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/9317/2015   (ii). Name of Project for which Forest Land is required : Upgradation of Thana Mewara Road 0.00km to 32.00 km PWD DUNGARPUR,RAJASTHAN   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Up gradation & Widening work from ROAD Thana Mewara 14.500 KM to 24.800 KM IN FOREST Gunjrat Border (Two Lane) in Distt. Dungarpur, RAJASTHAN(STATE PLAN- 5054,CM ANOUCED ROAD)   (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) : 4500   (viii). Area of forest land proposed for diversion(in ha.): 12.528   (ix). Non-forest land required for this project(in ha.): 33.75   (x). Total period for which the forest land is proposed to be diverted(in years): NIL
A-2. Details of User Agency
  (i). Name : EXECUTIVE ENGINEER PWD DN DUNGARPUR   (ii). Address1 : PWD Division Dungarpur   (iii). Address2 : NIL   (iv). State : Rajasthan   (v). District : Dungarpur   (vi). Pin : 314001   (vii). Landmark : Tehsil Chauraha   (viii). Email address : xenpwddpr@yahoo.in   (ix). Landline Telephone No. : 2964-231414   (x). Fax No. : 2964-   (xi). Mobile No. : 9414163019   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Raj Kumar   (ii). Middle Name: Singh   (iii). Last Name: Chauhan   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: PWD Division office   (vii). Address 2: Dungarpur   (viii). State: Rajasthan   (ix). District: Dungarpur   (x). Tehsil: Dungarpur   (xi). Pin: 314001   (xii). Landmark: Tehsil Chauraha   (xiii). Email Address: xenpwddpr@yahoo.in   (xiv). Landline Telephone No.: 2964-232414   (xv). Fax No.: NIL   (xvi). Mobile No.: 9414163019   (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.Dungarpur12.52833.75
Total12.52833.75
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Dungarpur12.52833.75
Total12.52833.75
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1RAMSAGDA0.12960
2JHALUKUA2.7040
3VER0.90530
4BHARATPUR0.08911.2
5un surveyed forest area (no village setteled by re8.70
Total 12.528 1.2
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1RAMSAGDA0.12960
2JHALUKUA2.7040
3VER0.90530
4BHARATPUR0.08911.2
5UNSURVEYED-12.250
6UNSURVEYED-21.3050
7UNSURVEYED-30.760
8UNSURVEYED-41.95830
9UNSURVEYED-510
10UNSURVEYED-60.97670
11UNSURVEYED-70.450
Total 12.528 1.2
C. Maps of forest land proposed to be diverted
Division 1. : Dungarpur
  (i). Area of forest land proposed to be diverted(in ha.) : 12.528   (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).
1.12.528    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: Because there is no alternative.
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): 16500
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? : Yes
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. : Dungarpur
  (a). Village: Balwada   (b). Area(in ha.): 12.528   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 3133   (e). Present owner: User Agency   (f). Copy of Ownership proof:
  (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
1BAR CHART
2LAND RECORD DETAIL
3LAND RECORD DETAIL
4LAND RECORD DETAIL
5LAND RECORD DETAIL
6LAND RECORD DETAIL
7LAND RECORD DETAIL
8area calculation
9area calculation
10rev map ramsagda
11block fso hak hakook
12reason of 8.32 to 12.528
13objection remove letter
14revise order of DM
15revise order of DM FRA
16Google image of road proposed
17Affidavit underpass,loose stone wall,embakment
18Detail and affidavit of new NPV ,forest land with duly sign by DCF
19area calculation viil wise
20affidavit 12.528
21material disposal
22mimimum land use
23no more land requirmentt
24no rule voilence
25west disposal
26fin senc
27adm senc
28under taking
29under taking1
30under taking2
31under taking3
32under taking4
33tech senc
34moka panchnama forest land
35road coordinate
36Declairation letter for col. A-2(xiii)&B-1(i) that not senctioned any proposel preveious for U/A
37letter about cost benefit,road at public welfare .no profit base
38geo map
39FRA PROCIDING AT ALL LEVEL
40COORDINATE OF REQ FOREST LAND
41revise order of DM FRA certificate
42village and unsurveyed block area sheets
43areacalcu 12 528
44FCA proposal at all leval
45CERTIFICATE OF ROAD BEFORE 1980 BY TEHSILDAR
46Geo map req forest land