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/KA/HYD/152438/2022   (ii). Name of Project for which Forest Land is required : Diversion of 23.3876 Ha of Forest land for the Generation of 130 MW Pumped Storage Power Project (Hydel Power Project) in Sy no 224 in Bannihatti Village, Sy No 39 & 64 in Lingadahalli Village, and Sy No 1A in Kodalu Village of Toranagallu Hobali and Donimalai Reserve forest of Sandur Taluk, Ballari District   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Diversion of 23.3876 Ha of Forest land for the Generation of 130 MW Pumped Storage Power Project (Hydel Power Project) in Sy no 224 in Bannihatti Village, Sy No 39 & 64 in Lingadahalli Village, and Sy No 1A in Kodalu Village of Toranagallu Hobali and Donimalai Reserve forest of Sandur Taluk, Ballari   (iv). State : Karnataka   (v). Category of the Proposal : Hydel   (vi). Shape of forest land proposed to be diverted : Hybrid   (vii). Estimated cost of the Project(Rupees in lacs) : 67951   (viii). Area of forest land proposed for diversion(in ha.): 23.3876   (ix). Non-forest land required for this project(in ha.): 104.1612   (x). Total period for which the forest land is proposed to be diverted(in years): 30
A-2. Details of User Agency
  (i). Name : JSW RENEWABLE ENERGY (VIJAYANAGAR) LIMITED   (ii). Address1 : JSW Center, Bandra Kurla Complex, Bandra (East), Mumbai - 400051   (iii). Address2 : NIL   (iv). State : Maharashtra   (v). District : Bhandara   (vi). Pin : 400051   (vii). Landmark : NIL   (viii). Email address : lalit.parab@jsw.in   (ix). Landline Telephone No. : 91-022-42863000   (x). Fax No. : 91-   (xi). Mobile No. : 9970162724   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Private
A-3. Details of Person Making Application
  (i). First Name: Lalit   (ii). Middle Name: Shantaram   (iii). Last Name: Parab   (iv). Gender: NIL   (v). Designation: Assistant General Manager   (vi). Address 1: JSW Center, Bandra Kurla Complex, Bandra (East), Mumbai - 400051   (vii). Address 2: NIL   (viii). State: Maharashtra   (ix). District: Bhandara   (x). Tehsil: NIL   (xi). Pin: 400051   (xii). Landmark: NIL   (xiii). Email Address: sanjay.rana@jsw.in   (xiv). Landline Telephone No.: 0-   (xv). Fax No.: NIL   (xvi). Mobile No.: 9970162724   (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
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.Bellary23.3876104.1612
Total23.3876104.1612
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Bellary23.3876104.1612
Total23.3876104.1612
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Vaddu Sy No - 66027.355
2Vaddu Sy No - 6801.6928
3Vaddu Sy No - 6906.7372
4Vaddu Sy No - 6300.7515
5Vaddu Sy No - 6202.168
6Vaddu Sy No - 5901.4677
7Vaddu Sy No - 5104.3757
8Vaddu Sy No - 5200.1878
9Vaddu Sy No - 5300.1654
10Vaddu Sy No - 5400.6003
11Vaddu Sy No - 7002.6136
12Vaddu Sy No - 7100.2722
13Vaddu Sy No - 22201.1654
14Karekuppe Sy No - 36204.8015
15Karekuppe Sy No - 36000.3709
16Bannihatti Sy No - 2249.16.4216
17Bannihatti Sy No - 21200.3542
18Bannihatti Sy No - 21100.0828
19Bannihatti Sy No - 21400.5014
20Bannihatti Sy No - 21500.897
21Bannihatti Sy No - 19101.8538
22Bannihatti Sy No - 22101.265
23Taranagara Sy No - 600.23
24Taranagara Sy No - 700.6026
25Taranagara Sy No - 800.2898
26Taranagara Sy No - 3600.2392
27Taranagara Sy No - 4700.3082
28Taranagara Sy No - 4600.483
29Taranagara Sy No - 9100.368
30Taranagara Sy No - 9202.9578
31Taranagara Donimalai RF4.1170
32Taranagara Sy No - 2400.9384
33Taranagara Sy No - 2300.1978
34Lingadahalli Sy No - 6501.7158
35Lingadahalli Sy No - 4001.0442
36Lingadahalli Sy No - 6801.6376
37Lingadahalli Sy No - 4401.6054
38Lingadahalli Sy No - 2200.6624
39Lingadahalli Sy No - 501.0074
40Lingadahalli Sy No - 401.5134
41Lingadahalli Sy No - 392.14820
42Lingadahalli Sy No - 644.67820
43Kodalu Sy No - 13.34420
44Kodalu Sy No - 14401.1868
45Kodalu Sy No - 12801.4398
46Kodalu Sy No - 10900.3128
47Kodalu Sy No - 10300.3772
48Kodalu Sy No - 10200.8326
49Kodalu Sy No - 10100.6348
50Kodalu Sy No - 8100.6762
51Kodalu Sy No - 8300.5428
52Kodalu Sy No - 8400.4876
53Kodalu Sy No - 7002.1482
54Kodalu Sy No - 4701.1408
55Kodalu Sy No - 4800.368
56Kodalu Sy No - 2300.6164
57Kodalu Sy No - 2200.9706
58Kodalu Sy No - 400.943
59Chikkananthapura Sy No - 24700.8142
60Chikkananthapura Sy No - 24501.1224
61Chikkananthapura Sy No - 23300.115
62Chikkananthapura Sy No - 22900.5566
63Chikkananthapura Sy No - 22800.5106
64Chikkananthapura Sy No - 22600.4462
65Chikkananthapura Sy No - 22700.3864
66Chikkananthapura Sy No - 23500.4692
67Chikkananthapura Sy No - 21400.5888
