FORM - B
Form for seeking prior approval under Section-2 of the proposals by the State Governments and other authorities, in respect of renewal of leases,
which have been earlier granted clearance under Forest (Conservation) Act,1980
PART - I
(To be filled up by User Agency)
A. General Details
A-1. Project Details
  (i). Proposal No. : FP/GJ/MIN/18976/2016   (ii). Name of Project for which Forest Land is required : Kanawat Dolomite Mine   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : This is Dolomite Mineral Mine situated at village: Kanawat, Ta / Dist :Chotaudepur sanctioned and lease deed done on 23/08/1996 with collector and lease agreement done on 23/02/1996 with Deputy conservator of forest Chotaudepur division   (iv). State : Gujarat   (v). Category of the Proposal : Mining   (vi). Shape of forest land proposed to be diverted : Non Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 360   (viii). Area of forest land proposed for diversion(in ha.): 18.88   (ix). Non-forest land required for this project(in ha.): 0   (x). Total period for which the forest land is proposed to be diverted(in years): 20
A-2. Details of User Agency
  (i). Name : ALI HUSEN HAJI MOHAMMADALI MINING   (ii). Address1 : Station Road, Chotaudepur   (iii). Address2 : NIL   (iv). State : Gujarat   (v). District : CHHOTA UDAIPUR   (vi). Pin : 391165   (vii). Landmarks : Station Road   (viii). Email address : alihusenchotaudepur@gmail.com   (ix). Landline Telephone No. : 0   (x). Fax No. : 0   (xi). Mobile No. : 9909927093   (xii). Website (if any) : NIL   (xiii). Details of Proposals seeking prior approval of Central Government under the Act for diversion of forest land submitted by the User Agency 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
  (xiv). Legal status of User Agency : Private
A-3. Details of Person Making Application
  (i). First Name: Mustufa   (ii). Middle Name: Ishakbhai   (iii). Last Name: Alirajpurwala   (iv). Gender: Male   (v). Designation: Owner   (vi). Address 1: Station Road, Chotaudepur   (vii). Address 2: NIL   (viii). State: Gujarat   (ix). District: CHHOTA UDAIPUR   (x). Tehsil: Chhota Udaipur   (xi). Pin: 391165   (xii). Landmarks: Station Road   (xiii). Email Address: alihusenchotaudepur@gmail.com   (xiv). Landline Telephone No.: 0   (xv). Fax No.: 00   (xvi). Mobile No.: 9909927093   (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:
A-4. Details of approvals under the Forest (Conservation) Act , 1980 accorded in the past
Serial No Proposal No MoEF File No Date of approval Area of forest land diverted Period of diversion
1FP/GJ/MIN/310/19888-302/1988-FC15 Jan 199618.8820
A-5. Status of compliance to conditions stipulated in the previous approvals
Serial No Proposal No MoEF File No Conditions stipulated by the MoEF Details of the compliance
1FP/GJ/MIN/310/19888-302/1988-FCi. The legal status of forest land will remain unchanged. ii. Compensatoryafforestation will be raised over 15.33 ha. Of non-forest land at the cost of user agency. iii. Reclamation of minedareashall be done at thecost of user agency. iv. Followingenvironmentalsafeguardswill be observed: - a) The slope of thewastedumpshouldnotexceed28 Degree at any stage. b) The Projectproponentshouldsimultaneouslyreclaim the land mechanically&biologically to make thedamaged land compatibleto thesurroundinglanduse forms. c) No crushing&screeningactivityshould be performed at the' site. d) 5 yearstagelanduseplanshould be submittedwithin a period of three months fromtheissue of clearance letter. e) Garland drainsshould be providedaround the quarryarea. f) Regularmonitoringof air&waterqualitydatashould be made. Recordeddatashould be made availabletothe concernedregional office of MEF as well as to this Ministryonce in three months. g) Workersshouldbe provided with basicamenitieslike fuel, housing act. v. Theleaseperiodshall be co-terminuswith the periodof lease granted/renewed under M.M.R.D. Act subject to amaximum of 20 years. vi. The forest land willnot be usedfor any purposeother than that specified in theproposal. vii. Any othercondition that the State Government mayimpose.i) Legal status of forest Land will remain unchanged ii) Done iii) Done iv) (a) Maintain (b) Not Violated (c) Not Violated (d) submitted (e) Provided (f) Regularly done (g) Provided (v) 20 Years (vi) Not used (vii) Done.
