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/45654/2020   (ii). Name of Project for which Forest Land is required : Payli Multi Village Rural Water Supply Scheme(for pipeline) (Part of 42241/2019)   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Payli Multi Village Rural Water Supply Scheme for pipeline (in Row) project in district Jabalpur Madhya Pradesh. (part of 42241/2019)   (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) : 6454600   (viii). Area of forest land proposed for diversion(in ha.): 4.9063   (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 PARDESH JAL NIGAM MARYADIT JABALPUR   (ii). Address1 : O/o GM, M.P. Jal Nigam Maryadit, In front of Hotel Satya, Prem Nagar, Gupteshwar, Jabalpur   (iii). Address2 : NIL   (iv). State : Madhya Pradesh   (v). District : Jabalpur   (vi). Pin : 482001   (vii). Landmark : In front of Hotel Satya   (viii). Email address : mpjnmjbp@gmail.com   (ix). Landline Telephone No. : 761-2349926   (x). Fax No. : 761-   (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: Santosh   (ii). Middle Name: NIL   (iii). Last Name: Ramje   (iv). Gender: Male   (v). Designation: GM   (vi). Address 1: O/o GM, M.P. Jal Nigam Maryadit, House No. 2017, Near Jvoy School, Vijaynagar, Jabalpur-482001   (vii). Address 2: NIL   (viii). State: Madhya Pradesh   (ix). District: Jabalpur   (x). Tehsil: Jabalpur   (xi). Pin: 482001   (xii). Landmark: Near Jvoy School   (xiii). Email Address: mpjnmjbp@gmail.com   (xiv). Landline Telephone No.: 761-2349926   (xv). Fax No.: NIL   (xvi). Mobile No.: 9425843378   (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.Jabalpur(T)4.90630
Total4.90630
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Jabalpur4.90630
Total4.90630
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Bareli Pathar to Chhapra van gram0.10
2Bareli Pathar van gram0.030
3Bareli Pathar van gram 10.0150
4Jabalpur Seoni to Chhapra0.01830
5Chhapra to hulki0.210
6Sukri0.010
7Luhari tola to narangi marg0.0290
8Devri to Basanpani0.0570
9Kaladehi Rajmarg0.0490
10Rajmarg to Babeha0.10380
11Babeha to Hulki0.0590
12Seoni by pass to Bargi nagar0.2250
13Bargi nagar to Mothar0.120
14Bargi nagar to bargi0.21250
15Chourai to nayagaon0.0360
16Chourai to rewa silua0.120
17bamhni to samnapur0.31250
18samnapur to gadh gorakhpur0.46250
19bamhani to basanpani0.16250
20binjha tiraha to binjha gram0.11250
21binjha tiraha to khamkheda0.250
22Bamhni to silua0.03750
23magardha tiraha to magardha gram and nai basti0.30
24Rajmarg to Saaliwada0.04150
25Saliwada to lodha0.15490
26Tinsi to tinsa0.21350
27Tinsa to rengajhori0.21440
28Parasiya to chirapondi0.03890
29Marhapatha to ghat pipariya0.04260
30Marhapatha to sihora0.0250
31Marhapatha to bargi0.2880
32Dodha to kohani0.080
33kohani to marhapatha0.0090
34Harrai to Chargawan0.01440
35Chargawan to tikhari0.0570
36Chargawan to Aithakheda0.07850
37Aithakheda to seoni tola0.0450
38Tiraha to Rampur nakatia0.00560
39Khasra 188 191 nanhakheda0.02350
40tilwara to manegaon0.130
41Rajmarg to mohas0.070
42Mohas to samad pipariya0.150
43Khursi to Dhadhra0.090
44Dhadhra to Manegaon0.0150
Total 4.8189 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Pipeline(in ROW)4.90630
Total 4.9063 0
C. Maps of forest land proposed to be diverted
Division 1. : Jabalpur(T)
  (i). Area of forest land proposed to be diverted(in ha.) : 4.9063   (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).
1.4.9063    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: Pipeline in ROW
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): 500
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? : 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?: No   (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: Others
Additional information Details
Documents
S.No Documents
Remarks
NIL