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/156636/2022
(ii). Name of Project for which Forest Land is required :
“Construction of Approach Access for Proposed Bharat Petroleum Corporation Limited Retail Outlet on Fatehpur to Bikaner Road NH-11 (New NH-52, LHS), At Chainage No. - 409+072.70 to 409+107.70 on Old Khasra No. 42 & New Khasra No. 313/312, At Village -Rohal ,Tehsil– Ramgarh Shekhawati , District - Sikar (Rajasthan)”
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Construction of Approach Access for Proposed Bharat Petroleum Corporation Limited Retail Outlet on Fatehpur to Bikaner Road NH-11 (New NH-52, LHS), At Chainage No. - 409+072.70 to 409+107.70 on Old Khasra No. 42 & New Khasra No. 313/312, At Village -Rohal ,Tehsil– Ramgarh Shekhawati , District - Si
(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.):
0.1695
(ix). Non-forest land required for this project(in ha.):
0.1886
(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 :
BHARAT PETROLEUM CORPORATLTD
(ii). Address1 :
Opp.IOC., LPG Plant, Suchi Pind, Jalandhar
(iii). Address2 :
NIL
(iv). State :
Punjab
(v). District :
Jalandhar
(vi). Pin :
144009
(vii). Landmark :
NIL
(viii). Email address :
bpclpump65@gmail.com
(ix). Landline Telephone No. :
91-181-2420825
(x). Fax No. :
91-
(xi). Mobile No. :
9876066389
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
Central PSU
A-3.
Details of Person Making Application
(i). First Name:
Shaifali
(ii). Middle Name:
NIL
(iii). Last Name:
Singh
(iv). Gender:
Female
(v). Designation:
Territory Manager
(vi). Address 1:
BHARAT PETROLEUM CORPORATION LIMITED Sitapura Industrial Area, Sanganer ,Jaipur (Rajasthan)
(vii). Address 2:
NIL
(viii). State:
Rajasthan
(ix). District:
Jaipur
(x). Tehsil:
NIL
(xi). Pin:
302022
(xii). Landmark:
NIL
(xiii). Email Address:
jitendra.shekhawat48@gmail.com
(xiv). Landline Telephone No.:
0-
(xv). Fax No.:
NIL
(xvi). Mobile No.:
7728866343
(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
1
Approved
FP/RJ/ROAD/143717/2021
1(57)Forest/2021
0.0244
0.0244
13 Sep 2021
17 Nov 2021
2
Approved
FP/RJ/Approach/147854/2021
1(99)forest/2021
0.1477
0.1477
22 Feb 2022
20 Apr 2022
Total
0.1721
0.1721
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 Territorial
0.1695
0.1886
Total
0.1695
0.1886
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Sikar
0.1695
0.1886
Total
0.1695
0.1886
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Rohal
0.1695
0.1886
Total
0.1695
0.1886
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Deceleration Lane
0.062
0.0115
2
Acceleration Lane
0.0775
0.0115
3
Front Side Service Road
0.03
0
4
Retail Outlet
0
0.1656
Total
0.1695
0.1886
C.
Maps of forest land proposed to be diverted
Division 1. : Sikar Territorial
(i). Area of forest land proposed to be diverted(in ha.) :
0.1695
(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.
0.062
View File
2.
0.0775
View File
3.
0.03
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 protect
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
1
Authorization Letter
2
LOI Letter
3
Approved Layout Plan
4
Morth Permission
5
Ajmer Vidut Vitran Nigam NOC
6
BAR CHART
7
CERTIFICATE FOR MINIMUM USE OF FOREST LAND
8
CERTIFICATE TOWARD MUCK DISPOSAL
9
Check List for NHAI
10
Details of Permanent Employment to be Generated
11
Fire Noc
12
Gazette Notification of NH
13
Jamabandi Copy for Retail Outlet
14
Khasra Map for Retail outlet
15
Land Conversion Order
16
JUSTIFICATION FOR LOCATING THE PROJECT IN FOREST AREA
17
UNDERTAKING FOR CONSERVATION OF FLORA-FAUNA AND WILDLIFE
18
UNDERTAKING FOR FRA CERTIFICATE
19
UNDERTAKING FOR HIGH TENSION LINE
20
UNDERTAKING FOR LP GAS GODOWN
21
UNDERTAKING FOR MUCK DISPOSAL DURING CONSTRUCTION OF APPROACH ACCESS
22
UNDERTAKING FOR NO CHANGES IN STATUTORY POSITION OF DIVERTED FOREST LAND
23
UNDERTAKING FOR PAYMENT OF ANY OTHER COST AND CONDITION
24
UNDERTAKING FOR PAYMENT OF COST OF COMPENSATORY AFFORESTATION
25
UNDERTAKING FOR PAYMENT OF NET PRESENT VALUE OF FOREST AREA
26
UNDERTAKING FOR SITE SELECTION AND DISTANCE BETWEEN
27
UNDERTAKING FOR USE OF ANY MATERIAL FROM SURROUNDED FOREST
28
UNDERTAKING FOR WASTE MANAGEMENT DURING CONSTRUCTION ACTIVITY
29
STATEMENT SHOWING DETAILS OF FOREST AREA PROPOSED FOR DIVERSION
30
STATEMENT SHOWING DETAILS OF NON FOREST AREA INVOLVED IN THE PROPOSAL
31
PROJECT RE REPORT
32
Rajasthan Pollution Control Board Noc
33
Map Showing for Geo-Referenced Survey of India Toposheet With Proposed BPCL Retail outlet Full Topo Sheet no 44 L/16 Scale 1 :50000
34
Geo-Referenced DGPS Map Showing for Required Land Coordinate With Proposed BPCL Retail outlet
35
Geo-Referenced Google imagery Map Map Showing for Required Land Coordinate With Proposed BPCL Retail outlet
36
Geo-Referenced Khasra Map With Proposed Retail outlet Scale 1 :4000
37
Area Calculation Sheet
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