View Form A Part II

PART-II

(To be filled by the concerned Deputy Conservator of Forest)

State Serial No. of proposal : KA-078/2017

1. Location of the project/Scheme : Karnataka

(i) State / Union Territory : Karnataka (ii) District : Belgaum (iii) Forest Division : Gokak (iv) Area of forest land proposed for diversion (in ha.) : 0.502 (v)

Category of the Proposal: Others

2. Legal status of forest land proposed for diversion

S. No.	Division	Forest Land(ha.)	Legal Status
1	Gokak	0.502	Reserved Forest
Total		0.502

Division 1. : Gokak

3. District wise area to be diverted in the division

S. No.	District	Area(ha.)
1	Belgaum	0.502
Total		0.502

4. Details of Vegetation available in the forest land proposed for diversion

(i) Density of vegetation

S. No.	Area(in ha.)	Density	Eco-Class
1	0.502	0	Eco 4
Total.	0.502

(ii) Species-wise local/scientific names and girth-wise enumeration of trees at FRL

S. No.	Scientific Name	Local Name	(0-30)cm.	(31-60)cm.	(61-90)cm.	(91-120)cm.	(121-150)cm.	(>150)cm.
NIL

5. Working plan prescription for the forest land proposed for diversion : NIL

6. Brief note on vulnerability of the forest area to erosion : Due to hard soil and low gradient and poor rainfall, not vulnerable to soil erosion

7. Approximate distance of the proposed site for diversion from boundary of forest(in km.) : 0.10

8. Significance of the forest land proposed for diversion from wildlife point of view

(i).

Details of wildlife present in and around the forest land proposed for diversion : No wildlife present in and around the forest land

(ii).

Whether forms part of national park, wildlife sanctuary, biosphere reserve,tiger reserve, elephant corridor, wildlife migration corridor etc. : No

(iii).

Whether the forest land proposed for diversion is located within eco-sensitive zone(ESZ) of the Protected Area notified under Wildlife(Protection) Act,1972 (Note: In case, ESZ of a Protected Area is not notified,then,10kms distance from boundary of the Protected Area should be treated as ESZ): No

(iv).

Whether any national park, wildlife sanctuary, biosphere reserve, tiger reserve, elephant corridor, wildlife migration corridor etc., is located within 1 Km. from boundary of the forest land proposed for diversion : No

(v).

Whether any rare/endangered/unique species of flora and fauna found in the area : No

9. Details of any protected archaeological/heritage site/defence establishment or any other important monument located in the area, if any

(i).

Whether any protected archaeological/heritage site/defence establishment or any other important monument is located in the area : No

10. Comment as to the reasonability of the extent of the forest land proposed for diversion

(i).

Whether the requirement of forest land as proposed by the user agency is unavoidable and bare minimum for the project : Yes

11. Details of violation(s), if any ,committed

(i).

Whether any work in violation of the Act or guidelines issued under the Act has been carried out : No

12. Whether work in violation is still in progres(Yes/No) : NIL

13. Details of compensatory afforestation scheme

Patch wise details for Degraded Area (To be earmarked by DFO)

(i). Total Financial Outlay for C.A(lacs):

Patch Wise Details
S.no	Patch No.	Area(ha.)	Name of PF/RF	Range	Compartment No	Uploaded KML file of patch
NO Data

(ii). Copy of CA scheme details: NA (iii). Scanned copy of the Geo-referenced map of the forest land proposed for C.A. prepared by using DGPS or Total Station:

(iv). Copy of Survey of India Toposheet indicating boundary of forest land proposed for C.A.:

(V). Copy of NOC from Competent Authority:

Additional information Details

S. No.	Documents	Remarks
1		Checklist
2		checklist
3		letter
4		checklist
5		Form-A
6		DC certificate of no alternative suitable land
7		Contour map
8		No violation certificate by user agency
9		Cost benefit analysis
10		Certificate of bearing CA charges by user agency
11		Certificate of no mining work by user agency
12		certificate of FRA by user agency
13		Forma A
14		Certificate of FRA by user agency
15		Topo map
16		RTC of sy no 62
17		Part II
18		DCF certificate of not effecting monuments and national park
19		Inspection report and bearest minimum certificate by DCF
20		FRA certificate by Gram panchayat
21		FRA certificate by Gram Panchayat
22		checklist
23		Forma A
24		Area statement
25		Brief Report2
26		Brief Report2
27		RTC of sy no. 67
28		Part II of Checklist
29		Certificate of no growth of tree by DCF
30		FRA certificate from RFO countersigned by DCF
31		FRA certificate from Gram Panchayat
32		FRA certificate by Gram Panchayat
33		FRA certificate by Deputy Conservator of Forests
34		checklist
35		Certificate of FRA by user agency
36		Google imagery map
37		Part II
38		FRA certificate by Gram Panchayat
39		Foram A
40		Form A
41		Form A
42		Non availability of no alternative land by user agency
43		Index map
44		Certificate of bearing cost of exploitation of trees
45		contour map
46		Brief report1
47		Certificate of no violation by DCF
48		Certificate of enclosing of enclosures
49		FRA Certificate by Gram Panchayat
50		FRA certificate by Deputy Commissioner
51		Certificate of undertaking for bearing NPV by user agency
52		Site inspection report by DCF
53		FRA certificate from Gram panchayat

14. District Profile

S.no	District Name	Geographical area of the district (in ha.)	Forest area of the district (in ha.)	Total forest area diverted since 1980 (in ha.)	No. of Approved Cases	Forest Land including penal C.A. (in ha.)	Progress of compensatory afforestation as on(date)	A) Forest land (in ha.)	B) Non-forest land (in ha.)
1	Belgaum	1341500	47160.744	408.0719	22	16.08	11/10/2017	15.96	510.68

15. Site inspection report of the DFO/CCF/Nodal Officer highlighting important facts pertaining to the forest land

Division Name	Circle	Site inspected By	Whether site inspected	No. of times site visited	Site inspection report	Date of visit
Gokak	Belgaum	DFO	Yes	One		04/10/2017
	Belgaum	CF	Yes	One		16/10/2017
		Nodal Officer	No		No Data

(Specific recommendation of the DFO/CCF/Nodal Officer with(Part II,III & Part IV))

16. Specific recommendation of the DFO/CCF/Nodal Officer for acceptance or otherwise of the proposal with reason

Division	Circle	Recommendation By	Recommendation	Reason	Whether CF agreed
Gokak	Belgaum	DFO	Recommended	Recommended as the concept is environment friendly
	Belgaum	CF	Recommended	Recommendation of the DCF Gokak may be accepted	Yes
		Nodal Officer	Recommended	Submitted for appropriate decision regarding diversion of 0.502 ha of forest land in Sy. No. 62 & 67 of Doddamangadi Village, Ramdurga Taluk, Belgaum District for establishment of Shiva Statue and Sai Temple in Forest Department Tree Park in favour of the President, Shiva Prathishtana Seva Samithi, Ramdurga under the Forest (Conservation) Act, 1980 subject to the conditions appended in Annexure ‘A’.