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/6979/2014   (ii). Name of Project for which Forest Land is required : KOTA-DHARNAWADA ROAD KM 132/500 TO 137/500   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : KOTA CHHABRA DHARNAWADA UPTO MP BORDER ROAD IS A VERY IMPORTANT ROAD WHICH CONNECTS GUNA (MP STATE) NH-3 TO NH-90 ALSO MEGHA HIGHWAY   (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) : 9850   (viii). Area of forest land proposed for diversion(in ha.): 13.558   (ix). Non-forest land required for this project(in ha.): 1.442   (x). Total period for which the forest land is proposed to be diverted(in years): 100
A-2. Details of User Agency
  (i). Name : EXECUTIVE ENGINEER PWD DIV CHHABRA   (ii). Address1 : EXECUTIVE ENGINEER, PWD DIV CHHABRA   (iii). Address2 : NIL   (iv). State : Rajasthan   (v). District : Baran   (vi). Pin : 325220   (vii). Landmark : NIL   (viii). Email address : ee_chhabra@rediffmail.com   (ix). Landline Telephone No. : 7452-222215   (x). Fax No. : NIL   (xi). Mobile No. : 9413380867   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: MUKESH   (ii). Middle Name: Kr   (iii). Last Name: GUPTA   (iv). Gender: Male   (v). Designation: EXECUTIVE ENGINEER   (vi). Address 1: EXECUTIVE ENGINEER, PWD DIV CHHABRA, DISTRICT BARAN (325220)   (vii). Address 2: NIL   (viii). State: Rajasthan   (ix). District: Baran   (x). Tehsil: NIL   (xi). Pin: 325220   (xii). Landmark: NIL   (xiii). Email Address: ee_chhabra@rediffmail.com   (xiv). Landline Telephone No.: 7452-222215   (xv). Fax No.: 07452223134   (xvi). Mobile No.: 9414188120   (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
1ReturnedFP/RJ/ROAD/10911/2015109112.270
2Returnedfp/rj/road/6979/2014697913.5580
Total 15.828 0
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.Baran Territorial13.5581.442
Total13.5581.442
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Baran13.5581.442
Total13.5581.442
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1HANUWAT KHERA0.5451.015
2UDPURIYA6.4240.427
3BHEELWARA NEECHA1.6740
4KADARPURA0.790
5GHATTA4.1250
Total 13.558 1.442
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1ROAD WORK13.5580
2Road01.442
Total 13.558 1.442
C. Maps of forest land proposed to be diverted
Division 1. : Baran Territorial
  (i). Area of forest land proposed to be diverted(in ha.) : 13.558   (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).
1.13.558    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): 0   (iii). Temporary Employment(Number of person-days): 30
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: 1   (iv). No. of patches: One
District 1. : Baran
  (a). Village: sorson   (b). Area(in ha.): 13.558   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 1173   (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
1
2
3bar chart
4certificate ee
5detail project report
6fra
7khasara detail
8senction
9reply
10land suitability certificate
11reply
12area calculation report
13chronology
14irc guide linr
15office leter
16reply of eds
17road passing
18alternate route examination
19x section
20work order
21Site ins faction report by dfo for vailation
22reply of EDS 11 19
23reply 31 12 19
24REPLY OF EDS 20 9 22