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/IRRIG/142337/2021   (ii). Name of Project for which Forest Land is required : Diversion of 4.966 Ha of forest land in Sagar Forest Division Shivamogga District for implementation of Kasaba LIS Project to irrigate 3450 Ha of land and to fill 41 tanks by lifting 0.429 TMC of water from Kumudvathi River.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Kasaba Lift Irrigation scheme envisages constructing a barrage across Kumadvathi river near Kalenahalli village and lifting water on upstream of barrage near Kalenahalli Village in Shikaripura Taluk, Shivamogga District to Delivery Chamber and further by Gravity Pipe distribution network for providi   (iv). State : Karnataka   (v). Category of the Proposal : Irrigation   (vi). Shape of forest land proposed to be diverted : Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 12517   (viii). Area of forest land proposed for diversion(in ha.): 4.966   (ix). Non-forest land required for this project(in ha.): 1.89   (x). Total period for which the forest land is proposed to be diverted(in years): 30
A-2. Details of User Agency
  (i). Name : KARNATAKA NEERAVARI NIGAM LIMITED   (ii). Address1 : 4th Floor, Coffee Board Building   (iii). Address2 : Dr. Ambedkar Veedhi Bengaluru   (iv). State : Karnataka   (v). District : Bangalore Urban   (vi). Pin : 560001   (vii). Landmark : Opp to VV Tower   (viii). Email address : upperbhadraenvi@gmail.com   (ix). Landline Telephone No. : 80-2283074   (x). Fax No. : 80-2267314   (xi). Mobile No. : 9448630362   (xii). Website (if any) : www.knnlindia.com   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Prashanth   (ii). Middle Name: Nill   (iii). Last Name: K   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: Dandavathi Reservoir Project Division   (vii). Address 2: NIL   (viii). State: Karnataka   (ix). District: Shimoga   (x). Tehsil: Shikaripura   (xi). Pin: 577427   (xii). Landmark: Nill   (xiii). Email Address: eedrpshik@gmail.com   (xiv). Landline Telephone No.: 8187-222206   (xv). Fax No.: NIL   (xvi). Mobile No.: 9886599677   (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.Sagar4.9661.89
Total4.9661.89
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Shivamogga4.9661.89
Total4.9661.89
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Kotipura Sy No 780.5980
2Hotankatte Sy No 580.2970
3Mallapura Sy No 220.1320
4Mallapura Sy No 130.4260
5Mallapura Sy No 90.2440
6Korlikoppa Sy No 670.3450
7Indihalli Sy No 2720.5840
8Malalikoppa Sy No 570.2070
9Chikkakalavathi Sy No 750.0840
10Chikkakalavathi Sy No 540.2370
11Madaba Siddapura Sy No 290.0580
12Hirekalavathi Sy No 450.1740
13Kotipura00.61
14Hotankatte00.4
15Kalpanahalli00.88
16Hotankatte Sy No 721.3590
17Hirekalavathi Sy No 440.2210
Total 4.966 1.89
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Delivery Chamber0.0060
2Rising Main1.0751.89
3Gravity Feeder South Branch Canal2.1150
4Gravity Feeder North Branch Canal1.770
Total 4.966 1.89
C. Maps of forest land proposed to be diverted
Division 1. : Sagar
  (i). Area of forest land proposed to be diverted(in ha.) : 4.966   (ii). Nature of the Project: Linear   (b). No. of Segments : Nine
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).
1.0.598    View File
2.1.656    View File
3.0.802    View File
4.0.345    View File
5.0.584    View File
6.0.207    View File
7.0.321    View File
8.0.058    View File
9.0.395    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): 100
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 ? : 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?: 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: Two
District 1. : Shivamogga
  (a). Village: Hariharapura   (b). Area(in ha.): 6.53   (c). Copy of KML file of the patch:     View File   (d). Khasra details: Sy no 63 and 65   (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:
District 2. : Shivamogga
  (a). Village: Kudigere   (b). Area(in ha.): 3.64   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 04   (e). Present owner: Others   (f). Copy of ownership proof: No Data   (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): 0   (ii). Total command area of the Project(in ha.): 3430   (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
1Administrative Approval
2Index Map of the project
3Schematic Diagram of the project
4CA land payment undertaking
5Command area map
6Covering letter
7Non Forest land Requirement details
8NPV Undertaking
9CA land suitability certificate
10Forest land RTCs
11Min use of forest land
12Demarcation of Forest land undertaking
1320 m GPS Coordinates of Forest land
14Component wise break up forest land
15Forest land requirement
16Compliance to EDS
17CA Land Coordinates
18Compliance to EDS dt:03.12.2021
19CA Land Suitability Certificate issued by DCF, Sagar
2020m interval CA land GPS Co-ordinates of Kudigere Village
21Compliance to the EDS of IRO dt:17.12.2021 and EDS of DCF, Sagar Forest division dt:19.04.2024
22F(R)A Certificate