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/43710/2020   (ii). Name of Project for which Forest Land is required : Providing drinking water supply scheme to Navile,Thoreshettihalli and other 53 villages of Maddur Taluk in Mandya District.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Construction of Master balancing tank (GLSR) of 9.00 lakh litres capacity and approach road for laying of raising main and delivery lines.   (iv). State : Karnataka   (v). Category of the Proposal : Drinking Water   (vi). Shape of forest land proposed to be diverted : Non Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 3989.59   (viii). Area of forest land proposed for diversion(in ha.): 0.391   (ix). Non-forest land required for this project(in ha.): 10.314   (x). Total period for which the forest land is proposed to be diverted(in years): 100
A-2. Details of User Agency
  (i). Name : EE_RWS_DIV_MANDYA   (ii). Address1 : EXECUTIVE ENGINEER RWS&S DIVISION MANDYA   (iii). Address2 : NIL   (iv). State : Karnataka   (v). District : Mandya   (vi). Pin : 571401   (vii). Landmark : MANDYA   (viii). Email address : rwsmdy@gmail.com   (ix). Landline Telephone No. : 8232-222363   (x). Fax No. : 8232-   (xi). Mobile No. : 7411309706   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: KUMAR   (ii). Middle Name: NIL   (iii). Last Name: S   (iv). Gender: Male   (v). Designation: EXECUTIVE   (vi). Address 1: EE RWS DIVISION MANDYA   (vii). Address 2: NIL   (viii). State: Karnataka   (ix). District: Mandya   (x). Tehsil: Mandya   (xi). Pin: 571401   (xii). Landmark: MANDYA   (xiii). Email Address: rwsmdy@gmail.com   (xiv). Landline Telephone No.: 8232-222363   (xv). Fax No.: NIL   (xvi). Mobile No.: 7411309706   (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.Mandya0.39110.314
Total0.39110.314
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Mandya0.39110.314
Total0.39110.314
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Alamsettahalli00.024
2Athaguru00.445
3Byaladakere00.054
4Chikkankanahalli00.188
5Doddankanahalli00.473
6Dundanahalli00.659
7Hanumanthapura00.1
8Harakana Halli00.222
9Hebberalu02.929
10Hemmanahalli00.14
11Hosahalli00.08
12Huthagere00.36
13Kadalipura00.075
14Kadalur00.323
15Kundanakuppe00.675
16Lingasandra00.224
17Machahalli00.037
18Madanaikanahalli00.103
19Madapuradadoddi00.08
20Mallanakuppe00.183
21Mallanayakanahalli (Sy No 121)0.3910.874
22Thippur00.263
23Thore Settihalli00.076
24Tubinakere00.096
25Yaraganahalli00.157
26Ankanathapura00.368
27Maradevanahalli00.161
28Navile00.198
29Naganahalli00.154
30Tippuru00.174
31Kesthur00.383
Total 0.391 10.278
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1WTP02.262
2Rising main pipeline00.304
3Rising main cum delivery pipeline0.0720.9
4MBR0.090
5Approach road0.2290
6Delivery pipeline06.848
Total 0.391 10.314
C. Maps of forest land proposed to be diverted
Division 1. : Mandya
  (i). Area of forest land proposed to be diverted(in ha.) : 0.391   (ii). Nature of the Project: Non Linear   (a). No. of patches : Six
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
2.0    View File
3.0.072    View File
4.0.09    View File
5.0.229    View File
6.0    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:
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? : 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
1Undertaking Letter for NPV
2COMPONENT WISE
3GPS Readings of forest land
4Cadastral map of the Entire project
5Component map
6Digital Map of Entire Project
7Digitised Georeference Map of the proposal
8Village wise Details
9Zoomed Cadastral Map of the Proposal
10Zoomed Digitisied Map of the Proposal
11Acknowledgment Letter to EDS letter raised by DCF
12Reply letter to DCF on 28 07 2021