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/WATER/141926/2021
(ii). Name of Project for which Forest Land is required :
Karnataka Urban Water Supply Modernization Project
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
To lay the under ground clear water pipeline for providing the continuous 24x7 water supply in the entire city of Hubballi & Dharwad
(iv). State :
Karnataka
(v). Category of the Proposal :
Drinking Water
(vi). Shape of forest land proposed to be diverted :
Linear
(vii). Estimated cost of the Project(Rupees in lacs) :
120800
(viii). Area of forest land proposed for diversion(in ha.):
0.19477
(ix). Non-forest land required for this project(in ha.):
5.2387
(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. LARSEN & TOUBRO LIMITED
(ii). Address1 :
Astra Complex, Sirur Park Road, Vidyanagar, Hubballi
(iii). Address2 :
NIL
(iv). State :
Karnataka
(v). District :
Dharwad
(vi). Pin :
580021
(vii). Landmark :
NIL
(viii). Email address :
satish_yad11@yahoo.co.in
(ix). Landline Telephone No. :
0-
(x). Fax No. :
0-
(xi). Mobile No. :
8953400868
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
Dr Gopalkrishna
(ii). Middle Name:
NIL
(iii). Last Name:
B
(iv). Gender:
Male
(v). Designation:
Municipal Commissioner
(vi). Address 1:
Ward No47, Sir Siddappa Kambli Road, Hubballi
(vii). Address 2:
NIL
(viii). State:
Karnataka
(ix). District:
Dharwad
(x). Tehsil:
Hubli
(xi). Pin:
580029
(xii). Landmark:
NIL
(xiii). Email Address:
mahadev.mahapurush@smec.com
(xiv). Landline Telephone No.:
8362-213878
(xv). Fax No.:
NIL
(xvi). Mobile No.:
9241247075
(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
0.19477
5.2387
Total
0.19477
5.2387
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Dharwad
0.19477
5.2387
Total
0.19477
5.2387
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Amminbhavi
0
0.6228
2
Kavalgeri
0
0.5181
3
Dandikoppa
0
0.2829
4
Gongadikoppa
0
0.3535
5
Allapura Somapura
0
0.2894
6
Navalur
0
0.7864
7
Amargol
0
0.4792
8
Rayapura
0.19477
0.4568
9
Ittigatti
0
0.6091
10
Sattur
0
0.1351
11
Sutagatti
0
0.6468
12
Tarihal
0
0.0584
Total
0.19477
5.2385
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Amminbavi 1219dia MS pipe SY NO 1137
0
0.00824291
2
Amminbavi 1219dia MS pipe SY NO 1094
0
0.03055598
3
Amminbavi 1219dia MS pipe SY NO 855
0
0.03540849
4
Amminbavi 1219dia MS pipe SY NO 856
0
0.0188591
5
Amminbavi 1219dia MS pipe SY NO 857
0
0.01468467
6
Amminbavi 1219dia MS pipe SY NO 913
0
0.03670108
7
Amminbavi 1219dia MS pipe SY NO 914/1
0
0.01839292
8
Amminbavi 1219dia MS pipe SY NO 1091
0
0.03638323
9
Amminbavi 1219dia MS pipe SY NO 914/2
0
0.0294541
10
Amminbavi 1219dia MS pipe SY NO 915
0
0.01936766
11
Amminbavi 1219dia MS pipe SY NO 916
0
0.01345565
12
Amminbavi 1219dia MS pipe SY NO 917
0
0.01487538
13
Amminbavi 1219dia MS pipe SY NO 918
