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/WATER/153642/2022   (ii). Name of Project for which Forest Land is required : KALITEER LIFT SCHEME,DHOLPUR(RAJASTHAN)   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : TO PROVIDE DRINKING WATER TO 483 VILLAGES OF 4 TEHSILS OF DHOLPUR (BASEDI,SARMATHURA,BADI AND SAIPAU) WITH DHOULPUR TOWN.   (iv). State : Rajasthan   (v). Category of the Proposal : Drinking Water   (vi). Shape of forest land proposed to be diverted : Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 7996500   (viii). Area of forest land proposed for diversion(in ha.): 14.8859   (ix). Non-forest land required for this project(in ha.): 8.3221   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : SE,WRD, DHOLPUR (RAJ)   (ii). Address1 : OFFICE OF SE,WRD, DHOLPUR(RAJ)   (iii). Address2 : NIL   (iv). State : Rajasthan   (v). District : dholpur   (vi). Pin : 328001   (vii). Landmark : NIL   (viii). Email address : wrcircledlp@gmail.com   (ix). Landline Telephone No. : 0-   (x). Fax No. : 0-   (xi). Mobile No. : 9414375703   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: VIJAY   (ii). Middle Name: KUMAAR   (iii). Last Name: SHARMA   (iv). Gender: Male   (v). Designation: Ex EnGINEER   (vi). Address 1: OFFICE OF Ex ENGINEER,WRD KHAND II,DHOLPUR ,RAJ   (vii). Address 2: NIL   (viii). State: Rajasthan   (ix). District: dholpur   (x). Tehsil: Dhaulpur   (xi). Pin: 328001   (xii). Landmark: NIL   (xiii). Email Address: eewrdlp22@gmail.com   (xiv). Landline Telephone No.: 0-   (xv). Fax No.: NIL   (xvi). Mobile No.: 9782526885   (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.Dholpur Territorial14.88598.3221
Total14.88598.3221
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.dholpur14.88598.3221
Total14.88598.3221
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1BHAUHARI3.96814.3657
2GOPALPURA1.53560.9003
3MATHARA4.19010.0259
4GURAICH01.4937
5MADANPUR5.19211.5365
Total 14.8859 8.3221
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1WL SEG-I0.18244.4871
2WL SEG-20.8920
3SEG-M10.49050
4SEG-M22.0630
5SEG-M30.1910
6SEG-M40.14690
7SEG-M61.050.955
8SEG-M70.48710
9SEG-M5A3.990
10SEG-M5B4.7182.88
11SEG-M5C0.450
12SEG-M5D0.2250
Total 14.8859 8.3221
C. Maps of forest land proposed to be diverted
Division 1. : Dholpur Territorial
  (i). Area of forest land proposed to be diverted(in ha.) : 14.8859   (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).
1.14.8859    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): 2   (iii). Temporary Employment(Number of person-days): 10000
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? : Yes   (a). Whether Project or a part thereof is located within a Protected Area ? : Yes   (b). Status of approval of the Supreme Court : Application yet to b   (ii). Status of approval of the Standing Committee of National Board for the Wildlife(NBWL) to the Project : Application yet to be submitted
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   (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
1UNDER TAKING FOR MINIMUM FOREST LAND
2UNDERTAKING FOR NO VIOLATION OF WL (P) 1972 AND FCA 1980
3UNDERTAKING FOR PAYMENT OF ANY OTHER COST AND CONDITION
4UNDERTAKING FOR PROVIDE ALL DOCUMENT
5UNDERTAKING FOR THE MINIMUM USE OF FOREST LAND
6UNDERTAKING FOR THE PAYMENT OF NET PRESENT VALUE OF FOREST AREA
7UNDERTAKING FOR WASTE MANAGEMENT DURING CONSTRUCTION ACTIVITY
8UNDERTAKING TO PAY THE COST OF PLANTATION
9UNDERTKING FOR NO CHANGE STATUS OF FOREST LAND
10ADM & FIN SENCTION
11CROSS SECTION OF PIPILINE
12FLORA AND FAUNA AFFIDAVITE
13Area calculation sheet
14EMPLOYMENT REPORT
15UNDERTAKING FOR NO USE OF ANY MATERIAL FROM SURROUNDED FOREST LAND DURING WORK
16project report
17LINEAR CHART
18REV_MAP
19JAMABANDI
20EDS REPLY 22_4_2022
21CA LAND MAP
22VILLAGE WISE FOREST & NON FOREST BREAKUP
23EDS reply of Aug 22
24Reply of EDS 21_9_22
25REPLY OF EDS 6869/14-10-2022