. : 2973-222547   (x). Fax No. : 2973-   (xi). Mobile No. : 9413338063   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: VISHVESHWAR   (ii). Middle Name: LAL   (iii). Last Name: DHANKHAR   (iv). Gender: Male   (v). Designation: PD   (vi). Address 1: 303,304 Shri Shrimal Apartment, Tilakdwar, Jalore   (vii). Address 2: NIL   (viii). State: Rajasthan   (ix). District: Barmer   (x). Tehsil: Siwana   (xi). Pin: 343001   (xii). Landmark: NIL   (xiii). Email Address: pdpppjalore.pwd@gmail.com   (xiv). Landline Telephone No.: 2973-222547   (xv). Fax No.: NIL   (xvi). Mobile No.: 9413338063   (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.Barmer Territorial0.9835.813
Total0.9835.813
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Barmer0.9835.813
Total0.9835.813
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1SAMDARI0.9835.813
Total 0.98 35.813
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1ROAD0.979705835.811768
Total 0.9797058 35.811768
C. Maps of forest land proposed to be diverted
Division 1. : Barmer Territorial
  (i). Area of forest land proposed to be diverted(in ha.) : 0.98   (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).
1.0.98    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: Yes   (a). Copy of map indicating location of alternative examined:
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 7   (iii). Temporary Employment(Number of person-days): 180
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
1area calculation of forest and non forest area
2Bar Chart
3Bar Diagram
4Breakup of forest & non forest land
5certificate of minimum use of forest land
6Detail project report
7Detail of non forest land
8FRA Certificate
9Jamabandi
10Jamabandi 2
11Justification of forest area
12Muck disposal plan
13Office address of UA
14project alignment map
15project sanction letter
16Strip plan of project highway
17Tree enumeration list
18typical cross section
19Undertaking of NPV
20Undertaking of CA amount
21Observation Compliance Letter
22Authorization Letter to upload forest proposal
23Compliance of Observation with Attachments 2
24Compliance of Observation with Attachments 1
25Forest Boundary with Entry and Exists Chainage
26EDS reply Our letter no 33 dated 19-05-2020
27MAP SHOWING FOR GEO-REFERENCED SURVEY OF INDIA TOPOSHEET WITH FOREST LAND AND PROPOSED ROAD ALIGNMENT SCALE 1 : 50,000
28Authorization Letter
29COMPARATIVE STATEMENT OF ALTERNATIVE ROUTE PWD JALORE
30Employment Justification
31GEO-REFERENCED DIGITAL MAP SHOWING FOR REQUIRED FOREST LAND COORDINATE AND PROPOSED ROUTE ALIGNMENT
32ALTERNATIVE DIGITAL MAP
33Compliance letter of DFO Barmer regarding Trees details Abstract Girthwise
34EDS REPLY LETTER-19-04-2021
35Certificate Toward Muck Disposal
36UNDERTAKING FOR NO ADDITIONAL FOREST LAND RQUIRED
37EDS REPLY-20-05-2021
38EDS reply vide Letter No, 138 dated 19.07.2021
39EDS Reply