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/156224/2022
(ii). Name of Project for which Forest Land is required :
Diversion of 25.763 Ha of forest land in Hosanagara (T), Shimoga (D) for Construction of 2 L-PS road from Km 55.6-Adagodi to Km 90.7-Mavinakoppa of NH766C with 4 major bridges across Sharavathi Backwaters
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Diversion of 25.763 Ha of forest land in Hosanagara (T), Shimoga (D) for Construction of 2 Lane with Paved Shoulder road from Km 55.6-Adagodi to Km 90.7-Mavinakoppa of NH766C with 4 major bridges across Sharavathi Backwaters in Favour of EE, NH Division, Shimoga.
(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) :
22875
(viii). Area of forest land proposed for diversion(in ha.):
25.763
(ix). Non-forest land required for this project(in ha.):
22.624
(x). Total period for which the forest land is proposed to be diverted(in years):
30
A-2.
Details of User Agency
(i). Name :
EXECUTIVE ENGINEER, NH DIVISION, SHIMOGA
(ii). Address1 :
Executive Engineer, NH Division, APMC Yard, Shimoga
(iii). Address2 :
NIL
(iv). State :
Karnataka
(v). District :
Shimoga
(vi). Pin :
577204
(vii). Landmark :
NIL
(viii). Email address :
cenh@kpwd.gov.in
(ix). Landline Telephone No. :
0--
(x). Fax No. :
0-
(xi). Mobile No. :
9448425301
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
Peer
(ii). Middle Name:
NIL
(iii). Last Name:
Pasha
(iv). Gender:
NIL
(v). Designation:
Incharge Officer
(vi). Address 1:
Executive Engineer, NH Division, APMC Yard, Shimoga
(vii). Address 2:
NIL
(viii). State:
Karnataka
(ix). District:
Shimoga
(x). Tehsil:
NIL
(xi). Pin:
577204
(xii). Landmark:
NIL
(xiii). Email Address:
peerpasha1961@gmail.com
(xiv). Landline Telephone No.:
0-
(xv). Fax No.:
NIL
(xvi). Mobile No.:
9845057311
(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.
Sagar
25.763
22.624
Total
25.763
22.624
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Shivamogga
25.763
22.624
Total
25.763
22.624
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Mavinakoppa SN 15
0
0.03
2
Mavinakoppa Road
0
0.164
3
Ganganakoppa SN 21
0.337
0
4
Ganganakoppa SN 5
0.43
0
5
Ganganakoppa SN 19
0
0.638
6
Ganganakoppa SN 20
0
0.327
7
Ganganakoppa SN 8
0
0.25
8
Ganganakoppa SN 7
0
0.287
9
Ganganakoppa SN 6
0
0.001
10
Ganganakoppa SN 3
0
0.37
11
Ganganakoppa SN 2
0
0.389
12
Ganganakoppa SN 74
0
0.569
13
Ganganakoppa SN 81
0
0.113
14
Ganganakoppa SN 69
0
0.06
15
Ganganakoppa SN 68
0
0.281
16
Ganganakoppa SN 67
0
0.134
17
Ganganakoppa SN 66
0
0.089
18
Ganganakoppa SN 65
0
0.111
19
Ganganakoppa SN 64
0
0.525
20
Ganganakoppa SN 55
0
0.312
21
Ganganakoppa Road
0
0.315
22
Ganganakoppa SN 52
0
0.587
23
Kaluru SN 136
0.062
0.062
24
Kaluru SN 138
0
0.31
25
Kaluru SN 137
0
0.055
26
Kaluru SN 135
0
0.015
27
Kaluru SN 142
0
0.076
28
Kaluru Village
0
0.39
29
Kaluru Nala
0
0.274
30
Sutta SN 75
0.165
0.165
31
Sutta SN 62
0.81
0
32
Sutta SN 10
1.635
0
33
Sutta SN 66
0
0.251
34
Sutta SN 65
0
0.194
35
Sutta SN 117
0
0.732
36
Sutta Nala
0
0.518
37
Manasette SN 38
