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/18811/2016   (ii). Name of Project for which Forest Land is required : Chambal-Bhilwara Water Supply Project (Phase-I)   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Govt. of Rajasthan Sanctioned the prestigious chambal-bhilwara water supply project for 9 towns and 1688 villages of bhilwara district and 23 villages of district bundi. In this proposal 4.798 Hac area has already diverted in favor of UA and 3.6 hac area diverted in favor of NHAI but required Re Div   (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) : 59086   (viii). Area of forest land proposed for diversion(in ha.): 15.0015   (ix). Non-forest land required for this project(in ha.): 89   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : PUBLIC HEALTH ENGINEERING DEPARTMENT   (ii). Address1 : "Jal Bhawan", 2-Civil Lines   (iii). Address2 : Jaipur   (iv). State : Rajasthan   (v). District : Jaipur   (vi). Pin : 302006   (vii). Landmark : Near Railway Hospital   (viii). Email address : aesdviratngr.phed@rajasthan.gov.in   (ix). Landline Telephone No. : 141-2222053   (x). Fax No. : 141-2222585   (xi). Mobile No. : 9610016008   (xii). Website (if any) : www.rajwater.gov.in   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Karni   (ii). Middle Name: NIL   (iii). Last Name: Pratap   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: Project Division,PHED, old Tehsil office, Rawatbhata   (vii). Address 2: District, Chittorgarh   (viii). State: Rajasthan   (ix). District: chittorgarh   (x). Tehsil: Rawatbhata   (xi). Pin: 323307   (xii). Landmark: near RPS dam   (xiii). Email Address: eecbpdn2@gmail.com   (xiv). Landline Telephone No.: 1475-234525   (xv). Fax No.: NIL   (xvi). Mobile No.: 9829199039   (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
1Apporved8B/Raj/08/18/2012/FC/8B/Raj/08/18/2012/FC/4.7984.79829 Jan 201408 Oct 2014
Total 4.798 4.798
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.Mukundra NP2.576.06
2.Chittorgarh Territorial3.15013.279
3.Bundi Territorial1.53680
4.Bhilwara Territorial7.744679.661
Total15.001589
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.chittorgarh5.72019.339
1.Bundi1.53680
3.Bhilwara7.744679.661
Total15.001589
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1bhainsroadgarh2.393.986
2shripura0.181.2043
3khalgaon00.34
4bhunjar khurd00.53
5bhunjar kalan3.15013.2787
6lamba khoh1.53680
7gudha7.744679.661
Total 15.0015 89
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Laying of water supply pipe line in mukundra np2.574.311
2Construction of Intake well in Bhainsroadgarh vill01.75
3Laying of pipe line, service road and power line8.831523.72
4Laying of pipeline aroli to bhilwara3.628.0179
5Construction of PS at bhunjar kalan02.3
6Construction of WTP at aaroli village025.344
7Construction of PS at tilswa03.5571
Total 15.0015 89
C. Maps of forest land proposed to be diverted
Division 1. : Bhilwara Territorial
  (i). Area of forest land proposed to be diverted(in ha.) : 7.7446   (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).
1.7.7446    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:
Division 2. : Bundi Territorial
  (i). Area of forest land proposed to be diverted(in ha.) : 1.5368   (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).
1.1.5368    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:
Division 3. : Mukundra NP
  (i). Area of forest land proposed to be diverted(in ha.) : 2.57   (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).
1.2.57    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:
Division 4. : Chittorgarh Territorial
  (i). Area of forest land proposed to be diverted(in ha.) : 3.1501   (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).
1.3.1501    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: Alignment of pipeline is proposed along the existi
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): 200
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?: Yes   (a). Copy of Cost-Benefit analysis:
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 : Approval obtained   (c). Date of Approval : 05 Apr 2011   (d).Copy of the approval of the Supreme Court:   (ii). Status of approval of the Standing Committee of National Board for the Wildlife(NBWL) to the Project : Approval obtained   (a). MoEF File No : F.No.6-43/2007 WL-1 (XIII)   (b). Copy of approval of Standing of the NBWL:   (c). Date of Approval : 10 May 2011
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. : chittorgarh
  (a). Village: Bhainsroadgarh   (b). Area(in ha.): 3.268   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 32   (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:
District 2. : chittorgarh
  (a). Village: shripura   (b). Area(in ha.): 0.18   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 162   (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:
District 3. : Bhilwara
  (a). Village: Danpura   (b). Area(in ha.): 1.35   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 239, 239/1, 239/2   (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:
District 4. : Bhilwara
  (a). Village: Rajpura   (b). Area(in ha.): 6.6035   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 874   (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
1Authorization Letter.
2UNDERTAKING FOR PAYMENT OF ANY OTHER COST AND CONDITION.
3UNDERTAKING FOR PAYMENT OF COST OF COMPENSATORY AFFORESTATION.
4UNDERTAKING FOR PAYMENT OF NET PRESENT VALUE OF FOREST AREA.
5Stage One Clearance
6tree details DFO bundi
7tree details DFO MNP kota
8NHAI permission
9tree detail chittor old _new
10tree detail chambal bhilwara _060416
11area calculation old prp
12area calculation new_050416
13Combined FRA Certificate
14Technical and Financial Sanction.
15Undertaking for use of forest land and Muck Disposal
16Chambal- Bhilwara WSS_Project Details
17Land Details of CA Land
18Bar chart Status
19MAP SHOWING GEO REFERENCED SURVEY OF INDIA TOPOSHEET WITH PROPOSED TOTAL PIPELINE ALIGNMENT
20Khasra and jamabandi Bhainsrorgarh.
21Khasra and jamabandi Danpura.
22Khasra and jamabandi Rajpura.
23Khasra and jamabandi shripura.