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/44021/2020   (ii). Name of Project for which Forest Land is required : Widening of Kishangarh Toll Plaza between km 360+000 to Km 362+000 on (LHS) on Jaipur – Kishangarh Section of NH - 8 in the State of Rajasthan.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Widening of Kishangarh Toll Plaza between km 360+000 to Km 362+000 on (LHS) on Jaipur – Kishangarh Section of NH - 8 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) : 2250   (viii). Area of forest land proposed for diversion(in ha.): 1.751   (ix). Non-forest land required for this project(in ha.): 5.9085   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : National Highways Authority of India   (ii). Address1 : National Highways Authority of India (Ministry of Road transport & Highways)   (iii). Address2 : Regional Office Rajasthan , F-120, Janpath, Shyam Nagar, Jaipur   (iv). State : Rajasthan   (v). District : Jaipur   (vi). Pin : 302019   (vii). Landmark : NIL   (viii). Email address : tollplazanhai@gmail.com   (ix). Landline Telephone No. : 141-2292049   (x). Fax No. : 141-   (xi). Mobile No. : 7073175333   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Central Government
A-3. Details of Person Making Application
  (i). First Name: Anil   (ii). Middle Name: Kumar   (iii). Last Name: Khandelwal   (iv). Gender: Male   (v). Designation: Project Director   (vi). Address 1: D-148 Behind RSEB Sub Station   (vii). Address 2: Vaishali Nagar Jaipur   (viii). State: Rajasthan   (ix). District: Jaipur   (x). Tehsil: NIL   (xi). Pin: 302021   (xii). Landmark: RSEB Sub Station   (xiii). Email Address: tollplazakishangarh@gmail.com   (xiv). Landline Telephone No.: 141-2351427   (xv). Fax No.: 01414026465   (xvi). Mobile No.: 8824483444   (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
1ApprovedFP/RJ/ROAD/24716/2017F.1(23)Forest/20180.63850.638504 Feb 201804 May 2018
Total 0.6385 0.6385
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.Ajmer Territorial1.7515.9085
Total1.7515.9085
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Ajmer1.7515.9085
Total1.7515.9085
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Chundri1.7515.9085
Total 1.751 5.9085
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Widening of Toll Plaza1.7515.9085
Total 1.751 5.9085
C. Maps of forest land proposed to be diverted
Division 1. : Ajmer Territorial
  (i). Area of forest land proposed to be diverted(in ha.) : 1.751   (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).
1.1.751    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: Existing Toll Plaza Widening Project.
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 16   (iii). Temporary Employment(Number of person-days): 1500
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
1Administrative and Financial Approval.
2Gazette Notification.
3UNDERTAKING FOR WASTE MANAGEMENT DURING CONSTRUCTION ACTIVITY.
4UNDERTAKING FOR CONSERVATION OF FLORA FAUNA DURING CONSTRUCTION.
5UNDERTAKING FOR NO CHANGES IN STATUTORY POSITION OF DIVERTED FOREST LAND.
6UNDERTAKING FOR NO OTHER FEASIBLE ALTERNATIVES AND DIVERSION OF MINIMUM FOREST LAND.
7UNDERTAKING FOR PAYMENT OF ANY OTHER COST AND CONDITION.
8UNDERTAKING FOR USE OF FOREST LAND.
9CERTIFICATE FOR MINIMUM USE OF FOREST LAND.
10UNDERTAKING FOR PAYMENT OF COST OF COMPENSATORY AFFORESTATION.
11UNDERTAKING FOR PAYMENT OF NET PRESENT VALUE OF FOREST AREA.
12UNDERTAKING FOR USE OF ANY MATERIAL FROM SURROUNDED FOREST LAND DURING CONSTRUCTION.
13Bar Chart Status.
14Digital Map 50000 scale.
15Digital Map Zoom view.
16Full Toposheet Map 50000 scale 45J14.
17Toposheet Map 50000 scale.
18Details of Permanent Employment to be generated.
19Khasra map and Jamba bandi.
20Project Report.
21UNDERTAKING FOR TWO TIME DEGRADED FOREST LAND.
22EDS Reply Letter dated 11_02_2020.
23Area Calculation Sheet.
24Layout Plan with Area Calculation.