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/46525/2020
(ii). Name of Project for which Forest Land is required :
For construction of Raising & Gravity Main Pipeline, Storage & Distributor Tank, Inspection path in forest land, Bellatti, Devihala, Etagi & other Villages for providing drinking water and recharging ground water to fill 20 tanks in Shirahatti (T), Gadag (D) under Shirahatti Lift Irrigation Scheme in favour of the EE, SLI Division, KNNL, Mundaragi.
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Diversion of 0.8311 ha of forest land in Bellatti, Devihala, Etagi, Alagilawada, Nadigatti, Tangod, Majjuru, Hosuru & Chabbi Villages for construction of Raising & Gravity Main Pipeline, Storage & Distributor Tank, Inspection path for providing drinking water and recharging ground water to fill 20 t
(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) :
13706
(viii). Area of forest land proposed for diversion(in ha.):
0.8311
(ix). Non-forest land required for this project(in ha.):
48.8716
(x). Total period for which the forest land is proposed to be diverted(in years):
99
A-2.
Details of User Agency
(i). Name :
MANAGING DIRECTOR, KNNL, DR.B.R. AMBEDKAR VEEDHI, BANGALORE
(ii). Address1 :
Executive Engineer, Singataloor Lift Irrigation Division No-1, Karnataka Neeravari Nigam Limited, Mundargi, Gadag District.
(iii). Address2 :
NIL
(iv). State :
Karnataka
(v). District :
Gadag
(vi). Pin :
582118
(vii). Landmark :
Near Hudco Colony, Mundargi
(viii). Email address :
eeslidmdg@gmail.com
(ix). Landline Telephone No. :
8371-262174
(x). Fax No. :
8371-262174
(xi). Mobile No. :
9916146827
(xii). Website (if any) :
www.knnlindia.com
(xiii). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
Srinivasaraddi
(ii). Middle Name:
Basavaraddi
(iii). Last Name:
Malligwad
(iv). Gender:
Male
(v). Designation:
EE
(vi). Address 1:
Executive Engineer, Singataloor Lift Irrigation Division No.1, Karnataka Neeravari Nigam Limited, Mundargi, Gadag District.
(vii). Address 2:
NIL
(viii). State:
Karnataka
(ix). District:
Gadag
(x). Tehsil:
Mundargi
(xi). Pin:
582118
(xii). Landmark:
Near Hudco Colony Mundargi
(xiii). Email Address:
eeslidmdg@gmail.com
(xiv). Landline Telephone No.:
8371-262174
(xv). Fax No.:
08371262174
(xvi). Mobile No.:
9916146827
(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.
Gadag
0.8311
48.8716
Total
0.8311
48.8716
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Gadag
0.8311
48.8716
Total
0.8311
48.8716
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Alagila Wada Sy No.26
0.0384
0
2
Nadigatti Village Sy No.54
0.0684
0
3
Etagi Village Sy No. 199
0.0231
0
4
Etagi Village Sy No.189
0.0045
0
5
Etagi Village Sy No. 189
0.0237
0
6
Etagi Village Sy No.187
0.036
0
7
Etagi Village Sy No.186
0.0162
0
8
Etagi Village Sy No. 185
0.0207
0
9
Etagi Village Sy No.191
0.006
0
10
Etagi Village Sy No.198
0.001
0
11
Etagi Village Sy No.211
0.0297
0
12
Etagi Village Sy No.212
0.0279
0
13
Etagi Village Sy No.214
0.0227
0
14
Etagi Village Sy No.189
0.0009
0
15
Etagi Village Sy No. 188
0
0.005
16
Tangod Village Sy No.22
0.0039
0
17
Devihala Sy No.168
0.044
0
18
Devihala Sy No. 168
0.0144
0
19
Devihala Sy No.168
0.0411
0
20
Devihala Sy No.32
0.0102
0
21
Devihala Sy No.50
0.0353
0
22
Devihala Sy No.49
0.0066
0
23
Devihala Sy No.48
0.0151
0
24
Devihala Sy No.12
0
0.015
25
Chabbi Sy No.349
0.0258
0
26
Chabbi Sy No.348
0.026
0
27
Chabbi Sy No.347
0.0137
0
28
Chabbi Sy No.19
0.0274
0
29
Chabbi Sy No.20
0.0234
0
30
Majjuru Sy No.10
0.022
0
31
Majjuru Sy No.11
0.023
0
32
Majjuru Sy No.20
0.0035
0
33
Bellatti Sy No.69
0.0146
0
34
Bellatti Sy No. 69
0.01
0
35
Bellatti Sy No 69
0.0176
0
36
Bellatti Sy No.71
0.0307
0
37
Hosuru Village Sy No.7
0.0448
0
38
Bellatti Sy No.5
0
0.0188
39
Bellatti Sy No.233
0
0.0181
40
Bellatti Sy No.84
0
0.0067
41
Bellatti Sy No.82
0
0.002
42
ITAGI VILLAGE Multiple Sy No.
