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/MH/IRRIG/142819/2021   (ii). Name of Project for which Forest Land is required : Sambarkund Medium Project At. Village Mahan Tal. Alibag Dist. Raigad   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The forest land required for the Sambarkund Medium Project, Tal. Alibag Dist. Raigad”. Total forest land required for the project is 263.5406 Ha. Project envisages construction of earthen dam about 646 M. in length across the sambarkund river near village mahan Tal. Alibag Dist. Raigad.   (iv). State : Maharashtra   (v). Category of the Proposal : Irrigation   (vi). Shape of forest land proposed to be diverted : Non Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 7428.8   (viii). Area of forest land proposed for diversion(in ha.): 263.5406   (ix). Non-forest land required for this project(in ha.): 171.8177   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : HETAWANE PROJECT SUB DIVISION, UMBARDE-PEN   (ii). Address1 : Hetawane Project Sub Division, Umbarde-Pen   (iii). Address2 : NIL   (iv). State : Maharashtra   (v). District : Raigad   (vi). Pin : 402107   (vii). Landmark : Irrigation Department   (viii). Email address : arunrokadepen@gmail.com   (ix). Landline Telephone No. : 0-   (x). Fax No. : 0-   (xi). Mobile No. : 9892035092   (xii). Website (if any) : www.wrd.maharashtra.gov.in   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Sanjiv   (ii). Middle Name: D   (iii). Last Name: Jadhav   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: Hetawane Medium Project division, Kamarli-Pen   (vii). Address 2: NIL   (viii). State: Maharashtra   (ix). District: Raigad   (x). Tehsil: Pen   (xi). Pin: 402107   (xii). Landmark: Irrigation Department   (xiii). Email Address: arunrokadepen@gmail.com   (xiv). Landline Telephone No.: 0-   (xv). Fax No.: NIL   (xvi). Mobile No.: 9892035092   (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.Alibag263.5406171.8177
Total263.5406171.8177
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Raigad263.5406171.8177
Total263.5406171.8177
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1MAHAN247.2545139.9561
2SHIHU5.96130
3RAMRAJ5.757922.5394
4MALADE0.20681.2391
5MORANDE0.14891.2531
6UMATE1.14231.6392
7BORGHAR0.91520.4534
8BELOSHI0.21850.0734
9MAHAJANE1.46491.8758
10VALVALI0.37960.6127
11MALYAN0.09072.1755
Total 263.5406 171.8177
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1SUBMERGENCE238.241598.7662
2dam seat8.33234.3949
3WASTE WEIR5.09210
4TAIL CHANNAL0.9523.4215
5APPROACH ROAD2.84693.3913
6PDN8.076113.3307
7REHABILITATION LAND018.5131
Total 263.5406 171.8177
C. Maps of forest land proposed to be diverted
Division 1. : Alibag
  (i). Area of forest land proposed to be diverted(in ha.) : 263.5406   (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.
1.263.5406    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): 0   (iii). Temporary Employment(Number of person-days): 100000
F. Displacement of People due to the Project, if any
  (i). Whether Project involves displacement?: Yes   (a). Total Number of families : 129   (b). Number of Scheduled Caste families : NIL   (c). Number of Schedule Tribes families : 124   (d). Number of other families : 5   (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? : 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?: 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 ?: Yes   (a). Reason Category: CA Will be raised on degraded forest land as well as on land provided by User Agency   (b). Degraded forest area on which CA has to be raised by forest department(in ha.): 245   (c). Area of non-forest or Revenue forest land required to be provided by User Agency for raising Compensatory Afforestation(in ha.): 24   (iii). No. of districts involved for raising Compensatory Afforestation: 1   (iv). No. of patches: Four
District 1. : Nanded
  (a). Village: Degraded Forest Land   (b). Area(in ha.): 245   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 80, 15/15, 06/300, 86/190, 77/113, 64/64, 69/60, 364/643, 25, 68/32, 66, 76/368, 67, 482/232, 136/232, 20/34, 44/09, 52/113 & 30/17   (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. : Nanded
  (a). Village: SHIRUR,BAMNI,BHANEGAON,BRAHAMAWADI,DIGRAS,HATOLA,KOHLI,MAHATALA,NAGAPUR,NIWGHA,PIMPARALA,SARSAM BK,T   (b). Area(in ha.): 395   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 227,3,56,1,111,19,255,146,70,110/1,96,121,246&247,84,84,83,55   (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:
M. Hydel/Irrigation/Multipurpose Project
  (i). Installed power generation capacity of the Project(in MW): 00   (ii). Total command area of the Project(in ha.): 2970   (a). Copy of the approval of competent authority to the Catchment Area Treatment Plan (CAT Plan):   (b). Copy of the approved CAT plan:
Additional information Details
Documents
S.No Documents
Remarks
1Alternate examined
2CA land transferred to Forest Department
3Revised suitability certificate DCF Nanded
4Suitability certificate
5DGPS Map of Degraded forest land for CA
6Survey of India Toposheet of Degraded forest land for CA
7Reply to DCF Query on 30-11-2023
8Reply on AC observations 24.04.2024
9Toposheet Map of Non-forest land for CA
10DGPS Map of Non-forest land for CA