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/149465/2021
(ii). Name of Project for which Forest Land is required :
Diversion 0.0917 ha of Forest land in FRS No 93 in Yamunapura & FRS No 60 in Kanbargi Village of Taluka & District Belagavi for KUWSMP 24X7 Water Supply Project to Belagavi City - To Lay Clear Water Transmission Main(1067 mm Diameter) MS Pipes from Existing WTP at Basavanakolla Hillock
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Under KUWSMP - It is intended to provide 24x7 water supply to entire areas of City Corporation Belagavi. It is necessary to enhance capacity of existing WTP at Basavanlkolla and to lay Clear Water Transmission mains for supply of clear water to City.
(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) :
42700
(viii). Area of forest land proposed for diversion(in ha.):
0.0917
(ix). Non-forest land required for this project(in ha.):
1.01642
(x). Total period for which the forest land is proposed to be diverted(in years):
99
A-2.
Details of User Agency
(i). Name :
CC BELGAUM
(ii). Address1 :
Subhash Nagar Belagavi
(iii). Address2 :
NIL
(iv). State :
Karnataka
(v). District :
Belgaum
(vi). Pin :
590016
(vii). Landmark :
NIL
(viii). Email address :
itstaff_ulb_belgaum@yahoo.com
(ix). Landline Telephone No. :
831-2405304
(x). Fax No. :
831-
(xi). Mobile No. :
9448907574
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
Dr Rudresh
(ii). Middle Name:
S
(iii). Last Name:
Ghali
(iv). Gender:
Male
(v). Designation:
Commissioner
(vi). Address 1:
Subhash Nagar Belagavi
(vii). Address 2:
NIL
(viii). State:
Karnataka
(ix). District:
Belgaum
(x). Tehsil:
NIL
(xi). Pin:
590016
(xii). Landmark:
NIL
(xiii). Email Address:
itstaff_ulb_belgaum@yahoo.com
(xiv). Landline Telephone No.:
831-2405304
(xv). Fax No.:
NIL
(xvi). Mobile No.:
9480351971
(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
1
Under Processing at State Government
FP/KA/WATER/43438/2019
0.25
0
Total
0.25
0
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.
Belgaum
0.0917
1.01642
Total
0.0917
1.01642
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Belgaum
0.0917
1.01642
Total
0.0917
1.01642
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Yamunapura sy no 93
0.0202
0
2
Kanbargi sy no 60
0.0715
0
3
Kanbargi sy no 38
0
0.03959
4
Kanbargi sy no 39
0
0.03465
5
Kanbargi sy no 51
0
0.04218
6
Kanbargi sy no 52
0
0.02859
7
Kanbargi sy no 53
0
0.02258
8
Kanbargi sy no 54
0
0.01734
9
Kanbargi sy no 55
0
0.04161
10
Kanbargi sy no 531
0
0.03532
11
Kanbargi sy no 533
0
0.0468
12
Kanbargi sy no 545
0
0.02499
13
Kanbargi sy no 549
0
0.02604
14
Kanbargi sy no 551
0
0.04219
15
Kanbargi sy no 552
0
0.0484
16
Kanbargi sy no 616
0
0.03492
17
Kanbargi sy no 617
0
0.01766
18
Kanbargi sy no 618
0
0.04819
19
Kanbargi sy no 619
0
0.03355
20
Kanbargi sy no 635
0
0.05821
21
Kanbargi sy no 637
0
0.04394
22
Kanbargi sy no 646
0
0.02502
23
Kanbargi sy no 669
0
0.00261
24
Kanbargi sy no 678
0
0.02275
25
Kanbargi village alignment on Road
0
0.09444
26
Belagavi City Limits sy no 1302
0
0.07466
27
Belagavi City Limits sy no 1303
0
0.08137
28
Belagavi City Limits sy no 1309
0
0.02882
Total
0.0917
1.01642
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Pipeline of 1067 mm dia
0.0917
0.52249
2
Pipeline of 700 mm dia
0
0.0919
3
Pipeline of 300mm dia
0
0.40203
Total
0.0917
1.01642
C.
Maps of forest land proposed to be diverted
Division 1. : Belgaum
(i). Area of forest land proposed to be diverted(in ha.) :
0.0917
(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.
0.0917
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 proposed pipeline is from the existing WTP &
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? :
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
Map 1- Village map at 1:7920 scale as sought under C(vi)
2
Additional Map A0 Size showing village Boundary & Sy Nos . Please refer this map along with village georeference maps
3
Additional Map A0 Size showing village Boundary & Sy Nos . Please refer this map along with village georeference maps. Sale 1:4096
4
Report for the Project
5
Forest land involved in the project
6
proposed Pipeline from WTP details with Survey Nos
7
DGPS Points for Proposed pipeline from WTP
8
3_Non Forest land involved in the project
9
3A_proposed Pipeline from WTP details with Survey Nos Non Forest Area
10
3B_Details of pipelines DGPS points Non Forest signed 13 pages
11
4_Component wise details
12
5_Certification for minimum use of forest land
13
7_Undertaking FRA(
14
8_Undertaking for Non-violation of forest
15
9_Certificate for Historical - Archaeological places
16
10_Govt Order for approval of the Project
17
12_Details regarding diversion of forest land for WTP at Basavanakolla
18
13A_RTC of Kanabargi - Syno 60
19
13B_RTC of Yamanpura- Sy no 93
20
13C_RTC of Ashte- Sy No 124
21
14_Typical cross section of pipeline trench
22
15_Compliance to the observations
23
Proceedings of the technical committee meeting for Technical Sanction for the project Sanction of the project
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