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/47109/2020   (ii). Name of Project for which Forest Land is required : Diversion of 0.8477 Hectare of Forest Land for Filling of 16 Tanks for Drinking Purpose in Bheemanakere & Hallikere Villages, Kasaba Hobli, Maddur Taluk, Mandya District.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Diversion of 0.8477 Hectare of Forest Land for Construction of Rising main, Distribution line component to Filling of 16 Tanks for Drinking Purpose in Sy No 120 of Bheemanakere & Sy No 92 of Hallikere Villages, Kasaba Hobli, Maddur Taluk, Mandya 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) : 7700   (viii). Area of forest land proposed for diversion(in ha.): 0.8477   (ix). Non-forest land required for this project(in ha.): 8.4824   (x). Total period for which the forest land is proposed to be diverted(in years): 50
A-2. Details of User Agency
  (i). Name : CNNL VC DIVISON MANDYA   (ii). Address1 : Kaveri Bhavan Bangalore Mysore Road, Near Sanjay Circle Mandya   (iii). Address2 : NIL   (iv). State : Karnataka   (v). District : Mandya   (vi). Pin : 571401   (vii). Landmark : Near Sanjaya Circle   (viii). Email address : vcdnmndya@gmail.com   (ix). Landline Telephone No. : 8232-225046   (x). Fax No. : 8232-   (xi). Mobile No. : 9242244729   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Nagaraju   (ii). Middle Name: NIL   (iii). Last Name: HS   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: Kaveri Bhavan Bangalore Mysore Road Near Sanjaya Circle Mandya   (vii). Address 2: NIL   (viii). State: Karnataka   (ix). District: Mandya   (x). Tehsil: Maddur   (xi). Pin: 571401   (xii). Landmark: Near Sanjaya Circle   (xiii). Email Address: vcdnmndya@gmail.com   (xiv). Landline Telephone No.: 8232-225046   (xv). Fax No.: NIL   (xvi). Mobile No.: 9448797951   (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.Mandya0.84778.4824
Total0.84778.4824
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Mandya0.84778.4824
Total0.84778.4824
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Aruvanahalli01.4861
2Kabbare00.286
3Byadarahalli (Sy No.21)0.45730.1406
4Thippuru00.3485
5Alur00.6416
6Hulikere00.6247
7Madanayakanahalli00.8516
8Hallikere (Sy No.92)0.23880.6528
9Dhadaga00.2157
10K Honnalagere01.3693
11Bhudaguppe00.3125
12Kolagere00.4733
13Banahalli00.0824
14Narayana iyengar Doddi00.0064
15Bheemanakere (Sy No.120)0.15160.9909
Total 0.8477 8.4824
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Rising Main0.75694.3154
2Distributary Pipeline0.09083.9937
3Intake Chamber00.0254
4Jackwell Cum Pump house00.1479
Total 0.8477 8.4824
C. Maps of forest land proposed to be diverted
Division 1. : Mandya
  (i). Area of forest land proposed to be diverted(in ha.) : 0.8477   (ii). Nature of the Project: Linear   (b). No. of Segments : Three
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).
1.0.7569    View File
2.0.0908    View File
3.0    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 ?: 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
1Detail project report
2Technical sanction letter
3DFO Letter
4Administrative Approval Letter
5DFO Letter and Undertaking Letter
6GPS Readings
7DFO Letter2
8NPV Undertaking
9Physical Pillar Marking Undertaking
10Pipeline Details Undertaking
11Village wise Forest area
12Village wise Non Forest area