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/157327/2022   (ii). Name of Project for which Forest Land is required : Diversion of 26.9255 Ha forest land for construction of diversion weir, Jackwell cum pump house, electrical substation, pipe line and power line in Kanakumbi & other villages for construction of Kalasa Nala Diversion Scheme   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Kalasa Nala Drinking Water Supply Scheme involves diversion of 1.72 TMC of water from Kalasa Nala, Surla Nala and Haltara Nala to augment the storage in Malaprabha reservoir. Thereafter, the water will be utilised for drinking water needs of Hubli-Dharwad twin cities, Kundogol town and en route vill   (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) : 9953000000   (viii). Area of forest land proposed for diversion(in ha.): 26.9255   (ix). Non-forest land required for this project(in ha.): 40.2205   (x). Total period for which the forest land is proposed to be diverted(in years): 30
A-2. Details of User Agency
  (i). Name : EXECUTIVE ENGINEER KNNL KALASA PROJECT DIVISON BELAGAVI   (ii). Address1 : Shivaji nagar Khanapur Belagavi   (iii). Address2 : NIL   (iv). State : Karnataka   (v). District : Belgaum   (vi). Pin : 591302   (vii). Landmark : NIL   (viii). Email address : eekpdkhanapurf@gmail.com   (ix). Landline Telephone No. : 8336-222163   (x). Fax No. : 8336-   (xi). Mobile No. : 9448340481   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Nagesh   (ii). Middle Name: NIL   (iii). Last Name: C H   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: Shivaji Nagar Khanapur Belagavi   (vii). Address 2: NIL   (viii). State: Karnataka   (ix). District: Belgaum   (x). Tehsil: Khanapur   (xi). Pin: 591302   (xii). Landmark: NIL   (xiii). Email Address: eekpdkhanapurf@gmail.com   (xiv). Landline Telephone No.: 8336-222163   (xv). Fax No.: NIL   (xvi). Mobile No.: 9741901116   (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.Belgaum26.925540.2205
Total26.925540.2205
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Belgaum26.925540.2205
Total26.925540.2205
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Chorla_Khanapur Forest Sy No 34A,456.42763.5894
2Kanakumbi F Sy No 169,1,171A,40,42,43,4916.718433.9538
3Parwada F Sy No 633.43761.8172
4Bethne F Sy No 21, 380.34190.2212
5Amate00.105
6Bacholi00.01975
7Bylura00.05915
8Devachihatti00.01962
9Dukarwadi00.0247
10Godedurga00.01613
11Halakarni00.01344
12Hattarganji00.03642
13Hebbanahatti00.01667
14Kusumali00.06555
15Modekoppa00.02957
16Nagaruda00.066
17Ramgurwadi00.03615
18Thirthakunde00.04851
19Thorale00.03964
20Uchavadi00.0426
Total 26.9255 40.2205
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Chorla FRL Approach Road0.49270
2Electrical line (under ground)0.59290.4663
3Rising main from Haltara nala to Kalasareservoir7.09242.0248
4Surla nala approach road0.04620
5Surla nala check dam-3 approach road0.00360
6Surla nala rising main1.42880.2245
7Surla nala rising main approach road0.01520
8Surla Nala Check Dam-1 approach road00.0921
9Surla Nala Check Dam 4A ApproachRoad0.0250
10Interconnecting canal031.442
11Surla Nala Check dam-1 diversion weirand approach00.0277
12Delivery Chamber-100.01
13Haltara Nala submergence2.71420.4242
14Haltara nala intake canal and jack well0.41150
15Haltara nala diversion weir and stillingbasin0.18710
16Haltara nala diversion weir key wall0.02930
17Kalasa nala submergence9.10722.6727
18Kalasa nala jack well cum pump house1.67840
19Kalasa nala diversion weir and stillingbasin0.21920
20Kalasa nala diversion weir key wall0.10540
21Receiving chamber RC-200.0022
22Surla nala check dam-1 submergence0.08321.9175
23Surla Nala Check Dam-1 Diversion weir & Stilling b0.11030.2514
24surla nala check dam 2 submergence0.25340
25Surla nala Check dam 2 diversion weir & stilling b0.12550
26Surla nala check dam 2A Submergence0.00910
27Surla nala check dam 2A Diversion weir & Stilliing0.05770
28Surla Nala Check Dam_3 Submergence0.00080
29Surla Nala Check Dam_3 Diversion weir & Stilling b0.04990
30Surla Nala Check Dam_4 Submergence0.00660
31Surla Nala Check Dam_4 diversion weir & Stilling b0.09380
32Surla Nala Check Dam_4A Submergence0.00450
33Surla Nala Check Dam_4A Diversion weir & Stilling0.0410
34Surla Nala Check Dam_5 Submergence0.40970
35Surla Nala Check Dam 5_ Diversion weir & stilling0.31020
36Surla Nala Check Dam_6 Submergence0.61290.0262
37Surla Nala Check Dam_6 Diversion weir & stilling b0.13550
38Surla Nala jackwell cum pump house0.47010
39Electrical substation00.0149
40Receiving Chamber RC 10.00220
41Electrical Line (Overhead Electrical Transmission)00.624
Total 26.9255 40.2205
C. Maps of forest land proposed to be diverted
Division 1. : Belgaum
  (i). Area of forest land proposed to be diverted(in ha.) : 26.9255   (ii). Nature of the Project: Hybrid   (a). No. of patches : One
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.
1.9.6968    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).
1.17.2287    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): 50   (iii). Temporary Employment(Number of person-days): 250
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?: Yes   (a). Copy of Cost-Benefit analysis:
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. : Belgaum
  (a). Village: Halahalli   (b). Area(in ha.): 40.4   (c). Copy of KML file of the patch:     View File   (d). Khasra details: Sy no 66   (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
1Administrative Approval
2Environmental Clearance Exemption letter
3Forest Land RTCs
4Detailed Project Report
5MWDT Award Gazette Notification by Govt of India
6MOEFCC Letters Dt 03.07.2020 & 09.10.2020
7FAC Recommendation 2003 and subsequent abeyance by MOEFCC
8Undertakings for minimum use of forest land and Payment towards NPV and CA
9Covering Letter
10Sy No wise Details of forest area required
11Project Drawings
12GPS Coordinates of On ground demarcation in forest area
13Sy No wise extent of Non-forest land required for the project
14Non Forest SOI Maps-1
15Non Forest SOI Maps-2
16Non Forest SOI Maps-3
17Non Forest SOI Maps-4
18Non Forest Geo reference Maps-1
19Non Forest Geo reference Maps-2
20Proceedings of Project Screening Committee
21Recommendations of Chief Wildlife Warden
22Complaiance to EDS raised by DCF, Belagavi and IRO, MOEFCC, Bangalore
23RS map of CA land
24Compensatory Afforestation Scheme prepared by DCF, Ghataprabha Divison, Gokak
25GPS Coordinates of CA land
26Compliance to EDS Dt: 03.04.2023
27Compliance to EDS of IRO dt:29.09.2023