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/RJ/Pipeline/42055/2019   (ii). Name of Project for which Forest Land is required : Nachna-Bagundi Raw Water Pipeline Project   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Diversion of 3.210 hectare of forest land for laying 52" dia Raw Water Pipeline from village Nachna in Tehsil Nachna-2 in District Jaisalmer to village Bagundi in Tehsil Pachpadra in Barmer District in the state of Rajasthan.   (iv). State : Rajasthan   (v). Category of the Proposal : Pipeline   (vi). Shape of forest land proposed to be diverted : Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 145000   (viii). Area of forest land proposed for diversion(in ha.): 3.21   (ix). Non-forest land required for this project(in ha.): 621.279   (x). Total period for which the forest land is proposed to be diverted(in years): 30
A-2. Details of User Agency
  (i). Name : HPCL RAJASTHAN REFINERY LIMITED   (ii). Address1 : Tel Bhawan, Sahkar Marg, Lal Kothi Vistar, Jyoti Nagar, Jaipur   (iii). Address2 : NIL   (iv). State : Rajasthan   (v). District : Jaipur   (vi). Pin : 302005   (vii). Landmarks : NIL   (viii). Email address : harishgupta@hrrl.in   (ix). Landline Telephone No. : 22863420   (x). Fax No. : NIL   (xi). Mobile No. : 8169297574   (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 : Central PSU
A-3. Details of Person Making Application
  (i). First Name: Ganesh   (ii). Middle Name: Pandurang   (iii). Last Name: Gaikwad   (iv). Gender: Male   (v). Designation: General Manager (Projects)   (vi). Address 1: Village Sajiyali Roopji Kanthwala and Sambhara, Tahsil Pachpadra, Dist. Barmer   (vii). Address 2: NIL   (viii). State: Rajasthan   (ix). District: Jaipur   (x). Tehsil: NIL   (xi). Pin: 344032   (xii). Landmarks: Tel Bhavan, Jyoti Nagar   (xiii). Email Address: harishgupta@hrrl.in   (xiv). Landline Telephone No.: 228101   (xv). Fax No.: NIL   (xvi). Mobile No.: 8169297574   (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-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
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?. : No
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.Jaisalmer IGNP Stage - II1.245471.798
2.Barmer Territorial1.965149.481
Total3.21621.279
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Jaisalmer1.245471.798
2.Barmer1.965149.481
Total3.21621.279
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Askandra029.388
2Didhu024.78
3Ajasar017.502
4Tota00.966
5Chandsar012.384
6Bardana013.755
7Loharki020.256
8Malka05.346
9Mava041.637
10Ramdevara021.633
11Gomat018.261
12Pokran016.914
13Biliya09.489
14Badali manda05.979
15Nathusar017.139
16Ujalan08.739
17Mehtabgadh010.743
18Madava039.912
19Chainpura00.309
20Prahladsar012.429
21Bhaniyana06.414
22Dungre ki dhani01.323
23Khinvsar09.996
24Khejadali03.393
25Megharikhsar04.377
26Shakti faujdarsar07.656
27Dantal03.684
28Jaloda bhatian01.776
29Jiyasar012.648
30Maulana azadnagar08.934
31Bhikodai juni05.565
32Swamiji ki dhani020.169
33Phulsund018.462
34Jetpura02.724
35Kajoi00.111
36Manasar015.357
37Rawatpura03.144
38Hira ki dhani016.983
39Pancha ki dhani07.365
40Chak nimba ki dhani02.01
41Nimba ki dhani010.587
42Sohada015.696
43Gida09.51
44Maldeta03.303
45Gaugasar08.973
46Chak utarani02.796
47Utarni09.894
48Mataji ki bhakri08.148
49Dholu03.669
50Jhund01.911
51Kerala012.567
52Jhalmaliya02.451
53Khara par05.268
54Pandevara03.858
55Gugari08.304
56Goraliya gala09.399
57Chain Pura07.113
58Nachna1.2459.105
59Bagundi1.9659.075
3.21 621.279
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Laying of 52"dia RAW Water pipeline from Indira Ca1.245471.795
2Laying 52"dia RAW Water Pipeline in Village Bagund1.965149.481
Total 3.21 621.276
C. Maps of forest land proposed to be diverted
Division 1. : Jaisalmer IGNP Stage - II
  (i). Area of forest land proposed to be diverted(in ha.) : 1.245   (ii).Shape of forest land proposed to be diverted : Linear   (b). No. of Segments : One
Segments wise details
Segmenst Segment Area(in ha.) Kml File of SegmentsTo view KML file on google the same may be downloaded and then open if in google earth install in your computer.
1.1.245    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:
Division 2. : Barmer Territorial
  (i). Area of forest land proposed to be diverted(in ha.) : 1.965   (ii).Shape of forest land proposed to be diverted : Linear   (b). No. of Segments : One
Segments wise details
Segmenst Segment Area(in ha.) Kml File of SegmentsTo view KML file on google the same may be downloaded and then open if in google earth install in your computer.
1.1.1025    View File
2.0.8625    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:   (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): 5   (iii). Temporary Employment(Number of person-days): 15500
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? : 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: Central PSU Projects
Additional information Details
Documents
S.No Documents
Remarks
1Undertaking to submit FRA NOC before Final permission
2Administration & financial approval & legal position document
3Nachana Revenue map, Jambandhi & Casdastral Map
4Bagund revenue map jamabandhi & Cadastral map
5Form A for Jaisalmer & Barmer Division
6Reply against EDS dtd. 03.12.2019 is attached herewith
7Undertaking for Payment for NPV for Jaisalmer & Barmer Division
8Undertaking for Addtional compensatory afforestation for Jaisalmer & Barmer Division
9Undertaking for minimum use of forest area
10Undertaking, diversion area to be utilized for laying water pipeline
11Request for issue of FRA is applied to Collector Jaisalmer and Collector Barmer Districts.
12Application letter
13Project Note of Jaisalmer & Barmer Division
14Forest area of Jaisalmer & Barmer Division
15Certificate for Minimum use of Land of Jaisalmer & Barmer Division
16Undertaking for Cost Benefit Analysis Jaisalmer & Barmer Division
17Undertaking for Environment Clearance Jaisalmer & Barmer Division
18Undertaking to Pay Cost of Compensatory afforestation of Jaisalmer & Barmer Division
19Undertaking to pay cost of trees standing in diverted forest area Jaisalmer & Barmer Divison
20Non forest area Jaisalmer & Barmer Divison
21Undertaking for water to be used for refinery & residential area of project
22Undertaking for no forest land encroachment
23Undertaking for no use of forest material
24Undertaking to Submit FRA Certificate
25Undertaking for conservation of Flora & Fauna
26Undertaking for Muck Disposal
27Route Justification for Jaisalmer IGNP Stage-II Division
28Route Justification for Barmer Territorial Division
29Bar Chart of the proposed Route
30Certificate for Employment
31Circular dt 28.07.1990 for green belt
32Certificate for stating no alternate suitable non forest land available