1.861
0
38
Guddenakoppa SN 27
2.07
0
39
Guddenakoppa SN 45
0.222
0
40
Guddenakoppa SN 46
1.26
0
41
Guddenakoppa SN 89
0
0.855
42
Guddenakoppa SN 85
0
0.28
43
Guddenakoppa Nala
0
0.201
44
Guddenakoppa SN 5
0
0.195
45
Guddenakoppa SN 6
0
0.573
46
Guddenakoppa SN 23
0
1.145
47
Hebburali SN 204
3.141
0
48
Hebburali SN 221
3.612
0
49
Hebburali SN 51
3.289
0
50
Hebburali SN 44
1.517
0
51
Hebburali Nala
0
0.167
52
Hebburali SN 107
0
0.142
53
Hebburali SN 80
0
0.649
54
Hebburali SN 79
0
0.406
55
Hebburali SN 45
0
0.001
56
Hebburali SN 46
0
0.296
57
Hebburali SN 48
0
0.443
58
Hebburali SN 42
0
0.002
59
Hosuru SN 43
0.53
0
60
Adagodi SN 74
1.992
0
61
Adagodi SN 79
1.74
0
62
Adagodi SN 75
0
0.114
63
Tenkabylu SN 13
0
0.769
64
Tenkabylu SN 15
0
0.092
65
Ganganakoppa Sy No 13
0.284
0
66
Kaluru Sy No 133
0.806
0
Total
25.763
14.924
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
CARRIAGE WAY
6.669
4.378
2
PAVED SHOULDER
2.557
1.825
3
EARTHERN SHOULDER
1.668
1.25
4
DRAIN AND SLOPE
14.869
9.314
Total
25.763
16.767
C.
Maps of forest land proposed to be diverted
Division 1. : Sagar
(i). Area of forest land proposed to be diverted(in ha.) :
25.763
(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.
25.763
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:
Yes
(a). Copy of map indicating location of alternative examined:
E.
Employment likely to be generated
(i). Whether the Project is likely to generate employment ?:
Yes
(ii). Permanent/Regular Employment(Number of persons):
250
(iii). Temporary Employment(Number of person-days):
5000
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:
One
District 1. : Shimoga
(a). Village:
Kannuru
(b). Area(in ha.):
53
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
Dhanagalige Muphattu
(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
Alignment Map
2
Annual Plan Report
3
Alignment power point presentation
4
Alignment details with map
5
Comparative Study with various Alignment
6
Acknowledgement from DC Office Shimoga
7
Acknowledgment from DCF
8
The changes in area as per actuals and as reported by DCF has been made, tabulated and submitted in8 number of hard copies to DFO, same is also submitted online herewith. Letter is acknowledged by DC Shimoga and DFO Sagar
9
NO Objection certificate of KPCL
10
Forest GPS Co-ordinates Bekkodi
11
Component wise GPS Co-ordinates Bekkodi
12
Component Wise Area Details Bekkodi
13
CA Land Kannuru Topo Map
14
CA Land Kannuru Village Map
15
CA Land Kannuru GPS Co-ordinates
16
CA Undertaking Form Bekkodi
17
FRA Undertaking Form Bekkodi
18
Justification for Location of the Project Bekkodi
19
NOC for CA Land Bekkodi
20
NPV Undertaking Form Bekkodi
21
Stone Pillar Undertaking Form Bekkodi
22
Bekkodi Georeferenced Map
23
Bekkodi Topo Map
24
Individual Village Map Bekkodi
25
Village Map Bekkodi
26
Bekkodi Forest Area Statement
27
Bekkodi Non-Forest Area Statement
28
Bekkodi Forest Area Statement
29
Bekkodi Area Statement Cadastral
30
Bekkodi Wildlife Mitigation Plan
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