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/43207/2019
(ii). Name of Project for which Forest Land is required :
For grant of M-Sand Quarry Lease & Approach Road in forest land in Sy.No.1/D & 1/A of Uchchangidurga Village, Harapanahalli Taluk, Davanagere Division in favour of T. Basappa, Partner, M/s Anna
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Diversion of 10.0956 ha. of forest land in Sy.No.1/D & 1/A of Uchchangidurga Village, Harapanahalli Range & Taluk, Davanagere District & Division for grant of M-Sand Quarry Lease & Approach Road as per KMMCR-1994 of Amendment 2016 of 31-ZC as per Letter of Intent from DMG, Bangalore.
(iv). State :
Karnataka
(v). Category of the Proposal :
Quarrying
(vi). Shape of forest land proposed to be diverted :
Hybrid
(vii). Estimated cost of the Project(Rupees in lacs) :
150
(viii). Area of forest land proposed for diversion(in ha.):
10.0956
(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):
99
A-2.
Details of User Agency
(i). Name :
M/S ANNAPOORNA STONE CRUSHER
(ii). Address1 :
M/s Annapoorna Stone Crusher, Sy No.1D, Uchangidurga Village, Harapanahalli Taluk, Davanagere District
(iii). Address2 :
NIL
(iv). State :
Karnataka
(v). District :
Davanagere
(vi). Pin :
577005
(vii). Landmark :
Opposite More
(viii). Email address :
annapoornastonecrusher30@gmail.com
(ix). Landline Telephone No. :
8192-262330
(x). Fax No. :
8192-0
(xi). Mobile No. :
9448272330
(xii). Website (if any) :
Nil
(xiii). Legal status of User Agency :
Private
A-3.
Details of Person Making Application
(i). First Name:
T
(ii). Middle Name:
Nil
(iii). Last Name:
Basappa
(iv). Gender:
Male
(v). Designation:
Partner
(vi). Address 1:
M/s Annapoorna Stone Crusher, T. Basappa, Partner, Basava Nikethana, Door No.1120, 3rd Cross, Tharalabalu Badavane, Davanagere Taluk and District.
(vii). Address 2:
NIL
(viii). State:
Karnataka
(ix). District:
Davanagere
(x). Tehsil:
Davanagere
(xi). Pin:
577005
(xii). Landmark:
Opposite More
(xiii). Email Address:
annapoornastonecrusher30@gmail.com
(xiv). Landline Telephone No.:
8192-262330
(xv). Fax No.:
00
(xvi). Mobile No.:
9448272330
(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
10.0956
0
Total
10.0956
0
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Davanagere
10.0956
0
Total
10.0956
0
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Sy No.1/D of Uchangidurga village
3.3754
0
2
Sy No 1/D of Uchangidurga village
2.452
0
3
Sy No 1/A of Uchangidurga village
4.2682
0
Total
10.0956
0
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
For M Sand Quarry Area-1
3.238
0
2
For Approach Road Patch-1
0.1374
0
3
For M Sand Quarry Area-2
2.305
0
4
For Approach Road Patch-2
0.147
0
5
For M Sand Quarry Area-3
4.087
0
6
For Approach Road Patch-3
0.1811
0
Total
10.0955
0
C.
Maps of forest land proposed to be diverted
Division 1. : Davanagere
(i). Area of forest land proposed to be diverted(in ha.) :
10.0956
(ii). Nature of the Project:
Hybrid
(a). No. of patches :
Three
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.
0.1374
View File
2.
0.147
View File
3.
0.1811
View File
(b). No. of Segments :
Three
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.
3.238
View File
2.
2.305
View File
3.
4.087
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:
There is no other location other than this specifi
E.
Employment likely to be generated
(i). Whether the Project is likely to generate employment ?:
Yes
(ii). Permanent/Regular Employment(Number of persons):
6
(iii). Temporary Employment(Number of person-days):
80
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 ? :
Yes
(a). Status of the Environmental Clearance to the Project:
EC application yet to be submitted
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?:
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:
One
District 1. : Bellary
(a). Village:
malapura
(b). Area(in ha.):
10.0956
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
62/3 & 62/5
(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
licence of stone crusher ( annapoorna stone crusher)
2
Partnership Deed of stone crusher
3
Document for existing road. Work order of the project given by taluk panchayath, harapanahalli.
4
CA Land suitability certificate.
5
Google Map of CA Land.
6
Sketch of CA Land.
7
Undertaking for erection of corner stones for applied forest land to be diverted.
8
DMG approved sketch of applied quarry area in sy no 1/D & 1/A of ucchangidurga village.
9
Undertaking of NPV, Raising and maintenance of CA payments.
10
CA Land for three proposed quarries overlaid on village map with different colors.
11
Letter for additional land of 2.5 Acres for crusher sanctioned in the task force meeting by deputy commissioner, Davanagere and the letter given by senior geologist davanagere.
12
Google map of applied quarry area, approach road, existing crusher area and existing road in uchangidurga village.
13
Sketch showing the applied quarry area, approach road, existing crusher area, existing road & existing quarry in uchangidurga village.
14
Intent letter issued by director, mines & geology, Bangalore as per KMMCR-1994 of Amendment 2016 of 31-ZC. The same is enclosed. A copy of letter translated to English is also enclosed.
15
1) Village Map showing the entire Sy No 1D of uchangidurga village with surrounding Sy No's. 2) FMB Sketch showing the entire Sy No 1D. 3) FMB Sketch showing the forest area in Sy No 1D.
16
Reply for EDS dated 02/12/2019.
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