68Chikkananthapura Sy No - 21300.4462
69Chikkananthapura Sy No - 21000.2208
70Taranagara Sy No - 4200.3326
71Taranagara Sy No - 3701.1868
72Taranagara Sy No - 4100.2314
73Taranagara Sy No - 9000.2999
74Taranagara Sy No - 93 (1.9909Ha)01.8547
Total 23.3876 104.1612
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Upper Reservior9.110.4314
2Penstock , Power House Area & Tailrace Canal Area019.6408
3Dumping Site 107.1632
4Dumping Site 207.8646
5Dumping Site 301.7177
6Approach Road01.4859
7Facilitation Area02.9944
8400 Kv Transmission Line (Non Forest Length =11.5214.287652.854
Total 23.3876 104.152
C. Maps of forest land proposed to be diverted
Division 1. : Bellary
  (i). Area of forest land proposed to be diverted(in ha.) : 23.3876   (ii). Nature of the Project: Hybrid   (a). No. of patches : One
Patch wise details
Patch No. Area of Patch(in ha.) Kml File of PatchesTo view KML file on google the same may be downloaded and then open if in google earth install in your computer.
1.23.3876    View File
  (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).
1.0    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: 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): 20   (iii). Temporary Employment(Number of person-days): 5
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? : 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. : Belgaum
  (a). Village: Kelil Krishnapur   (b). Area(in ha.): 24.98   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 22-38, 22-39, 22-40. 22-41, 22-42, 22-43   (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:
M. Hydel/Irrigation/Multipurpose Project
  (i). Installed power generation capacity of the Project(in MW): 130   (ii). Total command area of the Project(in ha.): 0   (a). Copy of the approval of competent authority to the Catchment Area Treatment Plan (CAT Plan):   (b). Copy of the approved CAT plan:
Additional information Details
Documents
S.No Documents
Remarks
1Detailed Project Report
2Banihatti Survey number 224 RTC in favor of Forest Department
3Lingadahalli Survey number 64 RTC in favor of Forest Department
4Kodalu Survey number 1 RTC in favor of Forest Department
5Declaration Letter
6Undertaking for Bare Minimum area utilization for the Project.
7Undertaking for NPV Charges
8Undertaking for CA Charges
9DGPS drawing of the proposed project area in Bannihatti village.
10DGPS drawing of the proposed project area in Bannihatti village superimposed on Sattelite image.
11DGPS drawing of the proposed project area in Lingadahalli Village
12DGPS drawing of the proposed project area in Lingadahalli village superimposed on Sattelite image.
13DGPS drawing of the proposed project area in Kodalu village.
14DGPS drawing of the proposed project area in Kodalu village superimposed on Sattelite image.
15Digital village map of Bannihatti Village
16Digital village map of Chikkanthapura Village
17Digital village map of Kodalu Village
18Digital village map of Lingadahalli Village
19Authenticated village map of Lingadahalli Village
20Water allocation letter
21Undertaking for stone fixing bofore site visit
22details of Near by Forest areas with in 10 KM radius of the proposed project area.
23Alternate Alignment study report as per the EDS by DFO
24CA Land Suitability Certificate
25Acknowledgment of DC regarding RoFR Certification
26Undertaking regarding DRDO NOC
27Authenticated village map of Kodalu Village
28Authenticated village map of Chikkanthapura Village
29Undertaking for stone fixing before site visit
30Authenticated Village Map of Bannihatti Village
31DGPS drawing of the proposed project area in Taranagara village (Donimalai RF).
32DGPS drawing of the proposed project area in Taranagara village (Donimalai RF) superimposed on Sattelite image.
33DGPS points of the area proposed for the diversion in convertable format.
34DGPS points of the area proposed for the CA Land in convertable format.
35Digital village map of Taranagara Village
36Authenticated village map of Taranagara Village
37Survey no and village wise forest and non-forest area details
38Undertaking Letter For Non Forest Area change
39Proposed Project Area over satellite image
40DGPS points with site location images as per SOP
41DGPS points of the Proposed forest area corner Points
42DGPS points of the Proposed Non forest area corner Points
43Kelil Krishnapura CA land superimposed on Settelite images
44Kelil Krishnapura CA land Sitability Certificate
45CA Land Suitability certificate from DCF Belagavi to DCF Ballari
46EDS reply to DCF
47CA Land drawings signed by concerned RFO with Suitability Certificate