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/ROAD/20446/2016
(ii). Name of Project for which Forest Land is required :
EXISTING IOCL RETAIL OUTLET AT KHASRA NO 898(OLD 734/2) , SH-60 (OLD SH-18), VILLAGE BHERUNDA , TEHSIL DEGANA , DISTRICT- NAGAUR
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
PROPOSAL FOR DIVERSION OF PROTECTED STRIP OF FOREST TO APPROACH ROAD FOR THE EXISTING RETAIL OUTLET AT KHASRA NO 898 (OLD 734/2) AT VILLAGE BHERUNDA , THESIL DEGANA , DISTRICT - NAGAUR NEAR KM STONE NO.38 ON SH-60(OLD SH-18), Bherunda-Ajmer Road LHS
(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) :
75
(viii). Area of forest land proposed for diversion(in ha.):
0.0413
(ix). Non-forest land required for this project(in ha.):
0.2091
(x). Total period for which the forest land is proposed to be diverted(in years):
99
A-2.
Details of User Agency
(i). Name :
IOCL FCA PROPOSALS
(ii). Address1 :
E-83, Shastri Nagar, Lohagal Road, Ajmer, Rajasthan
(iii). Address2 :
NIL
(iv). State :
Rajasthan
(v). District :
Ajmer
(vi). Pin :
305006
(vii). Landmarks :
NIL
(viii). Email address :
ioclproposalsfca@gmail.com
(ix). Landline Telephone No. :
2632343
(x). Fax No. :
NIL
(xi). Mobile No. :
9414040305
(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
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
1
Approved
FP/RJ/ROAD/15786
F.1(94)Forest/2015
0.1202
0.1202
27 Nov 2015
10 Mar 2016
2
Approved
FP/RJ/ROAD/14567/2015
F.1(103)forest/2015
0.127805
0.127805
17 Dec 2015
03 Mar 2016
Total
0.248005
0.248005
(xiv). Legal status of User Agency :
Central PSU
A-3.
Details of Person Making Application
(i). First Name:
Sanjiv
(ii). Middle Name:
Kumar
(iii). Last Name:
Goyal
(iv). Gender:
Male
(v). Designation:
Deputy Manager Retail Sales
(vi). Address 1:
E-83, Shastri Nagar, Lohagal Road, Ajmer, Rajasthan
(vii). Address 2:
NIL
(viii). State:
Rajasthan
(ix). District:
Ajmer
(x). Tehsil:
NIL
(xi). Pin:
305006
(xii). Landmarks:
NIL
(xiii). Email Address:
ioclproposalsfca@gmail.com
(xiv). Landline Telephone No.:
2632343
(xv). Fax No.:
NIL
(xvi). Mobile No.:
9414040305
(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.
Nagaur Territorial
0.0413
0.2091
Total
0.0413
0.2091
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Nagaur
0.0413
0.2091
Total
0.0413
0.2091
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Bherunda
0.0413
0.2091
0.0413
0.2091
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Acceleration Lane
0.02065
0
2
Deceleration Lane
0.02065
0
3
Non Forest Area
0
0.2091
Total
0.0413
0.2091
C.
Maps of forest land proposed to be diverted
Division 1. : Nagaur Territorial
(i). Area of forest land proposed to be diverted(in ha.) :
0.0413
(ii).Shape of forest land proposed to be diverted :
Linear
(b). No. of Segments :
Two
Segments wise details
Segmenst
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.
0.02065
View File
2.
0.02065
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:
No
(a). Reason for not providing such map:
THERE IS ONLY ONE APPROACH FOR THE PROPOSED SITE
E.
Employment likely to be generated
(i). Whether the Project is likely to generate employment ?:
Yes
(ii). Permanent/Regular Employment(Number of persons):
4
(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?:
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? :
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?:
NIL
(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 ?:
NIL
(iii) . Reason for not providing Non-Forest Land:
NIL
Additional information Details
Documents
S.No
Documents
Remarks
1
Certificate under FRA 2006
2
LETTER OF APPOINTMENT ISSUED BY IOCL.
3
UNDERTAKING FOR PENAL COMPENSATORY AFFORESTATION.
4
Khasra Map.
5
Bar Chart Showing the Required Forest AND Non Forest Land Status.
6
MAP SHOWING DIGITAL MAP OF REQUIRED FOREST LAND AND COORDINATES OF PROPOSED ROAD ALIGNMENT.
7
Map Showing Geo referenced Survey of India Toposheet With Forest Land Boundary AND Proposed Road Alignment.
8
MAP SHOWING GOOGLE IMAGERY WITH FOREST LAND BOUNDARY and PROPOSED ROAD ALIGNMENT.
9
Map Showing Zoom View Of Geo referenced Survey of India Toposheet With Forest Land Boundary AND Proposed Road Alignment.
10
Request Letter to Change the Name of user Agency.
11
AREA CALCULATION SHEET UPDATED
12
COMMERCIAL LAND CONVERSION ORDER
13
LETTER FOR CERTIFICATE UNDER FRA 2006
14
CLARIFICATION FOR DIVERSION
15
UNDERTAKING FOR COMPENSATORY REFORESTATION
16
JAMABANDI OF PROPOSED SITE
17
APPROVED LAYOUT PLAN FROM DM NAGAUR & PWD
18
PWD NOC
19
JUSTIFICATION
20
UNDERTAKING FOR FLORA & FAUNA
21
UNDERTAKING FOR NO OTHER ALTERNATIVE LAND
22
UNDERTAKING FOR USE OF FOREST LAND
23
UNDERTAKING FOR PAYMENT OF COST & CONDITION
24
UNDERTAKING FOR NPA
25
UNDERTAKING FOR NO CHANGE IN STATUTORY POSITION
26
UNDERTAKING FOR COMPENSATORY AFFEROSETATION
27
NOC BY DM NAGAUR