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/49031/2020   (ii). Name of Project for which Forest Land is required : Scheme to lift water from hemavathy river near Mavinakere village of Holenarasipura Taluk to fill 160 tanks and 10 kattes of Dudda and Shantigrama hoblis of Hassan taluk for drinking purpose   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Scheme to lift water from hemavathy river near Mavinakere village of Holenarasipura Taluk to fill 160 tanks and 10 kattes of Dudda and Shantigrama hoblis of Hassan taluk for drinking purpose   (iv). State : Karnataka   (v). Category of the Proposal : Irrigation   (vi). Shape of forest land proposed to be diverted : Non Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 33300   (viii). Area of forest land proposed for diversion(in ha.): 0.7815   (ix). Non-forest land required for this project(in ha.): 13.832   (x). Total period for which the forest land is proposed to be diverted(in years): 100
A-2. Details of User Agency
  (i). Name : EXECUTIVE ENGINEER,HRBC DIVISION,HOLENARASIPURA   (ii). Address1 : O/o Executive Engineer,HRBC Division,Hole narasipura   (iii). Address2 : NIL   (iv). State : Karnataka   (v). District : Hassan   (vi). Pin : 573211   (vii). Landmark : NIL   (viii). Email address : aee3hrbchnp@gmail.com   (ix). Landline Telephone No. : 0-   (x). Fax No. : 0-   (xi). Mobile No. : 9738887544   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Vikas   (ii). Middle Name: NIL   (iii). Last Name: N   (iv). Gender: Male   (v). Designation: Assistant Engineer   (vi). Address 1: O/o Assistant Executive Engineer ,HRBC No 3 Sub Division,Hole narasipura   (vii). Address 2: NIL   (viii). State: Karnataka   (ix). District: Hassan   (x). Tehsil: Holenarasipura   (xi). Pin: 573211   (xii). Landmark: NIL   (xiii). Email Address: vikaasgowda05@gmail.com   (xiv). Landline Telephone No.: 0-   (xv). Fax No.: NIL   (xvi). Mobile No.: 9902153440   (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.Hassan0.781513.832
Total0.781513.832
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Hassan0.781513.832
Total0.781513.832
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Anehalli 107,95,25,19,12,116,115,118,114,108,98,8300.139
2Anuganahalli-42,41,43,74,76,156,14,2,3,171,177,17900.365
3Arasihalli-72,71,75,7300.017
4Attavara-125,128,127,126,124,241,120,121,246,122,100.329
5Attavara Hosahalli-17012111611712000.203
6B.Devahalli-34,3500.004
7Bandihalli-104,105,117,119,80,51,50,52,47,44,45,4600.064
8Benaghatta-Road00.056
9Bettanahalli-9,12,600.061
10Byadarahalli Kaval-39,33,32,48,29,30,26,25,24,23,100.093
11Chakanahalli-1100.009
12Channammanahalli-21,20,Road00.013
13Chikka Kadluru-110,123(Tank),124,125,11100.033
14Chikkabuvanahalli-28(Tank),30,23,21,19,18,17,13,1200.068
15Chikkammanahalli-9,5,3(Tank),400.008
16Devihalli-70,54,55,56,62(Tank),57,72,61,73,19(Tank00.166
17Dhuddhadavalageri kaval-100.001
18Duddha-18,323,324,325,336,337,348,347,344,343,116,00.653
19Dyavalapura-92,96,82,83(Tank),75(Tank),91,61(Tank)00.063
20G.Mylnahalli-145,110,158-Tank-,165,30,58,105,109,100.318
21Gadenahalli-107,108-Tank-,100,81,49,85,118,99,117,00.264
22Gowdagere-34,58,19,31,36,35,49,48,62,37,59,60,38,500.195
23H.Byrapura-73,85,84,83,82,89-Tank-,91,67,76,61,3,200.238
24H.Dhyavalapura-54,51-Tank-,53,38,57,59,52,55,47,4300.166
25H.Mylnahalli-68-Tank-,69,59,60,58,50,55,40,41,51,500.132
26Halasanahalli-54,62,61,60,58,59,25,29,26,27,28,30,00.288
27Hampanahalli-9,11,44,41,42,34,43,10-Tank-,45,50,7,00.143
28Handrangi-64,6-Tank-,6300.032
29Haranahalli-35-Tank-,131,130,30,29,28,31,14,33,27,00.057
30Hariharapura-98,86,46,39,71,109,127,129,99,94,100,00.344
31Heragu-305,360-Tank-,259,260,239,251,257,238,297,200.296
32Hirekadluru-29,40,53-Tank-,43,44,45,25,26,28,2100.136
