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/IRRIG/122392/2021   (ii). Name of Project for which Forest Land is required : Laying of Pipe Line From STP to Along SH_8 and Soti Road in Beed Jhunjhunu used by Agricultural Proposes Near by Villages at District-Jhunjhunu (Rajasthan)   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Laying of Pipe Line From STP to Along SH_8 and Soti Road in Beed Jhunjhunu used by Agricultural Proposes Near by Villages at District-Jhunjhunu (Rajasthan)Total Route 7.244 km   (iv). State : Rajasthan   (v). Category of the Proposal : Irrigation   (vi). Shape of forest land proposed to be diverted : Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 44.75   (viii). Area of forest land proposed for diversion(in ha.): 0.6926   (ix). Non-forest land required for this project(in ha.): 0.0318   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : MUNICIPAL COUNCIL JHUNJHUNU   (ii). Address1 : Municipal Council Jhunjhunu, Road No-1 , Near Collectrate Circle , Jhunjhunu   (iii). Address2 : NIL   (iv). State : Rajasthan   (v). District : Jhunjhunu   (vi). Pin : 333001   (vii). Landmark : NIL   (viii). Email address : j.s.palsania1964@gmail.com   (ix). Landline Telephone No. : 1592-234420   (x). Fax No. : 1592-   (xi). Mobile No. : 7728912713   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Jagdish   (ii). Middle Name: Singh   (iii). Last Name: Palsania   (iv). Gender: Male   (v). Designation: ExecutiveEngineer   (vi). Address 1: Municipal Council Jhunjhunu,Road No.-1, Near -Collectrate Circle -Jhunjhunu, Rajasthan   (vii). Address 2: NIL   (viii). State: Rajasthan   (ix). District: Jhunjhunu   (x). Tehsil: Jhunjhunun   (xi). Pin: 333001   (xii). Landmark: NIL   (xiii). Email Address: j.s.palsania1964@gmail.com   (xiv). Landline Telephone No.: 1592-234420   (xv). Fax No.: NIL   (xvi). Mobile No.: 7728912713   (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.Jhunjhunu Territorial0.69260.0318
Total0.69260.0318
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.jhunjhunu0.69260.0318
Total0.69260.0318
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Beed Jhunjhunu0.69260.0016
2DESUSAR00.0302
Total 0.6926 0.0318
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Laying for Pipe Line 200mm Dia0.69260.0318
Total 0.6926 0.0318
C. Maps of forest land proposed to be diverted
Division 1. : Jhunjhunu Territorial
  (i). Area of forest land proposed to be diverted(in ha.) : 0.6926   (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).
1.0.4513    View File
2.0.2413    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: PIPE LINE ALONG THE ROAD ROW
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 2   (iii). Temporary Employment(Number of person-days): 200
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? : Yes   (a). Whether Project or a part thereof is located within a Protected Area ? : Yes   (b). Status of approval of the Supreme Court : Application yet to b   (ii). Status of approval of the Standing Committee of National Board for the Wildlife(NBWL) to the Project : Application yet to be submitted
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
M. Hydel/Irrigation/Multipurpose Project
  (i). Installed power generation capacity of the Project(in MW): 0   (ii). Total command area of the Project(in ha.): 0
Additional information Details
Documents
S.No Documents
Remarks
1AUTHORIZATION LETTER
2ADMINISTRATIVE AND FINANCIAL SANCTION
3BAR CHART
4BOARD MEETING COPY
5CERTIFICATE FOR MINIMUM USE OF FOREST LAND
6CROSS SECTION
7Details of Permanent Employment to be Generated
8PROJECT REPORT
9Segment wise Area Calculation Sheet
10UNDERTAKING FOR CONSERVATION OF FLORA-FAUNA DURING LAYING PIPE LINE
11UNDERTAKING FOR MUCK DISPOSAL
12UNDERTAKING FOR NO CHANGE'S IN STATUTORY POSITION OF DIVERTED FOREST LAND
13UNDERTAKING FOR NO TREE CUTTING DURING LAYING PIPE LINE ACTIVITY
14UNDERTAKING FOR PAYMENT OF ANY OTHER COST AND CONDITION
15UNDERTAKING FOR PAYMENT OF COST OF COMPENSATORY AFFORESTATION
16UNDERTAKING FOR PAYMENT OF NET PRESENT VALUE OF FOREST AREA
17UNDERTAKING FOR USE OF ANY MATERIAL FROM SURROUNDED FOREST LAND DURING PIPE LINE
18UNDERTAKING FOR USE OF FOREST LAND
19UNDERTAKING OF FRA CERTIFICATE
20GEO-REFERENCED SURVEYOF INDIA TOPOSHEETWITH CONSERVATIONRESERVE AND PROPOSEDPIPE LINE ROUTEALIGNMENT SCALE 1 :50,000
21GEO-REFERENCED DGPSWITH CONSERVATIONRESERVE AND PROPOSEDPIPE LINE ROUTEALIGNMENT
22Khasra Map Super Imposed Pipe Line
23UNDERTAKING FOR TO PROVIDE STP WATER FREE OF COST FOR PLANTS IN BEED JHUNJHUNU CONSERVATION RESERVE AREA
24JAMABANDI DESUSAR
25Jamabandi Jhunjhunu
26JAMABANDI SOTI
27JAMABANDI SOTI