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/49163/2020   (ii). Name of Project for which Forest Land is required : Laying of pipeline in forest lands of Gunjanur, Chinnakara, Dharmapur in (Konkal-Ho, Gurumitkal-Ta, Yadgir-Di), Narayanpur, Kandakur in (Gurumitkal-Ho, Gurumitkal-Ta, Yadgir-Di), Shakalathpalli (Mudhal-Ho, Gurumitkal-Ta, Yadgir-Di) and for filling 35 Main and 20 Secondary Tanks from Bhima River in favour of Krishan Bhagya Jala Nigam Ltd (KBJNL.)   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Diversionof 0.3968 Ha Forest Land for the Project " Filling up of 35 Tanks" In Yadgir 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) : 44000   (viii). Area of forest land proposed for diversion(in ha.): 0.3968   (ix). Non-forest land required for this project(in ha.): 170.8332   (x). Total period for which the forest land is proposed to be diverted(in years): 100
A-2. Details of User Agency
  (i). Name : KBJNL   (ii). Address1 : 3rd Floor, PWD Annex, KR Circle, Nrupathunga Road, Bengaluru, Karnataka   (iii). Address2 : NIL   (iv). State : Karnataka   (v). District : Bangalore Urban   (vi). Pin : 560001   (vii). Landmark : KR Circle   (viii). Email address : tatechnicalkbjnl@gmail.com   (ix). Landline Telephone No. : 80-22244484   (x). Fax No. : 80-22219470   (xi). Mobile No. : 9164663884   (xii). Website (if any) : www.kbjnl.com   (xiii). Legal status of User Agency : State PSU
A-3. Details of Person Making Application
  (i). First Name: MAHESH   (ii). Middle Name: NIL   (iii). Last Name: KG   (iv). Gender: Male   (v). Designation: SUPERINTENDING ENGINEER   (vi). Address 1: 3rd Floor, PWD Office Annexe, KR Circle, Nrupathunga Road, Bengaluru   (vii). Address 2: NIL   (viii). State: Karnataka   (ix). District: Bangalore Urban   (x). Tehsil: Bangalore East   (xi). Pin: 560001   (xii). Landmark: KR Circle   (xiii). Email Address: tatechnicalkbjnl@gmail.com   (xiv). Landline Telephone No.: 80-22244484   (xv). Fax No.: 08022219470   (xvi). Mobile No.: 9164663884   (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.Yadagiri0.3968170.8332
Total0.3968170.8332
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Yadgir0.3968170.8332
Total0.3968170.8332
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Gunjanur0.01632.59403
2Chinnakar0.06941.2756
3Dharmapur0.22081.6222
4Narayanpur0.02012.4859
5Bommaraladodi0.03020.1338
6Ashoknagar03.286
7Mundarga01.4568
8Maskenahalli01.3718
9Kurukumbla00.5867
10Asanala00.1092
11Ramasamudra04.1318
12Panchashila01.3111
13Arakera01.995
14Ganapur03.1605
15Chinkara01.982923225
16Borabanda01.70368609
17GURUMITAKAL00.453207451
18YADGIRI.B013.05916521
19HOSAHALLI02.99058643
20KOYLURU03.56524004
21POGALAPURA02.47663566
22MASTURU00.291333194
23HALAGERA03.78781714
24R.HOSAHALLI00.708159405
25NAGALAPURA04.03062853
26BALICHAKRA03.83637942
27MADHAVARA08.0127028729
28TORANATIPPA05.131333006
29BOMMARALADODDI00.4127348397
30JAIGRAMA01.69154552
31KANEKAL00.598894282
32HULIBETTA01.28685987
33KARENEAGI00.5699
34Kandakur03.702
35KONKAL00.461260695
36YELASATI03.50453719
37GURUNUR00.550332005
38KUNTIMARI04.1439
39SAWRASHTRA05.2439
40KADECHUR06.2232
41BADDEPALLI03.55
42SAMBBARA06.6279
43SHEKALATAPALLI07.13
44NEELAHALLI04.273
45BURUGAPALLI02.8
46LINGERI01.12
47CHAPETLA04.4
48HIMALAPUR02.4
49NANDEPALLI03.8
50KAMALANAGARA04.02
51GOPALAPUR01.5
52GAJARAKOTA01.77
53ITKAL05.6
54KALEBELAGUMPA08.13
55YADGIRI.K02.5
56Gurumitkal01.85
57Gopalpur02.2
58Sakalethpalli0.041.2229
Total 0.3968 170.8330920756
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Pumphouse 1 Including Sub Station04.55
2Pumphouse 2 Including Sub Station06.255
3Delivery chamber 100.3213
4Delivery chamber 200.3
5Delivery chamber 300.3
6Pumphouse 1 power transmission line00.8352
7Pumphouse 2 power transmission line00.8736
8Water Pipeline0.3968157.3981
Total 0.3968 170.8332
C. Maps of forest land proposed to be diverted
Division 1. : Yadagiri
  (i). Area of forest land proposed to be diverted(in ha.) : 0.3968   (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).
1.0.3968    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: No   (a). Reason for not providing such map: Explanation attached in justification letter
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 30   (iii). Temporary Employment(Number of person-days): 40
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?: 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
1GPS Point Shakalathpalli Segment
2GPS Point Gunjanuru Segment
3GPS Point Narayanapura Segment
4GPS Point Dharmapur Segment
5GPS Point Chinnakara Segment
6GPS Point Bommaradoddi Segment
735 Tank Project Report
8Administrative approval copy translated.
9Forest area GPS points
10Forest Survey number diversion sought in villages.
11Pipe line crossing forest area and pipe dimensions
12Project pipeline across all villages listed.
13Project Undertaking
14Pipeline Alignment with boundary village name mentioned
15Project clarification- Drinking or Irrigation