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/ROAD/144763/2021
(ii). Name of Project for which Forest Land is required :
Improvements of road from kalakeri village to hunashikumari villagei in Dharwad taluka of Dharwad District
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Diversion of 0.9850 Ha. of Forest land for Improvement of Road from Kalakeri village to hunashikumari village, Dharwad Taluk, Dharwad District in favour of Executive Engineer, PWD Dharwad.
(iv). State :
Karnataka
(v). Category of the Proposal :
Road
(vi). Shape of forest land proposed to be diverted :
Linear
(vii). Estimated cost of the Project(Rupees in lacs) :
460
(viii). Area of forest land proposed for diversion(in ha.):
0.985
(ix). Non-forest land required for this project(in ha.):
1.1505
(x). Total period for which the forest land is proposed to be diverted(in years):
50
A-2.
Details of User Agency
(i). Name :
EXECUTIVE ENGINEER PUBLIC WORKS DEPARTMENT DIVISION DHARWAD
(ii). Address1 :
Opposite All India Radio Dharwad
(iii). Address2 :
Opposite All India Radio
(iv). State :
Karnataka
(v). District :
Dharwad
(vi). Pin :
580008
(vii). Landmark :
Opposite All India Radio
(viii). Email address :
pwddhaexecutiveengineer@gmail.com
(ix). Landline Telephone No. :
836-2747749
(x). Fax No. :
836-2747944
(xi). Mobile No. :
9448418938
(xii). Website (if any) :
No
(xiii). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
Somappa
(ii). Middle Name:
B
(iii). Last Name:
Choudannavar
(iv). Gender:
Male
(v). Designation:
Executive Engineer PWD IWTD DIVISION Dharwad DHARWAD
(vi). Address 1:
Opposite All India Radio Dharwad
(vii). Address 2:
Opposite All India Radio Dharwad
(viii). State:
Karnataka
(ix). District:
Dharwad
(x). Tehsil:
Dharwad
(xi). Pin:
580008
(xii). Landmark:
Opposite All India Radio Dharwad
(xiii). Email Address:
pwddhaexecutiveengineer@gmail.com
(xiv). Landline Telephone No.:
836-2747749
(xv). Fax No.:
08362747944
(xvi). Mobile No.:
9448418938
(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.
Dharwad
0.985
1.1505
Total
0.985
1.1505
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Dharwad
0.985
1.1505
Total
0.985
1.1505
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
KALAKERI_FOREST_SY_NO_214
0.0885
0
2
KALAKERI_FOREST_SY_NO_122 PART
0.1752
0
3
KALAKERI_FOREST_SY_NO_139
0.0093
0
4
KALAKERI_FOREST_SY_NO_122
0.2476
0
5
KALAKERI_FOREST_SY_NO_390
0.1202
0
6
KALAKERI_FOREST_SY_NO_391
0.0925
0
7
KALAKERI_FOREST_SY_NO_408
0.0476
0
8
KALAKERI_FOREST_SY_NO_387
0.0179
0
9
KALAKERI_FOREST_SY_NO_382
0.0686
0
10
KALAKERI_FOREST_SY_NO_114
0.1176
0
11
EXISTING ROAD GRAMTHANA
0
0.0324
12
EXISTING ROAD 1
0
0.0599
13
EXISTING ROAD 2
0
0.0874
14
EXISTING ROAD 3
0
0.0176
15
EXISTING ROAD 4
0
0.1962
16
EXISTING ROAD 5
0
0.0099
17
EXISTING ROAD 6
0
0.336
18
EXISTING ROAD 7
0
0.2934
19
EXISTING ROAD 8
0
0.0341
20
EXISTING ROAD S Y NO 208
0
0.0341
21
EXISTING ROAD S Y NO 369
0
0.0341
Total
0.985
1.1351
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
CARRIAGE WIDTH
0.7014
0.8239
2
SHOULDER
0.2834
0.3266
Total
0.9848
1.1505
C.
Maps of forest land proposed to be diverted
Division 1. : Dharwad
(i). Area of forest land proposed to be diverted(in ha.) :
0.985
(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.
0.985
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:
Not possible to provide alternative alignment.
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?:
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
GPS_FOREST_CO-ORDINATES
2
GPS_FOREST_STONES_CO-ORDINATES
3
KALAKERI_Forest_ROAD_CROSS_SECTIONS
4
PWD_KALAKERI_FOREST_RTC
5
PWD_DHARWAD_AGREEING_NPV_CA_LETTER
6
PWD_DHARWAD_NAME_JUSTIFICATION_LETTER
7
PWD_STONE_FIXING_LETTER
8
WORK AGREEMENT
9
PWD_Administratival Approval
10
VILLAGE MAP _ COMPLIANED
11
TOPO MAP _ COMPLIANED
12
AREA STSTMENT _ COMPLIANED
13
EXISTING ROAD AREA COORDINATES _ COMPLIANED
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