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/22625/2016   (ii). Name of Project for which Forest Land is required : “Dholpur Lift Irrigation cum Drinking Water Project (Lift from River Chambal) District-Dholpur”.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : “Dholpur Lift Irrigation cum Drinking Water Project (Lift from River Chambal)is located in Tehsil Dholpur & Rajakhera of Dholpur District. The River Chambal Flow about three kilometers from Dholpur town. The command area proposed under this scheme is very fertile and suitable for agriculture. Suffic   (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) : 85200   (viii). Area of forest land proposed for diversion(in ha.): 0.9007   (ix). Non-forest land required for this project(in ha.): 71.5969   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : WATER RESOURCE DEPARTMENT   (ii). Address1 : Mittal Colony   (iii). Address2 : NIL   (iv). State : Rajasthan   (v). District : dholpur   (vi). Pin : 328001   (vii). Landmark : NIL   (viii). Email address : waterresourcedholpur@gmail.com   (ix). Landline Telephone No. : 141-5167550   (x). Fax No. : 141-2702672   (xi). Mobile No. : 9636564632   (xii). Website (if any) : www.waterresources.rajasthan.gov.in   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Rahul   (ii). Middle Name: NIL   (iii). Last Name: Bankawat   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: Water Resource Division-II,   (vii). Address 2: Mittal Colony   (viii). State: Rajasthan   (ix). District: dholpur   (x). Tehsil: Dhaulpur   (xi). Pin: 328001   (xii). Landmark: NIL   (xiii). Email Address: waterresourcedholpur@gmail.com   (xiv). Landline Telephone No.: 141-5167550   (xv). Fax No.: 01412702672   (xvi). Mobile No.: 9460061500   (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
1Under Processing in MoEFFP/RJ/IRRIG/22443/20168-12/2017-FC91.2020
Total 91.202 0
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.Dholpur Territorial0.900771.5969
Total0.900771.5969
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.dholpur0.900771.5969
Total0.900771.5969
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Malipura Village0.900771.5969
Total 0.9007 71.5969
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Construction of Intake Well00.01
2Buried Pipe Line Barrel between Intake And Pumping00.2899
3Construction of Pumping Station03.008
4Approach Road between Pumping Station and National01.44
5Laying of 33 KV Transmission Line07.317
6Laying of Pipe Line between Pumping Station to com0.63053.4503
7Construction of service road between Pumping Stati0.27021.4787
8Laying of Pipeline (Distribution)054.603
Total 0.9007 71.5969
C. Maps of forest land proposed to be diverted
Division 1. : Dholpur Territorial
  (i). Area of forest land proposed to be diverted(in ha.) : 0.9007   (ii). Nature of the Project: Linear   (b). No. of Segments : Four
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).
1.0.2905    View File
2.0.1944    View File
3.0.3861    View File
4.0.0297    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: Yes   (a). Copy of map indicating location of alternative examined:
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 10   (iii). Temporary Employment(Number of person-days): 4000
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 : Approval obtained   (c). Date of Approval : NIL   (d).Copy of the approval of the Supreme Court:   (ii). Status of approval of the Standing Committee of National Board for the Wildlife(NBWL) to the Project : Approval obtained   (a). MoEF File No : F.No.6-7/2007 WL-I   (b). Copy of approval of Standing of the NBWL:   (c). Date of Approval : 05 Jun 2012
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?: Yes   (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 ?: No   (iii). No. of districts involved for raising Compensatory Afforestation: 1   (iv). No. of patches: One   (v). Scanned copy of the map of the land identified for creation of Compensatory Afforestation prepared by using GPS ot Total Station: No Data   (vi). Copy of Survey of India Toposheet in 1:50,000 scale indicating location of the land identified for creation of Compensatory Afforestation: No Data
M. Hydel/Irrigation/Multipurpose Project
  (i). Installed power generation capacity of the Project(in MW): 00   (ii). Total command area of the Project(in ha.): 34465   (a). Copy of the approval of competent authority to the Catchment Area Treatment Plan (CAT Plan):   (b). Copy of the approved CAT plan:
Additional information Details
Documents
S.No Documents
Remarks
1Detailed Project report.
2List of Benefited Villages.
3Administrative and Financial Sanction.
4JUSTIFICATION FOR LOCATING PROJECT IN FOREST AREA
5UNDERTAKING FOR NO CHANGES IN STATUTORY POSITION OF DIVERTED FOREST LAND.
6UNDERTAKING FOR NO OTHER FEASIBLE ALTERNATIVE AND DIVERSION OF MINIMUM FOREST LAND.
7UNDERTAKING FOR CONSERVATION OF FLORA FAUNA DURING CONSTRUCTION OF DHOLPUR LIFT IRRIGATION PROJECT.
8UNDERTAKING FOR USE OF ANY MATERIAL FROM FOREST LAND.
9UNDERTAKING FOR PAYMENT OF ANY OTHER COST AND CONDITION.
10Undertaking for Waste Management.
11Alternative Route Analysis.
12Undertaking Of Compliance Stipulated By NBWL.
13Land allotment to forest department.
14EDS Reply.
15Justification for Non requirement of CAT Plan.
1613 Oct 2017 and 24 Jul 2017 EDS Reply.
17Stage-I Past Proposal - Battisha Nallah Project.
18UNDERTAKING FOR PAYMENT OF NET PRESENT VALUE OF FOREST AREA.
19UNDERTAKING FOR PAYMENT OF COST OF COMPENSATORY AFFORESTATION.
20CERTIFICATE FOR MINIMUM USE OF FOREST LAND.
21Area Calculation Sheet.
22Bar chart.
23Alternative Route map.
24Digital Map.
25Google Map.
26Digital Map zoom view.
27Khasra Map And Jamanbandi.