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/142465/2021   (ii). Name of Project for which Forest Land is required : Diversion of 0.914 Hectare of Forest Land in Vadiyondahalli village for providing water supply to Mahadevapura & other Villages , Arakere, Kasaba & K Shettihalli Hobli, Srirangapatna Taluk, Mandya   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Diversion of 0.914 Hectare of Forest Land in Sy No 20, Vadiyondahalli village for providing water supply to Mahadevapura & other Villages , Arakere, Kasaba & K Shettihalli Hobli, Srirangapatna Taluk, Mandya District.   (iv). State : Karnataka   (v). Category of the Proposal : Drinking Water   (vi). Shape of forest land proposed to be diverted : Hybrid   (vii). Estimated cost of the Project(Rupees in lacs) : 2800   (viii). Area of forest land proposed for diversion(in ha.): 0.914   (ix). Non-forest land required for this project(in ha.): 1.604   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : RURAL DRINKING WATER & SANITATION SUB DIVISION, SHRIRANGAPATANA   (ii). Address1 : RDW & SD Sub Division, Srirangapattana   (iii). Address2 : NIL   (iv). State : Karnataka   (v). District : Mandya   (vi). Pin : 571438   (vii). Landmark : Beside Canara Bank, S R Patna   (viii). Email address : aeerdwsd.srpt@gmail.com   (ix). Landline Telephone No. : 8236-252028   (x). Fax No. : 8236-   (xi). Mobile No. : 9844683295   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Kumar   (ii). Middle Name: NIL   (iii). Last Name: S   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: Office of EE, RDW&S Division, Mandya   (vii). Address 2: NIL   (viii). State: Karnataka   (ix). District: Mandya   (x). Tehsil: Mandya   (xi). Pin: 571401   (xii). Landmark: Bannur Road near ZP office   (xiii). Email Address: aeerdwsd.srpt@gmail.com   (xiv). Landline Telephone No.: 8236-222363   (xv). Fax No.: NIL   (xvi). Mobile No.: 9740023109   (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.Mandya0.9141.604
Total0.9141.604
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Mandya0.9141.604
Total0.9141.604
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Vadiyondahalli (Sy no 20)0.9140.796
2Arakere00.038
3Bidarahalli00.016
4Bonthagalli00.013
5Chennahalli00.018
6Chikka Ankanahalli00.019
7Chinayakanahalli00.031
8Chinnenahalli00.023
9Dodda Ankanahalli00.041
10Hampapura00.052
11Hangarahalli00.022
12Hebbadi00.014
13Huruli Kyathanahalli00.021
14Kallikoppalu00.011
15Kemmannapura00.021
16Kurubara Shettyhalli00.072
17Mahadevapura00.142
18Maralagala00.043
19Melapura00.006
20Mundagadhare00.028
21Mutthammana Shettyhalli00.027
22Sabbanakuppe00.018
23Sugganahalli00.033
24Tharipura00.099
Total 0.914 1.604
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Master Balancing Tank (MBT)0.040
2Zonal Balancing Tank (ZBT)0.010
3Water Treatment Plant (WTP)00.592
4Jack Well00.002
5Raw water Rising main00.085
6Pure Water Rising Main and Gravity main0.0840.912
7Approach road Carriage Way0.520.009
8Approach road Shoulder0.130.002
9Approach road Drain0.130.002
Total 0.914 1.604
C. Maps of forest land proposed to be diverted
Division 1. : Mandya
  (i). Area of forest land proposed to be diverted(in ha.) : 0.914   (ii). Nature of the Project: Hybrid   (a). No. of patches : Four
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.
1.0.04    View File
2.0.01    View File
3.0    View File
4.0    View File
  (b). No. of Segments : Five
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    View File
2.0.084    View File
3.0.52    View File
4.0.13    View File
5.0.13    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 ?: 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? : Yes   (a). Whether Project or a part thereof is located within a Protected Area ? : No   (ii). Status of approval of the Standing Committee of National Board for the Wildlife(NBWL) to the Project : Approval obtained   (a). MoEF File No : A2/ACT/ESZ MEETING/GL1054/2018   (b). Copy of approval of Standing of the NBWL:   (c). Date of Approval : 09 Feb 2022
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
1GPS Readings
2Typical Cross Section Map
3Government Order G.O
4Administrative Approval of the project in English Format
5Technical Approval Report of the project
6Mahadevapura ESZ NOC from Monitoring Committee
7Mahadevapura ESZ NOC from Mysore WLS DCF
8Mutation of Sy No 20 of Vadiyondahalli
9NOC From PWD of Melapura and other villages
10NOC From RFO of Sy No 142 Melapura
11Detailed Scheme Project
12RTC of Proposed Forest land in Vadiyandahalli Sy 20
13Authunticated village Map
14Undertaking for laying at 20 meters Temperory Stone Pillers
15Undertaking NPV and CA Charges
16Component wise Details
17Sy No Wise area of Forest and Non Forest
18Village Wise area of Forest and Non Forest
19Proposed Forest Area Map
20Proposed Project Map
21Reply to DFO Letter Dated 14/10/2022