0
0.01167569
14
Amminbavi 1219dia MS pipe SY NO 919
0
0.01133665
15
Amminbavi 1219dia MS pipe SY NO 922
0
0.029774069
16
Amminbavi 1219dia MS pipe SY NO 923
0
0.024434189
17
Amminbavi 1219dia MS pipe SY NO 893
0
0.029674476
18
Amminbavi 1219dia MS pipe SY NO 1169
0
0.022260095
19
Amminbavi 1219dia MS pipe SY NO 891/2
0
0.01288352
20
Amminbavi 1219dia MS pipe SY NO 891/1
0
0.011508289
21
Amminbavi 1219dia MS pipe SY NO 890
0
0.03841747
22
Amminbavi 1219dia MS pipe SY NO 885
0
0.04731727
23
Amminbavi 1219dia MS pipe SY NO 886
0
0.027612689
24
Amminbavi 1219dia MS pipe SY NO 887
0
0.033982403
25
Amminbavi 1219dia MS pipe SY NO 884
0
0.03617133
26
Amminbavi 1219dia MS pipe SY NO 892
0
0.00934479
27
Kavalgeri 1219dia MS pipe SY NO 49
0
0.07518212
28
Kavalgeri 1219dia MS pipe SY NO 50
0
0.07047794
29
Kavalgeri 1219dia MS pipe SY NO 52
0
0.036050547
30
Kavalgeri 1219dia MS pipe SY NO 53
0
0.027063868
31
Kavalgeri 1219dia MS pipe SY NO 54
0
0.033948499
32
Kavalgeri 1219dia MS pipe SY NO 56
0
0.07552116
33
Kavalgeri 1219dia MS pipe SY NO 58
0
0.057789368
34
Kavalgeri 1219dia MS pipe SY NO 60
0
0.05524233
35
Kavalgeri 1219dia MS pipe SY NO 63
0
0.03716726
36
Kavalgeri 1219dia MS pipe SY NO 43
0
0.0260637
37
Kavalgeri 1219dia MS pipe SY NO 45
0
0.023571756
38
Dandikoppa 1219dia MS pipe SY NO 113
0
0.017964882
39
Dandikoppa 1219dia MS pipe SY NO 112
0
0.010501764
40
Dandikoppa 1219dia MS pipe SY NO 111
0
0.020041502
41
Dandikoppa 1219dia MS pipe SY NO 110
0
0.07619924
42
Dandikoppa 1219dia MS pipe SY NO 109
0
0.077862655
43
Dandikoppa 1219dia MS pipe 0SY NO 108
0
0.080335528
44
Gongadikoppa 1219dia MS pipe SY NO 85
0
0.093159716
45
Gongadikoppa 1219dia MS pipe SY NO 86
0
0.065333008
46
Gongadikoppa 1219dia MS pipe SY NO 52
0
0.097287528
47
Gongadikoppa 1219dia MS pipe SY NO 51
0
0.09779185
48
Allapura Somapura 1219dia MS pipe SY NO 66
0
0.039292617
49
Allapura Somapura 1219dia MS pipe SY NO 65
0
0.04695704
50
Allapura Somapura 1219dia MS pipe SY NO 60
0
0.010980658
51
Allapura Somapura 1219dia MS pipe SY NO 59
0
0.002284282
52
Allapura Somapura 1219dia MS pipe SY NO 58
0
0.003097978
53
Allapura Somapura 1219dia MS pipe SY NO 57
0
0.002678416
54
Allapura Somapura 1219dia MS pipe SY NO 56/2
0
0.00493727
55
Allapura Somapura 1219dia MS pipe SY NO 56/1
0
0.005984056
56
Allapura Somapura 1219dia MS pipe SY NO 55
0
0.009791899
57
Allapura Somapura 1219dia MS pipe SY NO 54
0
0.00737412
58
Allapura Somapura 1219dia MS pipe SY NO 53
0
0.008336146
59
Allapura Somapura 1219dia MS pipe SY NO 49/1
0
0.011597287
60
Allapura Somapura 1219dia MS pipe SY NO 49/2
0
0.0118664
61
Allapura Somapura 1219dia MS pipe SY NO 49/3
0
0.0294541
62
Allapura Somapura 1219dia MS pipe SY NO 46
0
0.057961007
63
Allapura Somapura 1219dia MS pipe SY NO 44
0
0.03680703
64
Navalur 1219dia MS pipe SY NO 282
0
