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/Pipeline/147451/2021
(ii). Name of Project for which Forest Land is required :
“Laying of Under ground of 8”/12” Dia Carbon Steel Gas Pipeline Along the NH-8 Road Within the Existing Row from Tapping Point NH-8 Jaipur -Ajmer- Bypass Tiraha at Gagwana to Mangliyawas Tapping Point (Length 35.00 Km)in District-Ajmer(Rajasthan) by Indraprastha Gas Limited.”
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
“Laying of Under ground of 8”/12” Dia Carbon Steel Gas Pipeline Along the NH-8 Road Within the Existing Row from Tapping Point NH-8 Jaipur -Ajmer- Bypass Tiraha at Gagwana to Mangliyawas Tapping Point (Length 35.00 Km)in District-Ajmer(Rajasthan) by Indraprastha Gas Limited.”
(iv). State :
Rajasthan
(v). Category of the Proposal :
Pipeline
(vi). Shape of forest land proposed to be diverted :
Linear
(vii). Estimated cost of the Project(Rupees in lacs) :
1522.35
(viii). Area of forest land proposed for diversion(in ha.):
3.5
(ix). Non-forest land required for this project(in ha.):
0
(x). Total period for which the forest land is proposed to be diverted(in years):
50
A-2.
Details of User Agency
(i). Name :
INDRAPRASTHA GAS LIMITED
(ii). Address1 :
IGL Bhawan , Plot No-4 , Community Centre , R.K. Puram, Sector-9, New Delhi
(iii). Address2 :
NIL
(iv). State :
Delhi
(v). District :
New Delhi
(vi). Pin :
110022
(vii). Landmark :
NIL
(viii). Email address :
potaliyasuresh@gmail.com
(ix). Landline Telephone No. :
0-
(x). Fax No. :
0-
(xi). Mobile No. :
9810320040
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
Private
A-3.
Details of Person Making Application
(i). First Name:
Vinod
(ii). Middle Name:
Kumar
(iii). Last Name:
Dhaaka
(iv). Gender:
Male
(v). Designation:
Vice President
(vi). Address 1:
P. No -248 1st Floor Ana Sagar , Circular Road , Gourav Path , Vaishali Nagar , Ajmer , Rajasthan
(vii). Address 2:
NIL
(viii). State:
Rajasthan
(ix). District:
Ajmer
(x). Tehsil:
Ajmer
(xi). Pin:
305001
(xii). Landmark:
NIL
(xiii). Email Address:
potaliyasuresh@gmail.com
(xiv). Landline Telephone No.:
0-
(xv). Fax No.:
NIL
(xvi). Mobile No.:
9810320040
(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.
Ajmer Territorial
3.5
0
Total
3.5
0
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Ajmer
3.5
0
Total
3.5
0
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Gagwana
0.229
0
2
Ghughra
0.185
0
3
Rasulpura
0.226
0
4
Gonwan
0.237
0
5
Nareli
0.215
0
6
Badiya
0.21
0
7
Kalyanpura
0.237
0
8
Sedariya
0.204
0
9
Makhupura
0.193
0
10
Bargaov
0.182
0
11
Daurai
0.235
0
12
Tabiji
0.199
0
13
Saradhana
0.225
0
14
Kesarpura
0.266
0
15
Arjunpura Khalsa
0.172
0
16
Garhi Arjunpura jangir
0.157
0
17
Mangliyawas
0.128
0
Total
3.5
0
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
“Laying of Under ground of 8”/12” Dia Carbon Ste
3.5
0
Total
3.5
0
C.
Maps of forest land proposed to be diverted
Division 1. : Ajmer Territorial
(i). Area of forest land proposed to be diverted(in ha.) :
3.5
(ii). Nature of the Project:
Linear
(b). No. of Segments :
One
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.
3.5
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-8 which is passage throw the Protected Forest S
E.
Employment likely to be generated
(i). Whether the Project is likely to generate employment ?:
Yes
(ii). Permanent/Regular Employment(Number of persons):
4
(iii). Temporary Employment(Number of person-days):
9226
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?:
No
(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:
Linear or 'strip' plantation declared as protected forest along with road/rail/canal sides for widening or expansion of road/rail/canal
Additional information Details
Documents
S.No
Documents
Remarks
1
Administrative Sanction
2
LOA LETTER
3
Authorization Letter
4
BAR CHART
5
CERTIFICATE FOR MINIMUM USE OF FOREST LAND
6
CERTIFICATE TOWARD MUCK DISPOSAL AND MANAGMENT PLAN
7
Cross section
8
Details of Permanent Employment to be Generated
9
JUSTIFICATION FOR LOCATING THE PROJECT IN FOREST AREA
10
Morth Permission
11
POA
12
Project report
13
Segment Wise Area Calculation Sheet
14
STATEMENT SHOWING DETAILS OF FOREST AREA AND NON-FOREST PROPOSED FOR DIVERSION
15
Technical sanction
16
UNDERTAKING FOR CARBON STEEL GAS PIPE LINE LAYING WORK WILL BE EXECUTE WITHIN THE RIGHT OF WAY ON ROAD SIDE
17
UNDERTAKING FOR CONSERVATION OF FLORA-FAUNA AND WILDLIFE ANIMALS DURING LAYING GAS PIPE LINE
18
UNDERTAKING FOR MUCK DISPOSAL DURING LAYING CARBON STEEL GAS PIPE LINE ACTIVITY
19
UNDERTAKING FOR NO CHANGE S IN STATUTORY POSITION OF DIVERTED FOREST LAND
20
UNDERTAKING FOR NO TREE CUTTING DURING LAYING CARBON STEEL GAS PIPE LINE ACTIVITY
21
UNDERTAKING FOR PAYMENT OF ANY OTHER COST AND CONDITION
22
UNDERTAKING FOR PAYMENT OF COST OF COMPENSATORY AFFORESTATION
23
UNDERTAKING FOR PAYMENT OF NET PRESENT VALUE OF FOREST AREA
24
UNDERTAKING FOR THE PROPOSED AREA DOES NOT FALL IN SANCTUARY OR NATIONAL PARK
25
UNDERTAKING FOR USE OF ANY MATERIAL FROM SURROUNDED FOREST LAND DURING LAYING GAS PIPE LINE
26
UNDERTAKING FOR USE OF FOREST LAND
27
UNDERTAKING FOR VARIOUS POINTS
28
UNDERTAKING FOR WASTE MANAGEMENT DURING LAYING ACTIVITY
29
UNDERTAKING OF FRA CERTIFICATE
30
Village Wise Area calculation Sheet Forest and Non-Forest Land
31
Map Showing for Geo-Referenced Survey of India Toposheet with Proposed Laying of Under ground of 8”/12” Dia Carbon Steel Gas Pipeline Along the NH-8 Full Toposheet No 45J/10 AND 45J/11 Scale 1 : 50000
32
Geo-Referenced DGPS Map Showing for required land Coordinate with Proposed Laying of Under ground of 8”/12” Dia Carbon Steel Gas Pipeline Along the NH-8 Scale 1 : 50000
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