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/Others/25293/2017   (ii). Name of Project for which Forest Land is required : For re-construction existing old Temple & approach Road at Tenka Kajekar Village & Block, Bantwala Range, Mangalore Division, D.K District in favour President, Shri Krishna Temple, Karla. Tenkakajekar (V), Bantwala (T), D.K. District.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Diversion of 0.9713 ha of forest land in Sy.No.61/11P1 of Tenka Kajekar Village, Tenka Kajekar Block, Bantwala Range, Mangalore Division, for re-construction existing old Temple & approach road at Non-Forest Land in favour of the President, Shri Krishna Temple, Karla, Mangalore   (iv). State : Karnataka   (v). Category of the Proposal : Others   (vi). Shape of forest land proposed to be diverted : Non Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 75   (viii). Area of forest land proposed for diversion(in ha.): 0.9713   (ix). Non-forest land required for this project(in ha.): 0.1214   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : SHRI KRISHNA TEMPLE KARLA   (ii). Address1 : ROHINATH P S/o LATE B. LINGAPPA, "SAI NIVAS APARTMENTS", HAT HILL ROAD, LAL BAGH, ASHOK NAGAR POST, MANGALORE-06,DAKSHINA KANNADA DISTRICT.   (iii). Address2 : NIL   (iv). State : Karnataka   (v). District : Dakshina Kannada   (vi). Pin : 575006   (vii). Landmark : HAT HILL ROAD   (viii). Email address : shreekrishnatemplekarla@gmail.com   (ix). Landline Telephone No. : 0-0   (x). Fax No. : 0-0   (xi). Mobile No. : 9880740775   (xii). Website (if any) : Nil   (xiii). Legal status of User Agency : Private
A-3. Details of Person Making Application
  (i). First Name: Rohinath   (ii). Middle Name: NIL   (iii). Last Name: P   (iv). Gender: Male   (v). Designation: President   (vi). Address 1: Rohinath P S/o Late B. Lingappa, Sai Nivas Appartments, Hat Hill Road Lal Bagh, Ashoka Nagar Post, Mangalore-06 D.K. District.   (vii). Address 2: NIL   (viii). State: Karnataka   (ix). District: Dakshina Kannada   (x). Tehsil: NIL   (xi). Pin: 575006   (xii). Landmark: Hat Hill Road   (xiii). Email Address: shreekrishnatemplekarla@gmail.com   (xiv). Landline Telephone No.: 0-0   (xv). Fax No.: 00   (xvi). Mobile No.: 9880740775   (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
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
1Under Processing at State GovernmentFP/KA/Others/25293/20170.9710
Total 0.971 0
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.Mangalore0.97130.1214
Total0.97130.1214
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Dakshina Kannada0.97130.1214
Total0.97130.1214
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Sy.No.61/11P1 of Tenka Kajekar Village0.97130
2Sy.No.61 of Tenka Kajekar Village00.1214
Total 0.9713 0.1214
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Dining & Kitchen0.0140
2Toilet Block0.00630
3Overhead Tank0.00250
4Well 2.00 M Dia0.00030
5Four Wheeler Parking0.050
6Two Wheeler Parking0.0120
7Sabha Bhavana0.04780
8Temple (Gudi & Pauli)0.05210
9Open Space, Parks, Pthways Etc.,0.78410
10Daiva Gudi (2 Nos)0.00220
11approach Road00.1214
Total 0.9713 0.1214
C. Maps of forest land proposed to be diverted
Division 1. : Mangalore
  (i). Area of forest land proposed to be diverted(in ha.) : 0.9713   (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.
1.0.9713    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): 3   (iii). Temporary Employment(Number of person-days): 5
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
Additional information Details
Documents
S.No Documents
Remarks
1Essential details sought by the Nodal Officer vide their letter dated 31-3-2017. The same is enclosed herewith for further necessary action .
2EDS sought by Nodal Office vide letter dated 11-10-2017. The same is uploaded
3Your Office EDS letter dated 12-02-2018. The same is uploaded with annexure wise
4Annexure-1 Temple design and civil drawing plan for existing temple
5Annexure- 3 Component wise Civil Breakup drawing
6Annexure- 4 Tahasildar, Bantwala Certificate
7Annexure- 5 CCF Mangalore Letter
8Annexure- 6 Project Estimate Cost & Rate Analysis Report
9Cairn Showes Google Map
10Temple Plan
11Undertaking for payment NPV,CA, CP & Others
12Reference point and cairan and survey number details
13Annexure- 2 Trust Deed Register in Original Copy
14Essential details sought by Nodal Officer vide their letter dated 18-09-2019. The same is enclosed herewith for further necessary action .
15Undertaking for Temporary Stone Pillar .
16Query raised by DFO Mangalore on 08-12-2020. Replies and Revised Village Map & Topo Maps, KML uploaded in proper columns
17Village and Forest Block Maps
18GoK has raised the EDS query on 24-03-2021. Replies with annexure are uploaded.
19A Separate NPV Undertaking
20Essential details sought by the Nodal Officer vide their letter dated 25.02.2022. The compliance of the along with the Attachments herewith for further necessary action. Dated 06.06.2026