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/19533/2016
(ii). Name of Project for which Forest Land is required :
Providing CWSS to Bukkasagara Devasamudra and other 5 Villages in Hospet Taluk Ballari District
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Diversion of 0.597 ha of forest land in Bukkasagar, Venkatapura & Kanivethimmalapura Villages in Bellay Division for laying of pipeline and Providing CWSS to Bukkasagara Devasamudra and other 5 Villages in Hospet Taluk Ballari District
(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) :
1335
(viii). Area of forest land proposed for diversion(in ha.):
0.597
(ix). Non-forest land required for this project(in ha.):
1.152
(x). Total period for which the forest land is proposed to be diverted(in years):
50
A-2.
Details of User Agency
(i). Name :
Assistant Executive Engineer
(ii). Address1 :
Office of the Asst. Executive Engineer, RWS Sub Division, Kalyan Nagar, Hospet
(iii). Address2 :
NIL
(iv). State :
Karnataka
(v). District :
Bellary
(vi). Pin :
583201
(vii). Landmark :
Behind Siddipriya Kalayan Mantapa
(viii). Email address :
aeerdwsd.hspt@gmail.com
(ix). Landline Telephone No. :
8394-231048
(x). Fax No. :
8394-
(xi). Mobile No. :
9448228460
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
JR
(ii). Middle Name:
NIL
(iii). Last Name:
PAMPAPATHI
(iv). Gender:
Male
(v). Designation:
Assistant Executive Engineer
(vi). Address 1:
Office of the Assistant Executive Engineer, RWS SUb Division, Kalyan Nagar, Hospet
(vii). Address 2:
NIL
(viii). State:
Karnataka
(ix). District:
Bellary
(x). Tehsil:
Hospet
(xi). Pin:
583201
(xii). Landmark:
Behind Siddipriya Kalyana Manatapa
(xiii). Email Address:
aeerdwsd.hspt@gmail.com
(xiv). Landline Telephone No.:
8394-231048
(xv). Fax No.:
NIL
(xvi). Mobile No.:
9845780708
(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.
Bellary
0.597
1.152
Total
0.597
1.152
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Bellary
0.597
1.152
Total
0.597
1.152
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Bukkasagara Village Sy. No. 240
0
0.078
2
Bukkasagara Village Sy. No. 225
0
0.04
3
Bukkasagara Village Sy. No. 551
0
0.081
4
Bukkasagara Village Sy. No. 195
0
0.029
5
Bukkasagara Village Sy. No. 194
0
0.093
6
Bukkasagara Village Sy. No. 188
0
0.121
7
Bukkasagara Village Sy. No. 189
0
0.065
8
Bukkasagara Village Sy. No. 190
0
0.042
9
Bukkasagara Village Sy. No. 191
0
0.022
10
Bukkasagara Village Sy. No. 547
0
0.109
11
Bukkasagara Village Sy. No. 548
0
0.103
12
Bukkasagara Village Sy. No. 549
0.079
0.038
13
Bukkasagara Village Sy. No. 550
0.036
0
14
Bukkasagara Village Sy. No. 551 (Forest)
0.137
0
15
Kanave Timmapur Sy. No. 258
0.236
0
16
Kanave Timmapur Sy. No. 133
0.109
0
17
Kanave Timmapur Sy. No. 134
0
0.071
18
Kanave Timmapur Sy. No. 135
0
0.022
19
Kanave Timmapur Sy. No. 191/A
0
0.238
Total
0.597
1.152
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
For Laying of Pipe line
0.59697
1.152
Total
0.59697
1.152
C.
Maps of forest land proposed to be diverted
Division 1. : Bellary
(i). Area of forest land proposed to be diverted(in ha.) :
0.597
(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.
0.597
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):
4
(iii). Temporary Employment(Number of person-days):
2449
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 ? :
Yes
(b). Status of approval of the Supreme Court :
Approval under cons
(ii). Status of approval of the Standing Committee of National Board for the Wildlife(NBWL) to the Project :
Approval obtained
(a). MoEF File No :
PCCF/WL/D/CR-07/2020-21
(b). Copy of approval of Standing of the NBWL:
(c). Date of Approval :
08 Oct 2021
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? :
No
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
Approval From the Competent Authority Letter
2
go_220_31_12 Admin Approval
3
10km Toposheet shwoing the boundary of ecosensitive zone and protected area.
4
Cadastral Map of the proposed forest land
5
Additional Map of the proposed forest land
6
Additional Map - 2 of the proposed forest land
7
Google Map of the proposed forest land.
8
Topomap
9
Undertaking to pay CA Charges.
10
Undertaking to pay CA Charges.
11
Undertaking to pay NPV and additional NPV
12
Request for further process NBWL clearance obtained
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