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/29186/2017   (ii). Name of Project for which Forest Land is required : creation of zoological park   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Ex-situ conservation of wild animals including keeping and management of wild animas through zoological park and also establishment of rescue center for the wild animals and orphans wild animals   (iv). State : Karnataka   (v). Category of the Proposal : Others   (vi). Shape of forest land proposed to be diverted : Hybrid   (vii). Estimated cost of the Project(Rupees in lacs) : 6500   (viii). Area of forest land proposed for diversion(in ha.): 140.917   (ix). Non-forest land required for this project(in ha.): 13.933   (x). Total period for which the forest land is proposed to be diverted(in years): 50
A-2. Details of User Agency
  (i). Name : EXECUTIVE DIRECTOR AND DEPUTY CONSERVATOR FORESTS SHRI ATAL BHIHAARI VAJAPYEE ZOOLOGICAL PARK KAMALAPURA   (ii). Address1 : ED AND DCF SHRI ATAL BHIHARI VAJAPYEE ZOOLOGICAL PARK KAMALAPURA, HOSPET TQ,   (iii). Address2 : NIL   (iv). State : Karnataka   (v). District : Bellary   (vi). Pin : 583221   (vii). Landmark : OFF 131 STATEHAYWAY   (viii). Email address : eddcfkamalapurazoo@yahoo.in   (ix). Landline Telephone No. : 8394-221793   (x). Fax No. : 8394-   (xi). Mobile No. : 9480631698   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Purushotham   (ii). Middle Name: NIL   (iii). Last Name: kempiia   (iv). Gender: Male   (v). Designation: DCF   (vi). Address 1: SHRI ATAL BHIHARI VAJAPYEE ZOOLOGICAL PAK KAMALAPURA, HOSPET TQ, BALLARI DST   (vii). Address 2: NIL   (viii). State: Karnataka   (ix). District: Bellary   (x). Tehsil: Hospet   (xi). Pin: 583221   (xii). Landmark: off 131state haighway   (xiii). Email Address: eddcfkamalapurazoo@yahoo.in   (xiv). Landline Telephone No.: 8394-221793   (xv). Fax No.: NIL   (xvi). Mobile No.: 9480631698   (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.Bellary140.91713.933
Total140.91713.933
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Bellary140.91713.933
Total140.91713.933
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Ingaligi syno1203.23
2Ingaligi syno1302.91
3Ingaligi syno143.470
4Ingaligi syno153.650
5Ingaligi syno1601.46
6Ingaligi syno189.340
7Ingaligi syno193.620
8Kamalapura syno108076.0220
9Kamalapura syno108206.33
10Kamalapura syno10832.820
11Kamalapura syno10841.10
12Kamalapura syno10852.220
13Kamalapura syno10863.20
14Ingligi syno28(RFKhandum)35.4750
Total 140.917 13.93
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1RESCU CENTER1.530
2Core Building Area5.497530
3PARKING AREA0.690
4Core Open Forest Area113.5413.209
5NusuryRoad0.093870
6OfficeRoad0.166440
7SAFARI ROAD1.6050.3826
8VISITOR ROAD0.9030.192
9SERVICE ROAD2.7790.149
10APPROACH ROAD0.00330
11Connecting Road0.2880
12Zoo Internal Road0.39480
13Non Core Open Forest Area(Tourism Zone)13.3330
14Non Core Building Area (Residential Paragola etc)0.0859810
Total 140.909921 13.9326
C. Maps of forest land proposed to be diverted
Division 1. : Bellary
  (i). Area of forest land proposed to be diverted(in ha.) : 140.917   (ii). Nature of the Project: Hybrid   (a). No. of patches : Six
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.
1.1.53    View File
2.5.49753    View File
3.0.69    View File
4.113.54    View File
5.13.333    View File
6.0.085981    View File
  (b). No. of Segments : Eight
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).
1.0.09387    View File
2.0.16644    View File
3.1.605    View File
4.0.903    View File
5.2.779    View File
6.0.0033    View File
7.0.288    View File
8.0.3948    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: NO
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 12   (iii). Temporary Employment(Number of person-days): 20805
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 ? : 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? : Yes   (a). Whether Project or a part thereof is located within a Protected Area ? : No   (ii). Status of approval of the Standing Committee of National Board for the Wildlife(NBWL) to the Project : Application yet to be submitted
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 ?: Yes   (a). Reason Category: Other reason   (b). Provide reasons thereof: ca   (c). Area of non-forest or Revenue forest land required to be provided by User Agency for raising Compensatory Afforestation (in ha.): 57   (iii). No. of districts involved for raising Compensatory Afforestation: 1   (iv). No. of patches: One
District 1. : Bellary
  (a). Village: venkatapura   (b). Area(in ha.): 57   (c). Copy of KML file of the patch:     View File   (d). Khasra details: sarakari   (e). Present owner: Others   (f). Copy of ownership proof:   (g). Copy of Mou/agreement executed between the Present owner and the User Agency:   (h). Copy of non encumberence certificate for the forest land:
  (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:
Additional information Details
Documents
S.No Documents
Remarks
1UnderTakingOfNPV And CA
2OrderCopyOfHandingOver The ZooArea
3Reasonforsurplus Of ZooArea
4VenkatpurVillageMap Of CA Land
5Venkatpur CA Land Rtc
6BilikalWestRFMAP Showing Non Forest Land Of sy no 12,13,16 Of Ingaligi And 1082 Of Kamalapura
7Total Details Data OF Proposed Forest Land fc
8MASTER PLAN OF ZOO
9NOTIFICATION OF RF
10TOTAL ROADS DIMENSTION
11Non Forest Enclosers GPS Points
12Outer Boundary GPS points
13Reply latter of Query's