33Holalu-39-Tank-,41,23,24,17,16,11,10,13,1200.013
34Hongare-58,56,57,59,54,52,386,51,390,388,389,307,30.1340.737
35Honnavara-291,290,199,197,275,276,277,292,278,279,00.167
36Honnenahalli-10,5,6-Tank-,9,5800.173
37J.I.Krishnapura-1,47,15,11,52,14,31,4200.08
38J.I.Madenuru-245-Tank-,55,59,60,61,62,63,64,65,66,00.263
39J.I.Poongame-212,172,168-Tank-,35,22,21,198,20,20000.066
40Jakkenahalli-82,88,64,Stream,84,89,72,73,74,Road,400.129
41Jigatihalli-37,3800.03
42Kammarige55,55,61,110-Tank-,58,56,52,5300.017
43Kanajanahalli77,76,78,86-Tank-00.012
44Kanive Aladhahalli-70,Stream,Road,109,69,68-Tank-,00.036
45Kanive ByadarahalliStream,Tank,154,22,26,20,197,2500.54
46Karebore Kaval-130,208,201,Road,202,203,129,128,1100.186
47Kenchanahalli-53,64,52,74,73,75,Road,66,67,68,69,500.039
48Kitthanakere-5,62,218,106,Road,234,224,235,Stream,00.304
49Kodihalli-22,Road,15,16,20,14,18,1700.089
50Kommenahalli-45,32,38,39,33,34,31,24,41,50,29,25,400.114
51Koramangala-,131,130,129,111,143,149,153,126,137,100.104
52Koramangala Kaval-1,199,118,109,111,117,108,97,99,00.353
53Krishnapura-34,52,51,46,45,35,29,26,18,32,1900.123
54Kuduragundi-59,53,52,41,60,3900.012
55Lakshmisagara-38,19,15,14,35,36-Tank-,Tank,55,32,300.084
56Manchenahalli Kaval-1,44,24,43,73,25,4,17,42-Tank-00.23
57Marakuli-251,255,258,257,256,211-Tank-,22900.414
58Mayasamudra-73,108,35,72,101,105,70,81,80,100,107,00.752
59Melagodu-435,442,439,349,355,350,357,359,358,406,40.1650.529
60Muddanahalli-60-Tank-,57,40,4200.011
61Mudhigere-30,14-Tank-,8,6,90,4,21,5,32-Tank-,25,2700.187
62Perumenahalli-40,29,28,23,33-Tank-,35,24,52,20,39,00.284
63Ranganathapura-Road,62,63,50,49,51,52-Tank-,43,Tan0.0730.11
64Bommenahalli-162,25,157,156,155,22,24,26,28,270.0670.352
65Shanthigrama-4,25,426,545,433,417,469,470,Road,5100.33251.353
66Siddapura-76,79-Tank-,75,7400.011
67Thendihalli-54,52,68,4,66,20,21-Tank-,57,55,43,44,00.082
68Thimmalapura-47,48,3,50,18-Tank-,4900.033
69Thyavihalli-63,13,14,75,76,52,49,53,Settlement,1,600.211
70Uddurahalli-46,59,58,60,56,55-Tank-,45,33,36,34,3900.268
71Upparahosahalli-62,90,62,71-Tank-,63,61,60,56,57,40.010.119
72Valagerahalli-96,33,95,82,97,85,92,83,72,98,99,94,00.233
73Yogihalli-27,21-Tank-,23,2400.013
74Addhihalli00.015
Total 0.7815 13.832
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Jack Well /Pump House00.2
2Raising main0.1590.951
3Delivery Chamber0.06250
4Center Gravity main0.4621.556
5Gravity main0.09811.125
Total 0.7815 13.832
C. Maps of forest land proposed to be diverted
Division 1. : Hassan
  (i). Area of forest land proposed to be diverted(in ha.) : 0.7815   (ii). Nature of the Project: Non Linear   (a). No. of patches : One
Patch wise details
Patch No. Area of Patch(in ha.) Kml File of PatchesTo view KML file on google the same may be downloaded and then open if in google earth install in your computer.
1.0.7815    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:
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
1Administrative Approval
2Proposed Forest Area Coordinates
3Proposed Non Forest Area Details
4Shantigrama Dudda Project Tender Document
5proposed Forest Diversion Area
6Shantigarama_FC_Cadastral maps Full Alignment Forest and Non Forest
7Other Additional Charges Undertaking
8NPV Undertaking
9Boundary Pillar Undertaking
10KPTCL Sub Station Location index map with transmission line
11compliance Undertaking
12compliance
13Authorization Letter CNNL
14Status of settlement of rights under the Forest Rights Act 2006 Undertaking
15Alternate Alignment examined document (Also Uploaded in the Proper location in item D (ii) which sometimes not visible in to view .Hence uploaded in the Additional Document also
16Forest Proposed Diversion Land RTC
17Hard Copy Check List Require from DFO summitted to DFO