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/146299/2021
(ii). Name of Project for which Forest Land is required :
For construction New Tank with Check Dam & Connectivity Road at Sy No.17 (20 New) of Ittigehalli Village, Bhadravathi Division for recharge of Ground Water surrounding of Ittigehalli Villages in favour of EE, KNNL No.3, Bhadra Canal Division, Malebennur.
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Diversion of 12.1801 ha of forest land at Sy No.17 (20 New) of Ittigehalli [V], Holehonnur-II [H], Bhadravathi Division, Shimoga [D] for construction of New Tank with Check Dam & Connectivity Road for recharge of ground water surrounding Ittigehalli Villages in favour of the EE, KNNL No.3, B
(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) :
980
(viii). Area of forest land proposed for diversion(in ha.):
12.1801
(ix). Non-forest land required for this project(in ha.):
0.602
(x). Total period for which the forest land is proposed to be diverted(in years):
99
A-2.
Details of User Agency
(i). Name :
CHIEF ENGINEER KARNATAKA NEERAVARI NIGAM LIMITED UPPER TUNGA PROJECT ZONE SHIVAMOGGA
(ii). Address1 :
EXECUTIVE ENGINEER, KARNATAKA NEERAVARI NIGAM LIMITED, NO.3, BHADRA CANAL DIVISION, MALEBENNUR, Davanagere District
(iii). Address2 :
NIL
(iv). State :
Karnataka
(v). District :
Shivamogga
(vi). Pin :
577530
(vii). Landmark :
NIL
(viii). Email address :
eeknnlmbr@gmail.com
(ix). Landline Telephone No. :
819-200255
(x). Fax No. :
819-
(xi). Mobile No. :
9448670174
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
N
(ii). Middle Name:
C
(iii). Last Name:
Chidambarlal
(iv). Gender:
Male
(v). Designation:
EE
(vi). Address 1:
Executive Engineer, Karnataka Neeravari Nigam Limited, No.3 Bhadra Canal Division, Malebennur-577530, Davanagere District.
(vii). Address 2:
Assistant Executive Engineer, KNNL, No.4 Bhadra Canal Sub Division, Sasvehalli-577224, Honnali Taluk, Davanagere District
(viii). State:
Karnataka
(ix). District:
Davanagere
(x). Tehsil:
Harihar
(xi). Pin:
577530
(xii). Landmark:
eeknnlmbr@gmail.com
(xiii). Email Address:
eeknnlmbr@gmail.com
(xiv). Landline Telephone No.:
0-
(xv). Fax No.:
NIL
(xvi). Mobile No.:
9448670174
(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.
Bhadravathi
12.1801
0.602
Total
12.1801
0.602
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Shimoga
12.1801
0.602
Total
12.1801
0.602
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Ittigehalli Village Sy No.17(20 New)
12.1801
0
2
Ittigehalli Village Sy No.25 & 27
0
0.1396
3
Ittigehalli Village Sy No.28
0
0.1842
4
Ittigehalli Village Sy No.95
0
0.0186
5
Ittigehalli Village Sy No.96
0
0.1034
6
Ittigehalli Village Sy No.97
0
0.1562
Total
12.1801
0.602
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
New Tank
10.1171
0
2
Check Dam
0.023
0
3
Connectivity Road [from Non forest area to Tank]
2.04
0.602
Total
12.1801
0.602
C.
Maps of forest land proposed to be diverted
Division 1. : Bhadravathi
(i). Area of forest land proposed to be diverted(in ha.) :
12.1801
(ii). Nature of the Project:
Hybrid
(a). No. of patches :
Two
Patch wise details
Patch No.
Area of Patch(in ha.)
Kml File of Patches
To view KML file on google the same may be downloaded and then open if in google earth install in your computer.
1.
10.1171
View File
2.
0.023
View File
(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.
2.04
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):
5
(iii). Temporary Employment(Number of person-days):
200
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. : Shivamogga
(a). Village:
Gudamagatta Village
(b). Area(in ha.):
12.1801
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
Sy No 43
(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
Project Cost Estimation
2
Undertaking for payment of NPV & Other Statutory Payments
3
Undertaking for Temporary Stone Pillars
4
Requisition Letters
5
Proposed Area -RTC Copy
6
Joint Survey Sketch for Tank
7
Government - Competent Authority Order
8
Proposed Project -Google Map Revised-1
9
Proposed Project -Google Map Revised-2
10
Proposed Project- Area Marked on Revised Plain Map
11
CA Area Survey Sketch Map
12
CA Area Google Map-1
13
CA Area Google Map-2
14
CA Area Village map
15
CA Area Plain Village map
16
CA Area RTC
17
CA Area Toposheet map
18
EDS Raised by GoI MoEF Bangalore on 04-11-2022-Reply enclosed
19
information sought by MoeF GoI for to be placing the proposal in REC Meeting. Reply enclosed.
20
Condition wise Reply submitted on 04 -02-2023
21
Suitability Certificate issued by Deputy Conservator of Forests Bhadravathi
22
Grant of Revenue Land approach by DC shimoga to Revenue Secretary to Govt MS Building for CA purposes
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