0
2.4788
43
TEREDAHALLI VILLAGE Multiple Sy No.
0
0.6981
44
MEVUNDI VILLAGE Multiple Sy No.
0
1.8919
45
KERIKOPPA VILLAGE Multiple Sy No.
0
2.2157
46
TANGOD VILLAGE Multiple Sy No.
0
2.6912
47
ALAGILAWADA VILLAGE Multiple Sy No.
0
1.0927
48
HOSUR VILLAGE Multiple Sy No.
0
1.8919
49
VADVI VILLAGE Multiple Sy No.
0
3.8446
50
TARIKOPPA VILLAGE Multiple Sy No.
0
1.5884
51
NARAYANAPURA VILLAGE Multiple Sy No..
0
1.7098
52
BELLATTI VILLAGE Multiple Sy No.
0
3.1263
53
DEVIHALA VILLAGE Multiple Sy No.
0
3.0453
54
CHABBI VILLAGE Multiple Sy No.
0
5.8276
55
MAJJURU VILLAGE Multiple Sy No.
0
1.0522
56
NADIGATTI VILLAGE Multiple Sy No.
0
1.295
57
KUDRALLI VILLAGE Multiple Sy No.
0
1.8211
58
BATTURA VILLAGE Multiple Sy No.
0
2.7216
59
SHETTIKERE VILLAGE Multiple Sy No.
0
1.4771
60
HULIGERABANA VILLAGE Multiple Sy No.
0
1.295
61
BASTIBANA VILLAGE Multiple Sy No.
0
1.1736
62
ADRIKATTI VILLAGE Multiple Sy No.
0
1.4367
63
HIREBANA VILLAGE Multiple Sy No.
0
0.8499
64
PETABANA VILLAGE Multiple Sy No.
0
2.155
65
DESAIBANA VILLAGE Multiple Sy No.
0
0.9004
66
SHIGLI VILLAGE Multiple Sy No.
0
0.5261
67
Etagi Village Sy No.199
0.0588
0
Total
0.8311
48.8716
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Raising Main [Tangod village]
0.0039
0
2
Raising & Distributary Main
0.044
0
3
Road from Tank to Existing CC Road
0.0411
0
4
Raising & Distributary Main
0
0.015
5
Gravity Main [Chabbi Village]
0.1383
0
6
Gravity Main [Chabbi- Village]
0.0265
0
7
Gravity Main [Bellatti village]
0.0146
0
8
Raising Main Pipeline [Bellatti Village]
0.0483
0
9
Storage/Distributor Tank [Bellahatti]
0.01
0
10
Storage/Distributor Tank [Devihalla]
0.0144
0
11
Gravity Main Pipeline [Devahalli Village]
0.0672
0
12
Raising Main-Pipeline [Bellatti Village]
0
0.0369
13
Gravity Main Pipeline -[Bellatti Village]
0
0.0087
14
Raising Main Pipeline
0.0384
0
15
Gravity Main Pipeline
0.0684
0
16
Raising Sub-Main Pipeline
0.0276
0
17
Gravity Main Pipeline-1
0.0237
0
18
Gravity Main Pipeline-2
0.0789
0
19
Raising Main-2
0.1174
0
20
Raising Main-1
0.0227
0
21
Distributary Chamber
0.0009
0
22
Raising Main Pipeline [Hosur Village]
0.0448
0
23
Gravity Main Pipeline [Patta Land]
0
0.005
24
For Laying of pipe line
0
48.806
Total
0.8311
48.8716
C.
Maps of forest land proposed to be diverted
Division 1. : Gadag
(i). Area of forest land proposed to be diverted(in ha.) :
0.8311
(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.
0.8311
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):
2
(iii). Temporary Employment(Number of person-days):
30
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
Project Report
2
Work Order Agreement
3
Entire Alignment, KML, Auto Cad Drawing, GPS Co-Ordinate in Excel Format send to E-Mail
4
Plain Map [Seven Villages]
5
Undertaking for Temporary Stone Pillar
6
20 Meter Interval GPS Reading Co-Ordinates
7
Copies of RTC of Forest area proposed for diversion
8
Individual Survey Number Wise Non-Forest Land details
9
Village Wise Non Forest Land details
10
Google Maps [7 Villages]
11
Undertaking for Payment of NPV and Compensatory Plantation Charges
12
Entire Alignment Map
13
Entire Alignment map
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