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/43456/2019
(ii). Name of Project for which Forest Land is required :
Laying of Pipeline (0-3km) under Chachadi LIS
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Construction of Canal and laying of underground pipeline under Chachadi Lift Irrigation Project in Khangaon Village, Gokak Taluk, Belgavi District
(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) :
2460
(viii). Area of forest land proposed for diversion(in ha.):
3.92
(ix). Non-forest land required for this project(in ha.):
76.08
(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 :
Karnataka Neeravari Nigam Limited, Coffee Board building, 4th floor, Dr. B.R.Ambedkar Veedhi,Bangalore
(iii). Address2 :
NIL
(iv). State :
Karnataka
(v). District :
Belgaum
(vi). Pin :
560001
(vii). Landmark :
Indian Express
(viii). Email address :
techknnl@gmal.com
(ix). Landline Telephone No. :
8336-222163
(x). Fax No. :
8336-222173
(xi). Mobile No. :
9448231606
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
State PSU
A-3.
Details of Person Making Application
(i). First Name:
Ugresh
(ii). Middle Name:
G
(iii). Last Name:
Benner
(iv). Gender:
Male
(v). Designation:
Executive Engineer
(vi). Address 1:
office of Executive Engineer,KNNL,GRBCC,DIVNo-3,Gokak
(vii). Address 2:
NIL
(viii). State:
Karnataka
(ix). District:
Belgaum
(x). Tehsil:
NIL
(xi). Pin:
591307
(xii). Landmark:
Near Lakshmi temple
(xiii). Email Address:
pra_kak@rediffmail.com
(xiv). Landline Telephone No.:
8332-225213
(xv). Fax No.:
08332225213
(xvi). Mobile No.:
9663592942
(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
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
Closed
FP/KA/IRRIG/21035/2016
F.No.4-KRB1137/2018-BAN
6.75
0
Total
6.75
0
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
3.92
76.08
Total
3.92
76.08
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Belgaum
3.92
76.08
Total
3.92
76.08
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Khangaon,Vannur,Gajaminhal,Mekalamardi,Ujjanatti,H
0
76.08
2
Khangaon
3.92
0
Total
3.92
76.08
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Rising Main
0.28527
0.0351
2
Gravity Main
3.202875
0
3
Distributary Canal
0.4318
0
4
Main Canal
0
76.0446
Total
3.919945
76.0797
C.
Maps of forest land proposed to be diverted
Division 1. : Gokak
(i). Area of forest land proposed to be diverted(in ha.) :
3.92
(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.
3.92
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 ?:
No
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?:
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:
Khangaon
(b). Area(in ha.):
6.76
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
700
(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.):
2718
(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
1
No Violation under FC Act issued by UA
2
Non-Availability of Suitable Alternative Land issued by DC
3
Non-Availability of Suitable Alternative Land issued by UA issued by DC
4
NPV Certificate issued by UA
5
Brief Project Report prepared by UA
6
FRA Form-I issued by DC
7
Technical Sanction for the project
8
Mutation Order for CA Land
9
Administrative Approval for the Project
10
Village wise Survey Number details for NonForest Land
11
FRA Certificate issued by Village Forest Committee
12
FRA Proceedings of Village Forest Committee
13
Forest Land Requirement Drawing on Cadestral Map
14
English Translation of Non-English Documents
15
Additional Data related to CA Land issued by various competent authorities
16
Compliance to the Observations of PCCF dated 27.01.2020
17
Cross Section Drawing for Pipeline Arrangement within Forest Area
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