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/45295/2020   (ii). Name of Project for which Forest Land is required : Laying of 490 mm Dia MS Pipe Line for Lifting / pumping the secondary treated water from Kandavara lake to Poornasagara kere and onwards to fill tanks in Chikkaballapura Districts   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Construction of Jack well cum pump house, supply and erection of required capacity Pumps and Motors along with necessary accessories for Pumping Units and supply and laying of suitable dia raising main, express Feeder lines etc.., for Lifting / pumping the secondary treated water from Kandavara la   (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) : 94788   (viii). Area of forest land proposed for diversion(in ha.): 0.15   (ix). Non-forest land required for this project(in ha.): 3.582   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : EXECUTIVE ENGINEER MINOR IRRIGATION AND GROUD WATER RESOURCE DIVISION CHIKKABALAPURA   (ii). Address1 : Executive Engineer, Minor Irrigation and Ground Water Resource, Division , near APMC market Chikkaballapur   (iii). Address2 : NIL   (iv). State : Karnataka   (v). District : Chikkaballapura   (vi). Pin : 562101   (vii). Landmark : APMC Market   (viii). Email address : mieechik.forest@gmail.com   (ix). Landline Telephone No. : 8156-270427   (x). Fax No. : 8156-   (xi). Mobile No. : 9448717147   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Narendra   (ii). Middle Name: R   (iii). Last Name: Babu   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: Executive Engineer, Minor Irrigation and Ground Water Resource Division Near APMC market Chikkaballapur   (vii). Address 2: NIL   (viii). State: Karnataka   (ix). District: Bangalore Urban   (x). Tehsil: Bangalore East   (xi). Pin: 560003   (xii). Landmark: K R Circle   (xiii). Email Address: mieechik.forest@gmail.com   (xiv). Landline Telephone No.: 8156-270427   (xv). Fax No.: NIL   (xvi). Mobile No.: 9448717147   (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.Chikkaballapura0.153.582
Total0.153.582
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Chikkaballapura0.153.582
Total0.153.582
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1GANAGANAMIDDHE VILLAGE00.65
2MUSHTURU VILLAGE00.85
3VAPASANDRA VILLAGE00.21
4GERAHALLI VILLAGE00.3
5KAVARNAHALLI VILLAGE00.1
6AVALAGURKI VILLAGE00.15
7J.I. NALLAGUTTAPALYA VILLAGE00.165
8GOLLAHALLI VILLAGE00.18
9S.I.MUGALAKUPPE VILLAGE00.14
10GUVALAKANAHALLI VILLAGE00.178
11POORNASAGAR A.KERE VILLAGE00.157
12MARAGANAHALLI VILLAGE00.15
13S.I. BYPPANAHALLI VILLAGE00.14
14DODDAPYALAGURKI VILLAGE00.112
15BANDAHALLI VILLAGE - SY NO 380.1410
16ARURU VILLAGE0.0090.1
Total 0.15 3.582
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1LAYING OF MS PIPE LINE OF DIA 490 mm IN BANDAHALLI0.140850
2LAYING OF MS PIPE LINE OF DIA 490 mm IN ARURU VILL0.009150
3BALANCE PIPE LINE IN OTHER VILLGES03.582
Total 0.15 3.582
C. Maps of forest land proposed to be diverted
Division 1. : Chikkaballapura
  (i). Area of forest land proposed to be diverted(in ha.) : 0.15   (ii). Nature of the Project: Linear   (b). No. of Segments : Two
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).
1.0.141    View File
2.0.009    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?: Not Applicable   (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 ?: Not Applicable   (iii) . Reason for not providing Non-Forest Land: Not Applicable
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
1COMPLIENCE LETTER ON SHORT COMINGS
2CLARIFICATION NOTE ON MAINTAINENCE PERIOD
3CLARIFICATION OF PIPE LINE LAYING
4UNDERTAKING OF FIXING BOUNDARY
5NOC FROM NHAI
6COMPLIANCE LETTER FOR DFO
7VILLAGE WISE AREA STATEMENT
8UNDERTAKING FOR NPV CA 1