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/MP/WATER/145025/2021   (ii). Name of Project for which Forest Land is required : Gond Devsar Multi Villages Rural Water Supply Scheme   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The project is intended to provide drinking water to 206 villages of Deosar Block, Singrauli district. The land required is proposed for construction of DI PIPELINE - Gravity Main in Right of Way.   (iv). State : Madhya Pradesh   (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) : 96   (viii). Area of forest land proposed for diversion(in ha.): 3.2004   (ix). Non-forest land required for this project(in ha.): 0   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : MADHYA PRADESH JAL NIGAM MARYADIT SHAHDOL   (ii). Address1 : O/o GM, MP Jal Nigam Maryadit, House No. 20, Ward No. 6, Pandav Nagar, Shahdol   (iii). Address2 : NIL   (iv). State : Madhya Pradesh   (v). District : Shahdol   (vi). Pin : 484001   (vii). Landmark : Near Good Shepherd Convent School   (viii). Email address : mpjalnigamshahdol@gmail.com   (ix). Landline Telephone No. : 7652-240455   (x). Fax No. : 7652-   (xi). Mobile No. : 9826391810   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State PSU
A-3. Details of Person Making Application
  (i). First Name: Vivek   (ii). Middle Name: NIL   (iii). Last Name: Kumar   (iv). Gender: Male   (v). Designation: GM   (vi). Address 1: House No. 20, Ward No. 6, Pandav Nagar, Shahdol   (vii). Address 2: NIL   (viii). State: Madhya Pradesh   (ix). District: Shahdol   (x). Tehsil: Sohagpur   (xi). Pin: 484001   (xii). Landmark: Near Good Shepherd Convent School   (xiii). Email Address: mpjalnigamshahdol@gmail.com   (xiv). Landline Telephone No.: 6752-240455   (xv). Fax No.: NIL   (xvi). Mobile No.: 9826412384   (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.Singrauli3.20040
Total3.20040
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Singrouli3.20040
Total3.20040
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Baghadih0.0640
2Baheradand0.06680
3Bandha0.37950
4Budhadand0.02850
5Chahali0.19870
6Chakuwar0.03780
7Chhiwa0.06330
8Deora0.07320
9Deosar0.13850
10Dhoga0.16770
11Ghinhagaon0.03080
12gidher0.10450
13karda0.140
14khairabada0.02430
15koharakhoh0.09230
16kolhua0.23890
17Kunda0.06640
18kundwar0.10810
19kursa0.16950
20langha dand0.35580
21looti0.06020
22Maghigawan0.08050
23Mudwa0.22250
24Pokhara0.01120
25sajhar0.27740
Total 3.2004 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Clear Water Gravity Main3.20040
Total 3.2004 0
C. Maps of forest land proposed to be diverted
Division 1. : Singrauli
  (i). Area of forest land proposed to be diverted(in ha.) : 3.2004   (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).
1.3.2004    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: No   (a). Reason for not providing such map: NA
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 600   (iii). Temporary Employment(Number of person-days): 14400
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?: 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. : Singrouli
  (a). Village: Bhika Jhiriya   (b). Area(in ha.): 6.5   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 289/2   (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
1Processing fee has already been paid and joint inspection is in progress.
26.5 ha land has been transferred to Forest departement against requirement of 3.2004 ha. Rest of the land to be used in proposal FP/MP/WATER/144394/2021
3CA land has been transferred.
4
5Joiint survey complete and CA land transferred
6Compliacne for Query raised by PCCF Bhopal