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/46423/2020   (ii). Name of Project for which Forest Land is required : Building Stone Quarry in Forest SY No 215/A/1A of Arav Village, Karwar Taluka, Uttar Kannada District.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Diversion of 0.4928 ha of minor forest land in Forest SY No. 215/A/1A of Arav in Karwar taluka, Uttar Kannada District for building stone quarry and M-sand.   (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) : 25   (viii). Area of forest land proposed for diversion(in ha.): 0.4928   (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): 10
A-2. Details of User Agency
  (i). Name : SAI RAM ENTERPRISES   (ii). Address1 : GAONGERI, MAJALI, KARWAR, KARNATAKA   (iii). Address2 : NIL   (iv). State : Karnataka   (v). District : Uttara Kannada   (vi). Pin : 581345   (vii). Landmark : NIL   (viii). Email address : sairamenterprisesarav@gmail.com   (ix). Landline Telephone No. : 0-   (x). Fax No. : 0-   (xi). Mobile No. : 9448236788   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Private
A-3. Details of Person Making Application
  (i). First Name: RAJESH   (ii). Middle Name: R   (iii). Last Name: NAIK   (iv). Gender: Male   (v). Designation: PROPRIETOR   (vi). Address 1: H NO 4, SAILEELA, GAONGERI, MAJALI, KARWAR, KARNATAKA   (vii). Address 2: NIL   (viii). State: Karnataka   (ix). District: Uttara Kannada   (x). Tehsil: Karwar   (xi). Pin: 581345   (xii). Landmark: NIL   (xiii). Email Address: sairamenterprisesarav@gmail.com   (xiv). Landline Telephone No.: 0-   (xv). Fax No.: NIL   (xvi). Mobile No.: 9448236788   (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.Karwar0.49280
Total0.49280
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Uttara Kannada0.49280
Total0.49280
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Arav0.49280
Total 0.4928 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Quarry Area0.13410
2Safety Zone Area0.19850
3Approach Road0.16020
Total 0.4928 0
C. Maps of forest land proposed to be diverted
Division 1. : Karwar
  (i). Area of forest land proposed to be diverted(in ha.) : 0.4928   (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 PatchesTo view KML file on google the same may be downloaded and then open if in google earth install in your computer.
1.0.4928No Data
  (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 ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 25   (iii). Temporary Employment(Number of person-days): 65
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?: No   (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) . Reason for not providing Non-Forest Land: Diversion of forest land up to one hectare
Additional information Details
Documents
S.No Documents
Remarks
1Department of Mines and Geology Receipt of application for Quarrying lease
2Affidavit stating that no fine/due pending on the User Agency.
3Google Map showing the coordinates of the proposed quarry.
4Certificate of Registration of User Agency by MSME.
5NPV for diversion of land.
6RTC of the total forest area in which the proposed quarry is located.
7Old permit given by the Department of Forest for stone quarrying at the same location.
8Clarification on length and width of the proposed Approach road.
9Cross Section of Approach Road and Quarry site.
10Justification of No offence against User Agency.
11Justification of how the extracted material is going to be used. And no Stone Crusher industry is setup by User Agency.
12Undertaking for providing RCC Pillars/ Stone Pillars.
13EDs query reply as sought by your office on 16-12-2020
14Consent letter of Mines and Geology dept and Tahsildar dept Karwar.
15EDs query reply as sought by GOI on 17 Feb 2023.
16Query reply with report 23RD OCT 2023.
17GEOLOGICAL REPORT AND QUARRYING PLAN OCT 2023
18Query reply 22nd OCT 2023.
19EDS query reply raised on 26-12-2024.
20EDs query reply as sought by your office on 29/10/2025.
21Undertaking for plantation of 100 plants.
22Undertaking for 100 seedlings plantation
23Reply to Quarry raised by MOEF
24GPS statement of the proposed Quarry Area
25EDS reply to query raised on 01-12-2025
26Village Map
27Village Map zoomed
28Toposheet map
29Toposheet map zoomed