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/QRY/35030/2018
(ii). Name of Project for which Forest Land is required :
ORDINARY BUILDING STONE QUARRY IN SVY NO 61 KHURSE VILLAGE ,SAMPAKHANDA HOBLI OF SIRSI TALUK IN UTTARA KANNDA DISTRICT
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Forest land is required for Approach road and Quarrying ordinary building stones. Hence we are establishing a stone crusher in Manjuguni Malki Sy No. 52/2 of Janmane Range Sirsi Taluk Uttara kannada District. Proposed Forest land in Sy No. 61 in Khurse Village of Janmane Range in Sirsi Taluk, Uttara
(iv). State :
Karnataka
(v). Category of the Proposal :
Quarrying
(vi). Shape of forest land proposed to be diverted :
Non Linear
(vii). Estimated cost of the Project(Rupees in lacs) :
125
(viii). Area of forest land proposed for diversion(in ha.):
1.97
(ix). Non-forest land required for this project(in ha.):
0
(x). Total period for which the forest land is proposed to be diverted(in years):
30
A-2.
Details of User Agency
(i). Name :
SHRINIDHI STONE CRUSHER MANJUGUNI
(ii). Address1 :
Shrinidhi Stone crusher Sy No 52/2 Manjuguni village Tq Sirsi Dist Uttar Kannada
(iii). Address2 :
NIL
(iv). State :
Karnataka
(v). District :
Uttara Kannada
(vi). Pin :
581315
(vii). Landmark :
Manjuguni village
(viii). Email address :
shrinidhimanjugunicrusher@gmail.com
(ix). Landline Telephone No. :
8384-226054
(x). Fax No. :
8384-
(xi). Mobile No. :
9448236275
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
Private
A-3.
Details of Person Making Application
(i). First Name:
Nagaraj
(ii). Middle Name:
Dattatraya
(iii). Last Name:
Vitthalkar
(iv). Gender:
Male
(v). Designation:
Proprietor
(vi). Address 1:
Matruchaya Building
(vii). Address 2:
Marikamba nagar Sirsi
(viii). State:
Karnataka
(ix). District:
Uttara Kannada
(x). Tehsil:
Sirsi
(xi). Pin:
581402
(xii). Landmark:
Sai baba temle
(xiii). Email Address:
shrinidhimanjugunicrusher@gmail.com
(xiv). Landline Telephone No.:
8384-225902
(xv). Fax No.:
NIL
(xvi). Mobile No.:
9448236275
(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.
Sirsi
1.97
0
Total
1.97
0
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Uttara Kannada
1.97
0
Total
1.97
0
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Khurse Forest Sy No 61
1.97
0
Total
1.97
0
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Proposed Quarry land
1.7
0
2
Approach Road
0.27
0
Total
1.97
0
C.
Maps of forest land proposed to be diverted
Division 1. : Sirsi
(i). Area of forest land proposed to be diverted(in ha.) :
1.97
(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 Patches
To view KML file on google the same may be downloaded and then open if in google earth install in your computer.
1.
1.97
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 ?:
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? :
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?:
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. : Uttara Kannada
(a). Village:
MUNDAGANAMANE & MANADOOR
(b). Area(in ha.):
1.97
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
215 & 38
(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
1
Sharavati Valley Wildlife Sanctuary Distance map
2
Certificate From Dept of mines and Geology
3
Endorsement from Tahashildar Siri
4
Mundagamane Svy 215 Issa
5
Pollution Control Board Letter
6
Clarification for proposed unbroken land
7
Clarification on F O C
8
GST CIRTI
9
kspcb
10
Clarification byKSPCB regarding EC
11
Cross section map of Approach Road
12
Suitability Certificate from DCF Sirsi
13
clarification for proposing straight approach road
14
UNDERTAKING FINAL
15
AlternativeExaminedSOITOPOMap
16
RTC copy
17
CA LAND AREA AND COORDINATES
18
Letter From DCF
19
Proposed Forest Boundary Coordinates spreadsheet
20
Proposed Forest Boundary Coordinates with Seal and Signature
Print