0.06443879
65
Navalur 1219dia MS pipe SY NO283
0
0.0786149
66
Navalur 1219dia MS pipe SY NO 291
0
0.0404729
67
Navalur 1219dia MS pipe SY NO 292
0
0.026680329
68
Navalur 1219dia MS pipe SY NO 294
0
0.087156589
69
Navalur 1219dia MS pipe SY NO 320
0
0.095598685
70
Navalur 1219dia MS pipe SY NO 319
0
0.065055419
71
Navalur 1219dia MS pipe SY NO 323
0
0.058899724
72
Navalur 1219dia MS pipe SY NO 324
0
0.048230559
73
Navalur 1219dia MS pipe SY NO 326
0
0.023220002
74
Navalur 1219dia MS pipe SY NO 327
0
0.007361406
75
Navalur 1219dia MS pipe SY NO 328
0
0.02417779
76
Navalur 1219dia MS pipe SY NO 332
0
0.060527116
77
Navalur 1219dia MS pipe SY NO 333
0
0.024020984
78
Navalur 1219dia MS pipe SY NO 339
0
0.081806114
79
Amargol 1219dia MS pipe SY NO 391
0
0.083952661
80
Amargol 1219dia MS pipe SY NO 387
0
0.11603644
81
Amargol 1219dia MS pipe SY NO 317
0
0.06554067
82
Amargol 1219dia MS pipe SY NO 316
0
0.025741612
83
Amargol 1219dia MS pipe SY NO 314
0
0.012101609
84
Amargol 1219dia MS pipe SY NO 313
0
0.011306984
85
Amargol 1219dia MS pipe SY NO 312
0
0.020889102
86
Amargol 1219dia MS pipe SY NO 311
0
0.007961083
87
Amargol 1219dia MS pipe SY NO 310
0
0.022340617
88
Amargol 1219dia MS pipe SY NO 315
0
0.113372857
89
Rayapur 1219dia MS pipe SY NO 143
0
0.082289246
90
Rayapur 1219dia MS pipe SY NO 140
0
0.046622238
91
Rayapur 1219dia MS pipe (Road)
0
0.03333187
92
Rayapur 1219dia MS pipe SY NO 138
0
0.023005983
93
Rayapur 1219dia MS pipe (RoadXX)
0
0.003451851
94
Rayapur 1219dia MS pipe SY NO 10
0
0.007730112
95
Rayapur 1219dia MS pipe SY NO 9
0
0.00790387
96
Rayapur 1219dia MS pipe SY NO 8
0
0.043280575
97
Rayapur 1219dia MS pipe SY NO 13
0
0.053146639
98
Rayapur 1219dia MS pipe (RoadXY)
0
0.009410479
99
Rayapur 1219dia MS pipe SY NO 30
0.053538654
0.023402236
100
Rayapur 250dia MS pipe (Road)
0
0.01301365
101
Rayapur 250dia DI pipe SY NO 4
0
0.00494065
102
Rayapur 250dia DI pipe SY NO 3
0
0.0019214
103
Rayapur 250dia DI pipe SY NO 2
0
0.00497445
104
Rayapur 864dia MS pipe SY NO 25
0
0.026712252
105
Rayapur 864dia MS pipe (Road)
0
0.010836252
106
Rayapur 864dia MS pipe SY NO 30
0.091863828
0.001241856
107
Rayapur 1219dia MS pipe SY NO 11
0
0.047637239
108
Rayapur 762dia MS pipe SY NO 30
0.034282074
0.001125174
109
Sutagatti 762dia MS pipe SY NO 39(1)
0
0.028917138
110
Sutagatti 762dia MS pipe SY NO 45
0
0.050872158
111
Sutagatti 762dia MS pipe (Road)
0
0.21325122
112
Sutagatti 762dia MS pipe SY NO 35(1)
0
0.013871052
113
Sutagatti 762dia MS pipe SY NO 35(2)
0
0.022139502
114
Sutagatti 762dia MS pipe (RoadXX)
0
0.032618412
115
Sutagatti 762dia MS pipe SY NO 27(2)
0
0.010335978
116
Sutagatti 762dia MS pipe (RoadXY)
0
0.066293856
117
Sutagatti 762dia MS pipe SY NO 10
0
0.015538038
118
Sutagatti Village
0
0.038152872
119
Sutagatti 762dia MS pipe SY NO 2
0
0.012715962
120
