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/28934/2017
(ii). Name of Project for which Forest Land is required :
Diversion of 2.16813 Ha of Forest land for Veerabhadreshwara Lift Irrigation Scheme in Chitrabhanukote, Nagnapr, Laxanatti and Dadanatti villages of Mudhol taluka, Bagalkot Dist in favour of KNNL
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Under Veerabhadreshwara Lift Irrigation scheme - Rising main pipe line passing through forest land in Chitrabhanukota,Naganapur, Laxanatti & Dadanatti village of Mudhol taluka in Bagalkot Dist
(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) :
37837
(viii). Area of forest land proposed for diversion(in ha.):
2.16813
(ix). Non-forest land required for this project(in ha.):
21.5312
(x). Total period for which the forest land is proposed to be diverted(in years):
50
A-2.
Details of User Agency
(i). Name :
KNNL
(ii). Address1 :
Office of Executive Engineer GRBCC Division5, Kaujalagi
(iii). Address2 :
taluka goka
(iv). State :
Karnataka
(v). District :
Belgaum
(vi). Pin :
591227
(vii). Landmark :
GRBC Colony
(viii). Email address :
grbcdiv5@gmail.com
(ix). Landline Telephone No. :
8334-273211
(x). Fax No. :
8334-273211
(xi). Mobile No. :
8861098350
(xii). Website (if any) :
knnlindia.com
(xiii). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
Basavaraj
(ii). Middle Name:
Shekhraddy
(iii). Last Name:
Patil
(iv). Gender:
Male
(v). Designation:
EE
(vi). Address 1:
Office of Executive Engineer , GRBCC Division5, Kaujalagi
(vii). Address 2:
taluka gokak
(viii). State:
Karnataka
(ix). District:
Belgaum
(x). Tehsil:
Gokak
(xi). Pin:
591227
(xii). Landmark:
grbcc colony
(xiii). Email Address:
grbcdiv5@gmail.com
(xiv). Landline Telephone No.:
8334-273211
(xv). Fax No.:
08334273211
(xvi). Mobile No.:
9632871717
(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.
Gokak
0
2.6459
2.
Bagalkot
2.16813
18.8853
Total
2.16813
21.5312
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Belgaum
0
2.6459
1.
Bagalkot
2.16813
18.8853
Total
2.16813
21.5312
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Chitrabhanukote Sy No 62
1.3372
1.6125
2
Nagnapur Sy No 80
0.1135
3.6046
3
Laxanatti Sy No 94
0.037
3.0406
4
Dadanatti Sy No 79
0.6804
7.9361
5
Hebbal
0
2.4177
6
Hosakote
0
0.2738
7
Udapudi
0
1.8925
8
Bidaki
0
0.7534
Total
2.1681
21.5312
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Pump house
0
0.2625
2
Pipe line(Rising Main)
2.15133
21.162
3
Surge Tank
0.0168
0
4
Delivery Chamber
0
0.105625
Total
2.16813
21.530125
C.
Maps of forest land proposed to be diverted
Division 1. : Gokak
(i). Area of forest land proposed to be diverted(in ha.) :
0
(ii). Nature of the Project:
Linear
(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:
Division 2. : Bagalkot
(i). Area of forest land proposed to be diverted(in ha.) :
2.16813
(ii). Nature of the Project:
Linear
(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.
2.16813
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):
12
(iii). Temporary Employment(Number of person-days):
404500
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?:
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 ?:
Yes
(a). Reason Category:
CA Will be raised on degraded forest land as well as on land provided by User Agency
(b). Degraded forest area on which CA has to be raised by forest department(in ha.):
5.665
(c). Area of non-forest or Revenue forest land required to be provided by User Agency for raising Compensatory Afforestation(in ha.):
5.665
(iii). No. of districts involved for raising Compensatory Afforestation:
1
(iv). No. of patches:
One
District 1. : Bagalkot
(a). Village:
Mugalolli
(b). Area(in ha.):
5.665
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
Sy No 25/1A
(e). Present owner:
User Agency
(f). Copy of Ownership proof:
(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.):
0
Additional information Details
Documents
S.No
Documents
Remarks
1
Alignment of Veerabhadreshwar Lift Irrigation Scheme approved by KNNL
2
Undertaking Letter
3
Chitrabhanukote Forest Land Co-Ordinates
4
Naganapur- Laxanatti Forest Land Co-Ordinates
5
Dadanatti Forest Land Co-Ordinates
6
Dadanatti Surge Tank Forest Land Co-Ordinates
7
CA Land Suitablity Letter
8
Ownership
9
CA Land Co-Ordinates
10
Administration and Technical Sanction Letter
11
Area Statement of Forest Area
12
Area Statement for Non-Forest Area
13
Authorisation Letter
14
Bear the Cost of Compensatory Authority
15
Beneficiaries of Project
16
Brief Note of Project
17
DC Letter for FRA
18
DC Letter for No-Alternate land Non-Forest
19
Forest Boundry Marked in Geo Referenced Maps
20
Index Alignment Map
21
DC Letter for CA Land
22
CA Land Topo Map Merged
23
CA Land Village Map Merged
24
CA Land Village Map and Topo Map Merged
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