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/MIN/42914/2019   (ii). Name of Project for which Forest Land is required : Diversion of Forest land measuring 12.97 Ha for Mining Activity and 0.97 Ha for Road connecting to Mining Lease i.e ML.No:2649 in Hungund Taluk, Bagalkot District, Karnataka.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : This proposed road is an approach road to our Hiremagi Sulebhavi Aihole Iron ore mines, since 1980 ML.No: 2649 (old ML.NO 2395 &1671), which is a internal road of our adjacent Lease i.e Hiremagi Ramthal Iron ore mine ML.no:2394(old ML 465) which was granted in 1st march 1960 , The ML.No:2394 (old M   (iv). State : Karnataka   (v). Category of the Proposal : Mining   (vi). Shape of forest land proposed to be diverted : Non Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 0   (viii). Area of forest land proposed for diversion(in ha.): 13.94   (ix). Non-forest land required for this project(in ha.): 0.321   (x). Total period for which the forest land is proposed to be diverted(in years): 10
A-2. Details of User Agency
  (i). Name : MS DODDANAVAR BROTHERS   (ii). Address1 : HRIRON ORE MINES.HIREMAGI VILLAGE, HUNGUND TALUK, BAGALKOT Dist.   (iii). Address2 : NIL   (iv). State : Karnataka   (v). District : Bagalkot   (vi). Pin : 587112   (vii). Landmark : NIL   (viii). Email address : hrmines@doddanavarbrothers.com   (ix). Landline Telephone No. : 831-2466272   (x). Fax No. : 831-2403401   (xi). Mobile No. : 9845739350   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Private
A-3. Details of Person Making Application
  (i). First Name: Rachappa   (ii). Middle Name: Mallappa   (iii). Last Name: Saradagi   (iv). Gender: Male   (v). Designation: GPA Holder   (vi). Address 1: corporate office 738/1,Near 3rd Railway gate,Khanapur Road Belgaum   (vii). Address 2: HR/ AH Iron ore mines, Hiremagi village, Hungund taluk, Bagalkot District,   (viii). State: Karnataka   (ix). District: Belgaum   (x). Tehsil: Belgaum   (xi). Pin: 590008   (xii). Landmark: Near Hotel Kshma inn   (xiii). Email Address: hrmines@doddanavarbrothers.com   (xiv). Landline Telephone No.: 831-2466272   (xv). Fax No.: 08312403401   (xvi). Mobile No.: 9845739350   (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.Bagalkot13.940.321
Total13.940.321
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Bagalkot13.940.321
Total13.940.321
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Hiremagi Sy No 6513.60
2Ihole Sy No 1660.220
3Ramathal Sy No 1160.120.321
Total 13.94 0.321
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road_PAVEMENT0.690.21
2Road_Shoulder0.210.08
3Mining area12.970
4Road_Drain0.0650.031
Total 13.935 0.321
C. Maps of forest land proposed to be diverted
Division 1. : Bagalkot
  (i). Area of forest land proposed to be diverted(in ha.) : 13.94   (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.
1.13.94    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 ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 60   (iii). Temporary Employment(Number of person-days): 30
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?: Yes   (a). Copy of Cost-Benefit analysis:
H. Status of Environmental Clearance
  (i). Whether the Project requires Clearance under the Environment (Protection) Act 1986 ? : Yes   (a). Status of the Environmental Clearance to the Project: EC application yet to be submitted
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?: 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: Two
District 1. : Belgaum
  (a). Village: Betasur   (b). Area(in ha.): 9.2   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 636A   (e). Present owner: User Agency   (f). Copy of Ownership proof: No Data
District 2. : Belgaum
  (a). Village: Betasur   (b). Area(in ha.): 13   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 636A   (e). Present owner: User Agency   (f). Copy of Ownership proof: No Data
  (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. Mining Details
M-1. Details of Mineral Concessions
  (i). Whether the forest land is aquired under Coal Bearing Areas Act: No   (a). Reference number of Letter of Intent for grant of mining lease.(approval letter of the State Mines and Geology Department): CI287MMM2015   (b). Date of issue of the Letter of Intent(LOI) for grant of mining lease: 26 Apr 2016   (c). Copy the Letter of Intent(LOI):   (d). Total area of the mining lease(in ha.): 30.33   (e). Area of forest land located in the mining lease(in ha.): 30.33
M-2. Details of Mining Plan
  (i). Date of approval of mining plan: 10 Aug 2018   (ii). Approval authority: INDIAN BUREAU OF MINES   (iii). Copy of approval of mining plan:   (iv). Copy of approved mining plan:   (v). Nature of mining (underground/opencast): Opencast   (vi). Copy of the detailed land use plan in 1:4,000 scale prepared by using GPS or Total Station :   (vii). Copy of map of the outer boundary of mining lease area:     View file
M-3. Details of prospecting undertaken to assess mineral reserves
  (i). Whether detailed prospecting to assess mineral reserve in the lease has been undertaken: No
M-4. Details of extension (if any) of original prospecting licence issued in the past
  (i). Whether detailed prospecting to assess mineral reserve in the lease has been undertaken: No
M-5. Brief details of prospecting activities undertaken in the mining lease :
M-5.2 Estimated Reserve along with accuracy and confidence level
Estimated Reserve along with accuracy and confidence level
Minerals Estimated Reserve
(million tones)
% accuracy (+ -) % confidence level Estimated Reserve
(million tones)
% accuracy (+ -) % confidence level
Iron Ore12.4418080000
M-6. Details of approval under the Forest (Consevation) Act,1980 obtained for undertaking prospecting activities in the forest land located in the mining lease
  (i).Whether approval under the Forest (Conservation) Act, 1980 for undertaking prospecting activities in the forest land located in the mining lease have been obtained No
Details of approval under the Forest(Consevation) Act,1980
S.no MoEF File No Date of approval Area of forest land diverted(in ha.) From Date To Date
NIL
M-7. Mineral wise details
  (i). No. of minerals: One
Mineral wise details
Minerals Estimated reserve in
non forest land(million tons.)
Estimated reserve
in forest land(million tons.)
Estimated annual
extraction(million tons.)
Estimated life
of mine(Yrs.)
Total estimated extraction during
mining lease period(million tons.)
Estimated mineral reserve
at the end of mining lease(million tons.)
Iron Ore012.4410.650120
M-7.1 Proposed use of the minerals proposed to be raised from the mining lease
  (i). Proposed use of the minerals proposed to be raised from the mining lease: Non captive   (ii).Copy note containing details of the plan for the transportation of the minerals proposed to be raised from the mining lease:
Additional information Details
Documents
S.No Documents
Remarks
1Authentication letter of Corporate office
2Compliance report of FC Conditions
3Firm registration copy
4GOK Notification letter
5Justification letter
6Undertaking for Fencing
7Undertaking for CA Charges
8Undertaking for Corner pillars
9Undertaking for payment of NPV
10Clarification regarding CA Land
11Clarification regarding Forest offence cases
12C&D LAND DETAILS
13EC CLEREANCE
14GPA COPY
15TOPO SHEET OF CA Land 13.00 HA
16village MAP OF CA Land 13.00 HA
17CA Land of ML.NO 2394 (9.20 Ha)
18CA Land Toposheet of 22.20 Ha
19CA Land Village map of 22.20 Ha
20DGPS CO-ORDINATES OF C.A LAND FOR M.L.No 2694
21Cost benefit analysis report
22NOC for use of Road
23DMG approved Letter for 43.30 Ha
24parawise reply
25cross section of Road
26GPS Points of Road
27C and l Letter
28CA LAND ADDITIONAL DOC