A-6. Details of payments made in respect of the approval under the Forest (Conservation) Act , 1980 accorded in the past
Serial No Proposal No MoEF File No Item/Nature Amount paid (in Rupees) Date of Payment
1FP/GJ/MIN/310/19888-302/1988-FCCompensatory Afforestation22807030 May 1992
A-7. Details of the forest land returned back to the State Forest Department or any other Authority from the forest land diverted in favour of the user agency
  (i). Details of the forest land returned back to the State Forest Department or any other Authority from the forest land diverted in favour of the user agency: No
Serial No Area No of patch Area of patch Uploaded patch Uploaded GPS Date of return Authority Uploaded documentary proof
NIL
A-9. Details of Transfer of Lease
Serial No Name of person Address of person Date of transfer MMDR File Transfer Deed Conservation MoEF_file No Date of approval MoEF file
NIL
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
  (i). Whether any proposal seeking prior approval of Central Government under the Act for diversion of forest land required for the project has been submitted in the past?. : Yes   (ii). 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.Chhota Udepur18.880
Total18.880
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.CHHOTA UDAIPUR18.880
Total18.880
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Kanawat18.880
18.88 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Plain Area18.880
Total 18.88 0
C. Maps of forest land proposed to be diverted
Division 1. : Chhota Udepur
  (i). Area of forest land proposed to be diverted(in ha.) : 18.88   (ii).Shape of forest land proposed to be diverted : Non Linear   (a). No. of patches : One
Patch wise details
Patch No. Area of Patch(in ha.) Kml File of Patches To view KML file on google the same may be downloaded and then open if in google earth install in your computer.
1.18.88    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 DGPS 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:
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 40   (iii). Temporary Employment(Number of person-days): 10
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 ? : Yes   (a). Status of the Environmental Clearance to the Project: EC application yet to be submitted
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? : No
L. Details of land identified for Compensatory Afforestation
  (i). Whether non-forest or Revenue forest land is required to be provided by User Agency?: No   (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) . Reason for not providing Non-Forest Land: Renewal of lease where compensatory afforestation had been stipulated and done in respect of the applied area at the time of grant/renewal of lease earlier.
M. Mining Details
M-1.1 . Details of grant/renewal of mining lease in the past
Serial No Period Date of grant/renewal Designation of authority Copy of grant of the mining lease Date of execution Copy of the lease deed
124 Aug 2016 To 23 Aug 203624 Aug 2016Owner23 Aug 1996
 (i) Nature and quantity of mineral actually extracted from the forest and non-forest land NIL
Serial No Mineral Qty. of ore proposed to be extracted during the lease period Qty. of ore actually extracted during the lease period
Forest land Non-Forest land Forest land Non-Forest land
1Dolomite10.5108.3700
Application under the Mineral Concession Rules, 1960 for renewal of the mining lease : No
M-2 . Details of Mining Plan
(i) Date of approval of mining plan : 01 Jul 2011 (ii) Approval authority : Commissionar of Geology & Mining [ Govt. of Gujarat ] Gandhinagar (iii) Copy of approval of mining plan : No Data (iv) Copy of approved mining plan : (v) Nature of mining (underground/opencast) : Opencast (vi) Copy of the detailed land use plan in 14,000 scale prepared by using DGPS or Total Station :   (vii).  Copy of map of the outer boundary of mining lease area:
M-3 . Details of prospecting undertaken to assess mineral reserves
M-4 . Details of extension (if any) of original prospecting licence issued in the past
(i) Extension of original prospecting license was extended : No
Serial No Designation of authority Date of grant From date To Date Copy of the approval accorded for extension
NIL
M-5 . Brief details of prospecting activities undertaken in the mining lease
(i) Detail of prospecting activity under taken in the mining lease : 1. Details of prospecting activity under taken in the mining lease : Prospecting activity done by G.S.I and govt. of Gujarat area of village kanawat,Jher, wanar,Dadigam, chanduwant, Dhamodi,Kachhel a
M-5.1 . Details of bore holes drilled for prospecting
Serial No No. of Bore holes Diameters(inch) No. of Bore holes Diameters(inch)
18600
M-5.2 . Estimated Reserve along with accuracy and confidence level
Serial No Mineral Estimated Reserve in forest land Estimated Reserve in non-forest land
Estimated Reserve %accuracy %confidence level Estimated Reserve %accuracy %confidence level
1Dolomite4.96397000
M-6 . Details of approval under the Forest(Consevation) Act,1980 obtained for undertaking prospecting activities in the forest land located in the mining lease
(i) Approval under the Forest(Conservation) Act, 1980 for undertaking prospecting activities in the forest land : No
M-7 . Mineral wise details
Number of minerals : NIL
Serial No Minerals Estimated non forest land Estimated forest land Proposed annual extraction Estimated life of mine Total extraction Estimated mineral
1Dolomite04.960.9525520.9524.77
(i) Proposed use of the minerals proposed to be raised from the mining lease : Non captive (ii) Copy of details of the plan for the transportation of the minerals :
Additional information Details
Documents
S.No Documents
Remarks
NIL