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/65437/2020   (ii). Name of Project for which Forest Land is required : Diversion of 575.0749 Ha of Forest land for the construction of dam across Markandeya River and ancillary infrastructure in forest lands of Gokak, Godachinamalki, Konnur and Mavanura villages in Gokak and Hukkeri Taluks, Belagavi District for storing 6 TMC of water under Ghatti-Basavanna Drinking Water Supply Project by KNNL, Govt of Karnataka.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Ghatti Basavanna Drinking Water Supply envisages construction of dam across Markandeya River near Gokak to store 6 TMC of water. The project aims at providing drinking water to the Gokak, Hukkeri, Bailahongal and other towns and surrounding villages deprived of drinking water facilities.   (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) : 99000   (viii). Area of forest land proposed for diversion(in ha.): 575.0749   (ix). Non-forest land required for this project(in ha.): 63.0146   (x). Total period for which the forest land is proposed to be diverted(in years): 50
A-2. Details of User Agency
  (i). Name : KARNATAKA NEERAVARI NIGAM LIMITED   (ii). Address1 : Executive Engineer, KNNL, GRBCC Division 3 Gokak   (iii). Address2 : NIL   (iv). State : Karnataka   (v). District : Belgaum   (vi). Pin : 591307   (vii). Landmark : NIL   (viii). Email address : eegrbcc.fc@gmail.com   (ix). Landline Telephone No. : 80-23016200   (x). Fax No. : 80-   (xi). Mobile No. : 9886599677   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: U G   (ii). Middle Name: NIL   (iii). Last Name: Benner   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: Executive Engineer, KNNL, GRBCC Division, Gokak   (vii). Address 2: NIL   (viii). State: Karnataka   (ix). District: Belgaum   (x). Tehsil: Gokak   (xi). Pin: 591307   (xii). Landmark: NIL   (xiii). Email Address: eegrbcc.fc@gmail.com   (xiv). Landline Telephone No.: 80-23016200   (xv). Fax No.: NIL   (xvi). Mobile No.: 9886599677   (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.Belgaum22.4110
2.Gokak552.663963.0146
Total575.074963.0146
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Belgaum575.074963.0146
Total575.074963.0146
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Gokak388.041238.6919
2Godachinamalki43.87910
3Mavanura22.4110
4Konnur120.74350
5Byadarahatti024.3226
Total 575.0748 63.0145
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Submergence519.67555.3492
2Dam Seating2.78490.5689
3Approach Road18.10533.1782
4Dam Office and Guest House4.49530
5Dam View Point8.44930
6Water Treatment Plant and Colony03.0794
7Retaining Wall0.16160
8Steps0.81710
9Downstream Impounding Reservoir18.09780.8386
10Utility1.0540
11Landing0.65580
12Foot Bridge0.77830
Total 575.0744 63.0143
C. Maps of forest land proposed to be diverted
Division 1. : Belgaum
  (i). Area of forest land proposed to be diverted(in ha.) : 22.411   (ii). Nature of the Project: Non Linear   (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.
1.22.411    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. : Gokak
  (i). Area of forest land proposed to be diverted(in ha.) : 552.6639   (ii). Nature of the Project: Non Linear   (a). No. of patches : Eleven
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.
1.497.264    View File
2.2.784951    View File
3.18.097837    View File
4.4.495351    View File
5.8.449366    View File
6.18.105315    View File
7.0.16167    View File
8.0.817165    View File
9.1.054058    View File
10.0.655874    View File
11.0.778318    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 ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 250   (iii). Temporary Employment(Number of person-days): 50
F. Displacement of People due to the Project, if any
  (i). Whether Project involves displacement?: Yes   (a). Total Number of families : 70   (b). Number of Scheduled Caste families : 10   (c). Number of Schedule Tribes families : 35   (d). Number of other families : 25   (ii). Copy of Rehabilitation and Resettlement Plan:   (a). Copy of approval to Ministry of Tribal Affairs,Government of India to Rehabilitation and Resettlement:
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: Three
District 1. : Belgaum
  (a). Village: Savdatti Range - Mugalihal, Murgod   (b). Area(in ha.): 153.68   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 165,166,169,170,184,204,207,214,215,171,205,206,216,928,840,597   (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:
District 2. : Belgaum
  (a). Village: Athani Range-Artal, Telsang, Kanhal, Koohalli   (b). Area(in ha.): 462.64   (c). Copy of KML file of the patch:     View File   (d). Khasra details: Sy No 28, 550, 998, 999, 1000, 108, 337, 338, 339, 340, 341, 342, 343, 344, 345, 346, 74, 84, 86, 97, 163   (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:
District 3. : Belgaum
  (a). Village: Gokak Range - Khanagaon, Pudukalkatti   (b). Area(in ha.): 72.78   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 700, 272   (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
1Project drawings
2Master plan
3Administrative Approval
4Clarification on Project Components in Forest Area
5Undertaking to pay CA
6Undertaking for On ground Demarcation
7Typical Cross section of the Road
8Details of Forest Land Required
9Details of Non-Forest Land Required
10Area Statement of Linear Components
11Component Wise Breakup of Forest Land
12Minimum use of Forest
13Net Present Value
1420 m GPS Coordinates of forest land
15CA land Suitability Certificate
16Compliance to Observations
17RTCs of Forest Land
18CA Land Area Statement
19CA Land 20 and Corner GPS Coordinates
20Balance Plantation Area details
21Reply to the EDS raised by DCF, Gokak on 03.01.2023
22EDS Raised by PCCF FC and Nodal Officer FCA on 26-12-2022. Reply enclosed
23Complaince To EDS raised By MoEF & CC dated 16.03.2023 Part 1
24Wildlife Conservation Plan
25Alternatives Examined
26Complaince To EDS raised By MoEF & CC dated 16.03.2023 Part 2
27Compliance to EDS Dated 23.08.2023