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/39356/2019   (ii). Name of Project for which Forest Land is required : Construction of Jack well, Panel Room with allied components and laying of Pipe lines in Chliandavadi State Forest, Muguru State Forest, Bilikal State Forest for Providing Drinking Water supply for Kodihalli & 298 Habitations under DBOT in Kanakapura Taluka Ramanagara District”   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : To Provide potable drinking water supply on sustainable basis at the rate of 70 LPCD for 173540 Population in 2048 for 299 habitations in Kanakapura taluka of Ramanagara District in Karnataka.   (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) : 21080   (viii). Area of forest land proposed for diversion(in ha.): 3.61   (ix). Non-forest land required for this project(in ha.): 43.89   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : EXECUTIVE ENGINEER RDWSD RAMNAGARA   (ii). Address1 : Executive Engineer, Zilla Panchayatha Office, Mysore Road, Ramanagara   (iii). Address2 : NIL   (iv). State : Karnataka   (v). District : Ramanagara   (vi). Pin : 562159   (vii). Landmark : Zilla Panchayatha   (viii). Email address : karthikreddychirra@gmail.com   (ix). Landline Telephone No. : 0-00000000   (x). Fax No. : 0-   (xi). Mobile No. : 8309404683   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Shankarnarayana   (ii). Middle Name: NIL   (iii). Last Name: N   (iv). Gender: Male   (v). Designation: EE   (vi). Address 1: Executive Engineer, Zilla Panchayatha office, Mysore Road, Ramanagara   (vii). Address 2: NIL   (viii). State: Karnataka   (ix). District: Ramanagara   (x). Tehsil: Ramanagar   (xi). Pin: 562159   (xii). Landmark: NIL   (xiii). Email Address: eerdwsdrmgr2017@gmail.com   (xiv). Landline Telephone No.: 0-00000000   (xv). Fax No.: NIL   (xvi). Mobile No.: 8309404683   (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.Cauvery Wildlife3.2130
2.Bannerghatta National Park0.3970
3.Ramanagara043.89
Total3.6143.89
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Ramanagara3.6143.89
Total3.6143.89
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1CHILANDVADI STATE FOREST SY No 13.110
2MUGURU STATE FOREST SY No 10.1030
3BILIKAL STATE FOREST SY No 10.3970
4BALANCE AREA OF VILLAGES LEFT IN PROJECT AREA043.89
Total 3.61 43.89
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1CONSTRUCTION OF JACK WEILL CUM PUMP HOUSE, PANEL R0.120
2LAYING OF 610 MM DIA MS PIPE LINE (UNDER GROUND) &2.2010
3LAYING OF 610 MM DIA MS PIPE LINE (UNDER GROUND) S0.1190
4LAYING OF 90 MM TO 63 MM DIA HDPE PIPE LINE (UNDER0.0990
5LAYING OF 75 MM DIA HDPE PIPE LINE (UNDER GROUND)0.5710
6LAYING OF 90 MM TO 63 MM DIA HDPE PIPE LINE (UNDER0.1030
7LAYING OF 200 MM DIA, DI PIPE LINE (UNDER GROUND)0.39690
8BALANCE PROJECT AREA043.89
Total 3.6099 43.89
C. Maps of forest land proposed to be diverted
Division 1. : Cauvery Wildlife
  (i). Area of forest land proposed to be diverted(in ha.) : 3.213   (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.
1.0.12    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).
1.3.093    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:
Division 2. : Bannerghatta National Park
  (i). Area of forest land proposed to be diverted(in ha.) : 0.397   (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.
1.0    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).
1.0.397    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:
Division 3. : Ramanagara
  (i). Area of forest land proposed to be diverted(in ha.) : 0   (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.
1.0    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).
1.0    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 ? : 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 : Application under process   (a). Date of submission of proposals : 06 Apr 2021   (b). Current status : NIL
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. : Ramanagara
  (a). Village: VEERASANDRA   (b). Area(in ha.): 4.37   (c). Copy of KML file of the patch:     View File   (d). Khasra details: SY No 13   (e). Present owner: User Agency   (f). Copy of Ownership proof:
  (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
1Concept Note with Population Details
2TOTAL AREA STATEMENT OF PROJECT
3VILLAGE WISE AREA STATEMENT OF PROJECT
4COMPLIANCE LETTER ON SHORTCOMINGS
5CA LAND RTC
6AREA STATEMENT OF THE PROJECT
7NOC from DC
8Administrative Approval
9Undertaking for CA
10Undertaking for NPV
11GPR Readings