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/151344/2022   (ii). Name of Project for which Forest Land is required : Waidhan-1 Multi Village Rural Water Supply Scheme   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Waidhan-1 Multi Village Rural Water Supply Scheme for pipeline (in Row) project in Chitrangi & Waidhan Block district Singrauli Madhya Pradesh   (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) : 1800   (viii). Area of forest land proposed for diversion(in ha.): 2.8607   (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): 50
A-2. Details of User Agency
  (i). Name : MADHYA PRADESH JAL NIGAM MARYADIT   (ii). Address1 : D- Wing, IInd floor, Vindhyachal Bhawan, Bhopal   (iii). Address2 : NIL   (iv). State : Madhya Pradesh   (v). District : Bhopal   (vi). Pin : 462004   (vii). Landmark : Vindhyachal Bhawan   (viii). Email address : mpjalnigam@gmail.com   (ix). Landline Telephone No. : 755-2579034   (x). Fax No. : 755-2579873   (xi). Mobile No. : 8989456789   (xii). Website (if any) : www.mpjalnigam.co.in   (xiii). Legal status of User Agency : State PSU
A-3. Details of Person Making Application
  (i). First Name: Sanjay   (ii). Middle Name: NIL   (iii). Last Name: Wadhwa   (iv). Gender: Male   (v). Designation: General Manager   (vi). Address 1: First Floor, Collectorate, Singrauli   (vii). Address 2: NIL   (viii). State: Madhya Pradesh   (ix). District: Singrouli   (x). Tehsil: Singroli   (xi). Pin: 486886   (xii). Landmark: Collectorate   (xiii). Email Address: gmmpjnmsingrauli@gmail.com   (xiv). Landline Telephone No.: 0-   (xv). Fax No.: NIL   (xvi). Mobile No.: 9826391810   (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.Singrauli2.86070
Total2.86070
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Singrouli2.86070
Total2.86070
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Akla Tola Budhadol0.04340
2Amhara0.15110
3Badgad0.02970
4Badhnai0.09180
5Bairihawa0.09710
6Balsota Gohba0.17870
7Barahpan0.0230
8Bardaha0.04360
9Bihara0.00820
10Boda Khunta0.00810
11Budhadol0.12660
12Budhela0.26760
13Butwa0.02720
14Chitarwai Kalan0.12960
15Dharauha0.05180
16Dongari0.09840
17Durdura0.11140
18Duri Tola0.02010
19Fuljhargari Tola Suda0.03050
20Gobha0.03950
21Godawar0.04440
22Hatka0.01060
23Jamgardi0.03080
24Jeer0.00690
25Kadopani0.01110
26Karauti0.0920
27Kasar0.13770
28Kathas0.03590
29Katrihar0.09140
30Khadiya Tola Gobha0.05070
31Khalla Tola0.02340
32Khokhwa0.19820
33Kurnahaya Tola0.02280
34Mudhi0.04260
35Nanihadh Tola Gobha0.04010
36Pondipath0.02510
37Sagnara0.10290
38Saraijhar0.07540
39Sonrel Tola Amiliya0.03690
40Suidih0.04550
41Thurua0.0130
42Sulkhan Khurd0.14590
Total 2.8607 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Pipeline2.86070
Total 2.8607 0
C. Maps of forest land proposed to be diverted
Division 1. : Singrauli
  (i). Area of forest land proposed to be diverted(in ha.) : 2.8607   (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).
1.2.8607    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: no alternate
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): 450
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: Naugai-2   (b). Area(in ha.): 2.8607   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 64,67,68,69,70,71,72,73,76,77,79,80   (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
1CA Land attached along with necessary compliance querry
2FHTC Undertaking has been Attached
3Hard Copy of Documents submitted to DFO Office
4Forest Query replied vide reference letter No. 766 dated 24.03.2023
5Regarding Forest Panjiyan and Processing fee payment
6Query of Compliance for Joint Inspection Report
7Letter of request to forward the case with recommendation to CCF Rewa
8Compliance of query raised by RO Office
9Compliance of EDS query raised by CCF Rewa