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/Pipeline/44313/2020
(ii). Name of Project for which Forest Land is required :
Bharmasagara LIS, Construction of rising main pipe line (CH : 36.225 to CH - 37.550 Km) parellel to NH-48 in Anagodu village, Davanagere Taluk & District
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Survey, Investigation, design, Supply, Installation, Testing and Commissioning of Lift Irrigation system (Head Works consisting of Intake canal, Jack well cum pump house, Power supply including substations and Transmission lines, Rising Main and Delivery chamberetc) and Construction of Gravity
(iv). State :
Karnataka
(v). Category of the Proposal :
Pipeline
(vi). Shape of forest land proposed to be diverted :
Linear
(vii). Estimated cost of the Project(Rupees in lacs) :
56500
(viii). Area of forest land proposed for diversion(in ha.):
0.789
(ix). Non-forest land required for this project(in ha.):
111.611
(x). Total period for which the forest land is proposed to be diverted(in years):
99
A-2.
Details of User Agency
(i). Name :
EXECUTIVE ENGINEER KNNL DAVANAGERE
(ii). Address1 :
O/O EXECUTIVE ENGINEER, NO-05, BHADRA CANAL DIVISION,
(iii). Address2 :
HADADI ROAD, DAVANGERE
(iv). State :
Karnataka
(v). District :
Davanagere
(vi). Pin :
577005
(vii). Landmark :
RURAL POLICE STATION
(viii). Email address :
sumahs1989@gmail.com
(ix). Landline Telephone No. :
8192-264669
(x). Fax No. :
8192-
(xi). Mobile No. :
9986512638
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
Chandrashekarayya
(ii). Middle Name:
NIL
(iii). Last Name:
A
(iv). Gender:
Male
(v). Designation:
Assistant Executive Engineer
(vi). Address 1:
O/O ASSISTANT EXECUTIVE ENGINEER, NO-02 BHADRA CANAL DIVISION, DAVANGERE
(vii). Address 2:
NIL
(viii). State:
Karnataka
(ix). District:
Davanagere
(x). Tehsil:
Davanagere
(xi). Pin:
577005
(xii). Landmark:
RURAL POLICE STATION
(xiii). Email Address:
ram.ssnc@gmail.com
(xiv). Landline Telephone No.:
8192-264669
(xv). Fax No.:
NIL
(xvi). Mobile No.:
9448288828
(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.
Davanagere
0.789
28.966
2.
Chitradurga
0
82.359
Total
0.789
111.325
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Davanagere
0.789
28.966
1.
Chitradurga
0
82.359
Total
0.789
111.325
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Halsabalu
0
1.582
2
Haraganahalli
0
0.78
3
Hanagavadi
0
2.445
4
Agasanakatte
0
1.665
5
Halebathi
0
2.37
6
Kundavada
0
2.43
7
Shamanuru
0
0.69
8
Shiramagondanahalli
0
0.69
9
Avaragere
0
2.595
10
Vadenahalli
0
0.555
11
Kalapanahalli
0
1.005
12
Honnuru
0
0.57
13
Mallashettyhalli
0
1.08
14
Haleuru / Kogganuru
0
1.335
15
Anagodu
0.789
3.804
16
Haluvarthi
0
0.54
17
Hebbalu
0
2.13
18
Panjenahalli
0
0.465
19
Hunasikatte
0
1.5
20
Lakkamuthenahalli
0
0.735
21
Emmehatti
0
2.175
22
Bevinahalli
0
0.276
23
Adavigaollarahalli
0
0.299
24
Ajjappanahalli
0
2.674
25
Alagatti
0
0.246
26
Alagavadi
0
2.459
27
Arasuru
0
0.948
28
Bahadurgatta
0
0.476
29
Ballekatte (Katralu)
0
0.018
30
Bedara Shivanakere
0
0.458
31
Bedara Bommenahalli
0
0.009
32
Beelangi
0
1.986
33
Bevinahalli - Bharamasagara
0
0.72
34
Bharamasagara
0
6.238
35
Bommrnahalli
0
0.536
36
Chikkabbigere
0
1.103
37
Chikkabennuru
0
0.488
38
Chikkapura
0
0.433
39
Chikkenahalli
0
0.882
40
D Madakaripura
0
0.226
41
Doddiganahalu
0
2.26
42
Dyamavvanahalli
0
1.153
43
Gollarahalli
0
2.684
44
Gurappanahalli
0
1.336
45
Halavudara
0
3.797
46
Hale Rangapura
0
1.016
47
Hampanuru
0
2.747
48
Heggadehalu
0
1.243
49
Heggare
0
1.904
50
Hemmanagatta
0
1.679
51
Hulageri
0
0.209
52
Issamudra
0
5.595
53
J.I. Kasavanahalli
0
0.675
54
Jammenahalli
0
1.352
55
Jattalahalli
0
0.169
56
Kalagere
0
0.087
57
Kadlegudda
0
4.194
58
Kodagahalli
0
0.582
59
Kodi Rangavvanahalli
0
1.487
60
Kogunde
0
0.937
61
Kolahalu
0
0.778
62
Konanuru
0
1.788
63
Kyaspura
0
0.669
64
Lakshmisagara
0
0.962
65
Lingavva Nagathihalli
0
1.207
66
Marijogihalli
0
0.202
67
Megalahalli
0
0.766
68
Nandihalli
0
1.847
69
Nellikatte
0
1.929
70
Obalapora
0
1.417
71
Palakihalli
0
2.635
72
Pamarahalli
0
1.202
73
Sadarahalli
0
2.686
74
Shiddapura
0
0.214
75
Shigehalli
0
0.312
76
Sirigere
0
0.967
77
Vaddara Siddavanahalli
0
1.999
78
Veeravva Nagathihalli
0
0.712
79
Yalagodu
0
2.31
Total
0.789
111.324
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Jack well / Pump House
0
0.18
2
Electrical Sub-Station
0
0.08
3
Service Road / Approach Road
0
0.032
4
Intake Canal
0
0.285
5
Raising Main
0.789
34.044
6
Gravity Main
0
76.9878
Total
0.789
111.6088
C.
Maps of forest land proposed to be diverted
Division 1. : Davanagere
(i). Area of forest land proposed to be diverted(in ha.) :
0.789
(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.
0.789
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:
Yes
(a). Copy of map indicating location of alternative examined:
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? :
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
Additional information Details
Documents
S.No
Documents
Remarks
1
Typical cross section of the pipe laying
2
Pipe line alignment superimposed over all village maps
3
Consolidated undertaking letter
4
Detailed Project Report (DPR)
5
Acknowledgment copy for the submission of 9 sets of hard copy of the forest application to DCF, Chitradurga
6
Alternative alignment to avoid deemed forest area in Chitradurga Division.
Print