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/SCH/48494/2020   (ii). Name of Project for which Forest Land is required : Diversion of 3.238 ha. (8-00 Ac)of forest land in FSY.No.68 in Unkal village in Hubli Taluk for educational purpose in favour of Vemana Vidyavardhaka Sangha, Hubballi ,Dharwad.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Diversion of 3.238 ha. (8-00 Ac )of forest land in FSY.No.68 in Unkal village in Hubli Taluk for educational purpose in favour of Vemana Vidyavardhaka Sangha, Hubballi ,Dharwad.   (iv). State : Karnataka   (v). Category of the Proposal : School   (vi). Shape of forest land proposed to be diverted : Non Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 525   (viii). Area of forest land proposed for diversion(in ha.): 3.238   (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 : VEMAN VIDYA VARDHAK SANGH, HUBLI-DHARWAD   (ii). Address1 : c/o K H Patil College Campus, Vidyanagar, Hubli   (iii). Address2 : NIL   (iv). State : Karnataka   (v). District : Dharwad   (vi). Pin : 580031   (vii). Landmark : Opposite Nekar Bhavan   (viii). Email address : vvscoll1234@gmail.com   (ix). Landline Telephone No. : 0-   (x). Fax No. : 0-   (xi). Mobile No. : 8277298031   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Private
A-3. Details of Person Making Application
  (i). First Name: Ramachandragouda   (ii). Middle Name: Krishnagouda   (iii). Last Name: Patil   (iv). Gender: Female   (v). Designation: Treasurer   (vi). Address 1: C/O, K H Patil College Campus, Vidyanagar, Hubli   (vii). Address 2: NIL   (viii). State: Karnataka   (ix). District: Dharwad   (x). Tehsil: Hubli   (xi). Pin: 580031   (xii). Landmark: Opoosite Nekar Bhavan   (xiii). Email Address: vvscoll1234@gmail.com   (xiv). Landline Telephone No.: 0-   (xv). Fax No.: NIL   (xvi). Mobile No.: 9538034789   (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
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
1Under Processing at State GovernmentFP/KA/SCH/8675/2002No.4-KRB1058/2015-BAN3.2383.23825 Sep 2009
Total 3.238 3.238
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.Dharwad3.2380
Total3.2380
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Dharwad3.2380
Total3.2380
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Unakal (FSY No 68)3.2380
Total 3.238 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Open Space1.1190
2Ladies Hostel0.0960
3Landscapes0.2460
4Boys Hostel0.0830
5Play Ground0.2110
6Parking Area0.0810
7Green Zone Belt0.8070
8Auditorium Area0.2630
9College Building0.1110
10Existing Building0.0450
11Auditorium wall0.010
12Indoor Games Room0.1660
Total 3.238 0
C. Maps of forest land proposed to be diverted
Division 1. : Dharwad
  (i). Area of forest land proposed to be diverted(in ha.) : 3.238   (ii). Nature of the Project: Non Linear   (a). No. of patches : Twelve
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.
1.0.263    View File
2.0.01    View File
3.0.083    View File
4.0.111    View File
5.0.045    View File
6.0.807    View File
7.0.166    View File
8.0.096    View File
9.0.246    View File
10.1.119    View File
11.0.081    View File
12.0.211    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 ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 200   (iii). Temporary Employment(Number of person-days): 200000
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. : Gadag
  (a). Village: Kushalapura   (b). Area(in ha.): 3.238   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 18   (e). Present owner: User Agency   (f). Copy of Ownership proof:
  (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
1CA land GPS reading
2CA land GPS map
3Digital map of CA land
4CA land RTC
5Minimum use of Forest certificate
6Undertaking for payment for CA
7Undertaking of Payment for NPV
8Vemana Vidhyavardhaka Sangha Detailed project report
9Reference letter from ACF
10Covering letter
11Undertaking letter
12Updated Component map
13Updated GPS map
14Component wise Area Details
15Proposed Area GPS Readings