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/RJ/Approach/148278/2021   (ii). Name of Project for which Forest Land is required : Construction of Approach Access for Indian Oil Corporation Limited Retail Outlet ,KM Stone 338 to KM Stone 341 Chainage No. - 338+923 to 338+958 on NH-52(old NH-11) RHS: While Going From Jaipur to Bikaner in New Khasra No. 546/157 & 632/544 (Old Khasra 544/157 & 546/157) At Village-Malkeda , Tehsil & District – Sikar (Rajasthan)   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : “Construction of Approach Access for Indian Oil Corporation Limited Retail Outlet ,KM Stone 338 to KM Stone 341 Chainage No. - 338+923 to 338+958 on NH-52(old NH-11) RHS: While Going From Jaipur to Bikaner in New Khasra No. 546/157 & 632/544 (Old Khasra 544/157 & 546/157) At Village-Malkeda , Tehsi   (iv). State : Rajasthan   (v). Category of the Proposal : Approach Access   (vi). Shape of forest land proposed to be diverted : Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 45   (viii). Area of forest land proposed for diversion(in ha.): 0.1649   (ix). Non-forest land required for this project(in ha.): 0.1757   (x). Total period for which the forest land is proposed to be diverted(in years): 19.90
A-2. Details of User Agency
  (i). Name : Indian Oil Corporation Limited   (ii). Address1 : MARKETING DIVISION-JAIPUR DIVISIONAL OFFICE 1st FLOOR, INVESTMENT BUILDING PHASE-II,NEAR AMBEDKAR CIRCLE,BHAWANI SINGH ROAD, JAIPUR   (iii). Address2 : NIL   (iv). State : Rajasthan   (v). District : Jaipur   (vi). Pin : 302005   (vii). Landmark : NIL   (viii). Email address : kiran.sigra1@gmail.com   (ix). Landline Telephone No. : 141-2744362   (x). Fax No. : 141-   (xi). Mobile No. : 9462256776   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Central PSU
A-3. Details of Person Making Application
  (i). First Name: JITENDRA   (ii). Middle Name: KUMAR   (iii). Last Name: GUPTA   (iv). Gender: Male   (v). Designation: MANAGER RETAIL SALES   (vi). Address 1: JAIPUR DIVISIONAL OFFICE 1st FLOOR INVESTMENT BUILDING PHASE-II,NEAR AMBEDKAR CIRCLE,BHAWANI SINGH ROAD, JAIPUR   (vii). Address 2: NIL   (viii). State: Rajasthan   (ix). District: Jaipur   (x). Tehsil: Jaipur   (xi). Pin: 302005   (xii). Landmark: NIL   (xiii). Email Address: virenderbajore75@gmail.com   (xiv). Landline Telephone No.: 0-   (xv). Fax No.: NIL   (xvi). Mobile No.: 9352050054   (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.Sikar Territorial0.16490.1757
Total0.16490.1757
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Sikar0.16490.1757
Total0.16490.1757
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Malkera0.16490.1757
Total 0.1649 0.1757
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Deceleration Lane0.05840
2Front Side (Service Road )0.01450
3Acceleration Lane0.0920
4Retail Outlet00.1757
Total 0.1649 0.1757
C. Maps of forest land proposed to be diverted
Division 1. : Sikar Territorial
  (i). Area of forest land proposed to be diverted(in ha.) : 0.1649   (ii). Nature of the Project: Linear   (b). No. of Segments : Three
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).
1.0.0584    View File
2.0.092    View File
3.0.0145    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: NH-11(New NH-52) side land is declared as protecte
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 9   (iii). Temporary Employment(Number of person-days): 150
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?: Not Applicable   (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: Not Applicable
Additional information Details
Documents
S.No Documents
Remarks
1Power of Attorney
2LOI letter
3Area Calculation Sheet
4BAR CHART
5CERTIFICATE FOR MINIMUM USE OF FOREST LAND
6CERTIFICATE TOWARD MUCK DISPOSAL AND MANAGMENT PLAN
7Check List for Retail Outlet Pump
8Conversion Letter
9Details of Permanent Employment to be Generated
10Jamabandi Retail Outlet
11JUSTIFICATION FOR LOCATING THE PROJECT IN FOREST AREA
12Khasra Map
13Lease Deed Document
14PROJECT RE REPORT
15STATEMENT SHOWING DETAILS OF FOREST AREA PROPOSED FOR DIVERSION
16STATEMENT SHOWING DETAILS OF NON-FOREST AREA PROPOSED FOR DIVERSION
17UNDERTAKING FOR CONSERVATION OF FLORA-FAUNA AND WILDLIFE ANIMALS DURING APPROACH ACCESS
18UNDERTAKING FOR FRA CERTIFICATE
19UNDERTAKING FOR HIGH TENSION LINE
20UNDERTAKING FOR LP GAS GODOWN
21UNDERTAKING FOR MUCK DISPOSAL DURING CONSTRUCTION OF ACCESS
22UNDERTAKING FOR NO CHANGES IN STATUTORY POSITION OF DIVERTED FOREST LAND
23UNDERTAKING FOR PAYMENT OF ANY OTHER COST AND CONDITION
24UNDERTAKING FOR PAYMENT OF COST OF COMPENSATORY AFFORESTATION
25UNDERTAKING FOR PAYMENT OF NET PRESENT VALUE OF FOREST AREA
26UNDERTAKING FOR SITE SELECTION AND DISTANCE BETWEEN RETAIL OUTLET ON EITHER SIDE
27UNDERTAKING FOR USE OF ANY MATERIAL FROM SURROUNDED FOREST LAND DURING CONSTRUCTOIN OF ACCESS
28UNDERTAKING FOR WASTE MANAGEMENT DURING CONSTRUCTION ACTIVITY
29Geo-Referenced Survey of India Toposheet With Proposed IOCL Retail outlet Full Toposheet No 45m/2 Scale 1 :50000
30Geo-Referenced DGPS Map Required Land Coordinate With Proposed IOCL Retail outlet
31Geo-Referenced Google Imagery Map Required Land Coordinate With Proposed IOCL Retail outlet
32Geo-Referenced Khasra Map Super Imposed Proposed IOCL Retail Outlet at Malkera
33MoRTH NOC
34Approved Layout plan
35EDS Reply-15-11-2022