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/47297/2020
(ii). Name of Project for which Forest Land is required :
Laying of proposed 203mm,152mm,101mm diameter steel Gas pipeline, from Reliance Gas Transportation Infrastructure Limited terminal CS-05 at Jalsingi,along NH-50, within road RoW, to Bidar with forest diversion in Village Kabeerabad, Byalahalli and Andur of Tulaka Bidar of Bidar District in favour of Bharat Gas Resources Limited.
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Proposal for Grant of permission for laying of proposed 203mm,152mm,101mm diameter steel Gas pipeline, from Reliance Gas Transportation Infrastructure Limited terminal CS-05 at Jalsingi,along NH-50, within road RoW, to Bidar in Bidar District.
(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) :
9673
(viii). Area of forest land proposed for diversion(in ha.):
0.5712
(ix). Non-forest land required for this project(in ha.):
3.5222
(x). Total period for which the forest land is proposed to be diverted(in years):
100
A-2.
Details of User Agency
(i). Name :
BHARAT GAS RESOURCES LIMITED
(ii). Address1 :
5th Floor , The IL & FS Financial Centre, Plot C-22, G Block , Bandra Kurla Complex( E) , Mumbai
(iii). Address2 :
NIL
(iv). State :
Maharashtra
(v). District :
Mumbai City
(vi). Pin :
400051
(vii). Landmark :
NIL
(viii). Email address :
josephs@bharatpetroleum.in
(ix). Landline Telephone No. :
22-26381621
(x). Fax No. :
22-
(xi). Mobile No. :
9099069167
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
Central PSU
A-3.
Details of Person Making Application
(i). First Name:
Sajeev
(ii). Middle Name:
NIL
(iii). Last Name:
K
(iv). Gender:
Male
(v). Designation:
CGD Head
(vi). Address 1:
Bharat Gas Resources Limited, Brindavan Commercial Complex, CMC no 19-1-207/30 and 31, 2nd Floor, Shiv Nagar South, Udgir main Road, Bidar, Karnataka-585401
(vii). Address 2:
NIL
(viii). State:
Karnataka
(ix). District:
Bidar
(x). Tehsil:
Bidar
(xi). Pin:
585401
(xii). Landmark:
Above Andhra Bank
(xiii). Email Address:
sajeevka@bharatpetroleum.in
(xiv). Landline Telephone No.:
22-26381621
(xv). Fax No.:
NIL
(xvi). Mobile No.:
9606690008
(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.
Bidar
0.5712
3.5222
Total
0.5712
3.5222
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Bidar
0.5712
3.5222
Total
0.5712
3.5222
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
JALSINGI CGS (STARTING STATION)
0
0.4046
2
JALSINGI
0
0.3156
3
CHINCHOLI
0
0.0382
4
KABEERABAD(NON FOREST)
0
0.1799
5
KABEERABAD FOREST (XX)
0.2137
0
6
KABEERABAD FOREST (81)
0.0197
0
7
HALLIKHED
0
0.5299
8
AMIRABAD
0
0.0882
9
SINDABANDAGI
0
0.1617
10
TUGANVACH
0
0.1615
11
BYALAHALLI (NON FOREST)
0
0.3144
12
BYALAHALLI FOREST(58/1)
0.0859
0
13
HALAHALLI
0
0.1905
14
NIRMANAHALLI
0
0.0815
15
MALACHAPURA
0
0.0974
16
ANDUR NON FOREST
0
0.2218
17
ANDUR FOREST (328)
0.2519
0
18
ANDUR FOREST (329)
0.0308
0
19
KOLARA BUZURG
0
0.1336
20
NIJAMPURA
0
0.0785
21
KOLARA KHURD
0
0.3101
22
NAUBADHA
0
0.1773
23
NAUBADHA DELIVERY STATION
0
0.0067
Total
0.602
3.4914
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
STARTING POINT CGS LAND JALSINGI
0
0.4046
2
STEEL GAS PIPELINE
0.602
3.0801
3
DELIVERY STATION AT BPCL NAUBADHA
0
0.0067
Total
0.602
3.4914
C.
Maps of forest land proposed to be diverted
Division 1. : Bidar
(i). Area of forest land proposed to be diverted(in ha.) :
0.602
(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.
0.602
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:
Proposed route is along NH-50 and within road RoW
E.
Employment likely to be generated
(i). Whether the Project is likely to generate employment ?:
Yes
(ii). Permanent/Regular Employment(Number of persons):
10
(iii). Temporary Employment(Number of person-days):
150
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
Administrative Sanction/approval
2
Detailed Project Report
3
Consent from Highway Authority
4
Clarification on points in the query document
5
Undertaking for making physical markings
6
Undertaking for NPV,CA and other stipulated charges
7
Clarification regarding FRA Certificate
8
AUTO CAD DRAWING OF ALL VILLAGE SURVEY NUMBER ALONG THE PIPELINE
9
DETAIL NOTE
10
DETAILS OF FOREST AND NON FOREST SURVEY NO WISE BREAKUP
11
DETAILS OF FOREST LAND SURVEY NO WISE ,VILLAGEWISE BREAKUP
12
DETAILS OF NON FOREST LAND SURVEY NO WISE ,VILLAGEWISE BREAKUP
13
GPS READINGS OF POINT ALONG PIPELINE ROUTE IN FOREST AREA
14
RTC RECORDS OF FOREST LAND IN ALL VILLAGES
15
GEO REFERENCE MAPS WITH LARGE SCALE (1:4000)
16
GEO REFERENCE MAPS WITH ORDINARY SCALE (1:7920)
17
SINGLE MAP SHOWING THE ENTIRE PIPELINE ROUTE WITH FOREST AND NON FOREST SEGMENTS
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