Sutagatti 762dia MS pipe SY NO 3
0
0.027168714
121
Sutagatti 762dia MS pipe SY NO 4(1)
0
0.032861064
122
Sutagatti 762dia MS pipe SY NO 5(1)
0
0.01483335
123
Sutagatti 762dia MS pipe SY NO 117(2)
0
0.018906912
124
Sutagatti 762dia MS pipe (Road)
0
0.048419046
125
Sattur 762dia MS pipe SY NO 38
0
0.025433586
126
Sattur 762dia MS pipe SY NO 39
0
0.017761794
127
Sattur 762dia MS pipe SY NO 41
0
0.055525758
128
Sattur 762dia MS pipe SY NO 42
0
0.036392814
129
Ittigatti 762dia MS pipe SY NO 8
0
0.089875974
130
Ittigatti 762dia MS pipe SY NO 14
0
0.082647936
131
Ittigatti 762dia MS pipe SY NO 17
0
0.093294708
132
Ittigatti 762dia MS pipe SY NO 1
0
0.0175341
133
Ittigatti 762dia MS pipe SY NO 57
0
0.065530998
134
Ittigatti 762dia MS pipe SY NO 35
0
0.021444786
135
Ittigatti 762dia MS pipe SY NO 34
0
0.035403924
136
Ittigatti 762dia MS pipe SY NO 33
0
0.02399928
137
Ittigatti 762dia MS pipe SY NO 31
0
0.026048526
138
Ittigatti 762dia MS pipe SY NO 30
0
0.015370176
139
Ittigatti 762dia MS pipe SY NO 26
0
0.041377152
140
Ittigatti 762dia MS pipe SY NO 23
0
0.014909802
141
Ittigatti 762dia MS pipe SY NO 27
0
0.041920626
142
Ittigatti 762 MS pipe( Village)
0
0.039753378
143
Tarihal 762dia MS pipe SY NO33
0
0.0505248
144
Tarihal 250dia DI pipe SY NO33
0
0.00675675
145
Rayapur 250dia DI pipe SY No 30
0.01508455
0.01163955
Total
0.194769106
5.238255283
C.
Maps of forest land proposed to be diverted
Division 1. : Dharwad
(i). Area of forest land proposed to be diverted(in ha.) :
0.19477
(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.
0.19477
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:
The existing PSC laid more than 10 years ago and l
E.
Employment likely to be generated
(i). Whether the Project is likely to generate employment ?:
Yes
(ii). Permanent/Regular Employment(Number of persons):
4
(iii). Temporary Employment(Number of person-days):
15330
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
Authorization Letter
2
Certificate for Minimum use of Forerst Land
3
Certificate for Undertaking FRA
4
Certificate regarding Historical Archeological Places
5
Proposed Pipeline from WTP Details - Forest Area
6
Statement showing details of Forest Land involved in the Project
7
Statement showing details of NonForest Land involved in the Project
8
Typical Cross-section for Pipeline Trench
9
Under Taking for Non-Violation of Forest Conservation Act 1980
10
Undertaking to Pay NPV, Compensatory Afforestation Charges and Other Stipulated Charges
11
Details of DGPS points for proposed pipeline
12
Geo reference village maps
13
Details with non forest area village wise survey nos
14
Details with forest area village wise survey nos
15
Details with DGPS points in forest area
16
As per the Instructions, Correction have been made and complied
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