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/156506/2022   (ii). Name of Project for which Forest Land is required : Construction of Approach Access for Indian Oil Corporation Limited Retail Outlet on Didwana-Ladnun Road SH-7-D (LHS), At KM Stone Chainage No. - 144+438 to 144+458 in Khasra No. 111/19 (New Khasra 116/111) At Village-Natas Tehsil– Ladnun , District – Nagaur (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 on Didwana-Ladnun Road SH-7-D (LHS), At KM Stone Chainage No. - 144+438 to 144+458 in Khasra No. 111/19 (New Khasra 116/111) At Village-Natas Tehsil– Ladnun , District – Nagaur (Rajasthan)   (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.): 0.0536   (ix). Non-forest land required for this project(in ha.): 0.04   (x). Total period for which the forest land is proposed to be diverted(in years): 19.11
A-2. Details of User Agency
  (i). Name : INDIAN OIL CORPORATION LTD   (ii). Address1 : Indian Oil Corporation Limited, Pipeline Head Office, Indian Oil Bhavan, A1, Udyog Marg, Sector 1, Noida   (iii). Address2 : NIL   (iv). State : Uttar Pradesh   (v). District : Gautam Buddha Nagar   (vi). Pin : 201301   (vii). Landmark : NIL   (viii). Email address : rajeshgupta@indianoil.in   (ix). Landline Telephone No. : 0--   (x). Fax No. : 0-   (xi). Mobile No. : 7389903231   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Others
A-3. Details of Person Making Application
  (i). First Name: Manoj   (ii). Middle Name: NIL   (iii). Last Name: Gupta   (iv). Gender: Male   (v). Designation: Manager(Retail Sales)   (vi). Address 1: Indian Oil Corporation Limited, Ajmer Divisional Office,E-83, Shastri Nagar , Lohagal Road , Ajmer (Rajasthan)   (vii). Address 2: NIL   (viii). State: Rajasthan   (ix). District: Ajmer   (x). Tehsil: NIL   (xi). Pin: 305006   (xii). Landmark: NIL   (xiii). Email Address: gmanoj@indianoil.in   (xiv). Landline Telephone No.: 0-   (xv). Fax No.: NIL   (xvi). Mobile No.: 9630091232   (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
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
1ApprovedFP/RJ/Approach/145688/20211(88)forest/20210.18920.189214 Dec 202102 May 2022
2ApprovedFP/RJ/Approach/146261/20211(1)forest/20220.15780.157822 Feb 202209 May 2022
Total 0.347 0.347
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.Nagaur Territorial0.05360.04
Total0.05360.04
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Nagaur0.05360.04
Total0.05360.04
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Natas0.05360.04
Total 0.0536 0.04
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Deceleration Lane0.02680
2Acceleration Lane0.02680
Total 0.0536 0
C. Maps of forest land proposed to be diverted
Division 1. : Nagaur Territorial
  (i). Area of forest land proposed to be diverted(in ha.) : 0.0536   (ii). Nature of the Project: Linear   (b). No. of Segments : Two
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).
1.0.0268    View File
2.0.0268    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: SH-7D side land is declared as protected forest
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
1Authorization Letter
2Approved Layout Plan
3PWD NOC
4Area Calculation Sheet
5Ajmer Vidut Vitran Nigam Limited NOC
6BAR CHART
7CERTIFICATE FOR MINIMUM USE OF FOREST LAND
8CERTIFICATE TOWARD MUCK DISPOSAL CERTIFICATE
9Details of Permanent Employment to be Generated
10Gazette Notification of Road strip forest
11Gram Panchyat Noc
12Jamabandi
13Khasra Map
14Land Conversion Documents
15LOI Letter
16Rajasthan Pollution Control Board Noc
17PWD chek list
18JUSTIFICATION FOR LOCATING THE PROJECT IN FOREST AREA
19PROJECT RE REPORT
20UNDERTAKING FOR CONSERVATION OF FLORA-FAUNA AND WILDLIFE ANIMALS DURING APPROACH ACCESS
21UNDERTAKING FOR FRA CERTIFICATE
22UNDERTAKING FOR HIGH TENSION LINE
23UNDERTAKING FOR LP GAS GODOWN
24UNDERTAKING FOR MUCK DISPOSAL DURING CONSTRUCTION OF ACCESS
25UNDERTAKING FOR NO CHANGES IN STATUTORY POSITION OF DIVERTED FOREST LAND
26UNDERTAKING FOR PAYMENT OF ANY OTHER COST AND CONDITION
27UNDERTAKING FOR PAYMENT OF COST OF COMPENSATORY AFFORESTATION
28UNDERTAKING FOR PAYMENT OF NET PRESENT VALUE OF FOREST AREA
29UNDERTAKING FOR SITE SELECTION - DISTANCE BETWEEN RETAIL OUTLET ON EITHER SIDE
30UNDERTAKING FOR USE OF ANY MATERIAL FROM SURROUNDED FOREST LAND DURING CONSTRUCTOIN OF ACCESS
31UNDERTAKING FOR WASTE MANAGEMENT DURING CONSTRUCTION ACTIVITY
32STATEMENT SHOWING DETAILS OF FOREST AREA PROPOSED FOR DIVERSION
33STATEMENT SHOWING DETAILS OF NON FOREST AREA INVOLVED IN THE PROPOSAL
34Map Showing for Geo-Referenced Survey of India Toposheet With Proposed Retail outlet Full Toposheet no 45 I/6 Scale 1 :50000
35Geo-Referenced DGPS Map Map Showing for Required Land Coordinate With Proposed Retail outlet
36Geo-Referenced Google Imagery Map Map Showing for Required Land Coordinate With Proposed Retail outlet
37Geo-Referenced Khasra Map With Proposed Retail outlet Scale 1 :4000