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/ROAD/118453/2021   (ii). Name of Project for which Forest Land is required : Construction of Road from Jalore City to Jalore Fort (Design Chainage 0+000 km to 5+176 km) Village, Tehsil and District- Jalore in State of Rajasthan   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Construction of Road from Jalore City to Jalore Fort (Design Chainage 0+000 km to 5+176 km) Village, Tehsil and District- Jalore in State of Rajasthan.   (iv). State : Rajasthan   (v). Category of the Proposal : Road   (vi). Shape of forest land proposed to be diverted : Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 1721.44   (viii). Area of forest land proposed for diversion(in ha.): 4.0144   (ix). Non-forest land required for this project(in ha.): 0.1264   (x). Total period for which the forest land is proposed to be diverted(in years): 30
A-2. Details of User Agency
  (i). Name : MUNICIPAL COUNCIL JALORE   (ii). Address1 : Hospital Chauraha   (iii). Address2 : Railway Station Road, Jalore   (iv). State : Rajasthan   (v). District : Jalore   (vi). Pin : 343001   (vii). Landmark : NIL   (viii). Email address : jaloremunicipal@gmail.com   (ix). Landline Telephone No. : 2973-222270   (x). Fax No. : 2973-   (xi). Mobile No. : 9461089707   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Vinay   (ii). Middle Name: NIL   (iii). Last Name: Bora   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: Municipal Council Jalore   (vii). Address 2: Hospital Chauraha, Railway Station Road, Jalore   (viii). State: Rajasthan   (ix). District: Jalore   (x). Tehsil: NIL   (xi). Pin: 343001   (xii). Landmark: NIL   (xiii). Email Address: jaloremunicipal@gmail.com   (xiv). Landline Telephone No.: 2973-222270   (xv). Fax No.: NIL   (xvi). Mobile No.: 9461089707   (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.Jalore Territorial4.01440.1264
Total4.01440.1264
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Jalore4.01440.1264
Total4.01440.1264
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Jalore4.01440.1264
Total 4.0144 0.1264
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Construction of Road4.01440.1264
Total 4.0144 0.1264
C. Maps of forest land proposed to be diverted
Division 1. : Jalore Territorial
  (i). Area of forest land proposed to be diverted(in ha.) : 4.0144   (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).
1.4.0144    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): 0   (iii). Temporary Employment(Number of person-days): 550
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?: 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
District 1. : Jalore
  (a). Village: Chiparwada   (b). Area(in ha.): 5.45   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 773/672   (e). Present owner: Others   (f). Copy of ownership proof:   (g). Copy of Mou/agreement executed between the Present owner and the User Agency:   (h). Copy of non encumberence certificate for the forest land:
  (v). Scanned copy of the map of the land identified for creation of Compensatory Afforestation prepared by using GPS ot Total Station:   (vi). Copy of Survey of India Toposheet in 1:50,000 scale indicating location of the land identified for creation of Compensatory Afforestation:
Additional information Details
Documents
S.No Documents
Remarks
1CERTIFICATE FOR MINIMUM USE OF FOREST LAND.
2UNDERTAKING FOR CONSERVATION OF FLORA FAUNA DURING.
3UNDERTAKING FOR FRA CERTIFICATE.
4UNDERTAKING FOR NO CHANGES IN STATUTORY POSITION OF DIVERTED FOREST LAND.
5UNDERTAKING FOR PAYMENT OF ANY OTHER COST and CONDITION.
6UNDERTAKING FOR PAYMENT OF COST OF COMPENSATORY AFFORESTATION.
7UNDERTAKING FOR PAYMENT OF NET PRESENT VALUE OF FOREST AREA.
8Undertaking for Use of Any Material From Forest Land During CONSTRUCTION.
9UNDERTAKING FOR USE OF FOREST LAND.
10Undertaking for Waste Management.
11Project Report.
12Segment wise Area Calculation Sheet.
13Bar Chart Status.
14Geo Referenced Digital map 50000 Scale.
15Geo Referenced Digital map Zoom View with Coordinates.
16Geo Referenced Full Toposheet map 50000 Scale 45C11.
17Geo Referenced Toposheet map 50000 Scale.
18Typical Cross Section.
19Alternative Route Map.
20Khasra Map with Road Alignment.
21EDS Reply Letter dated 23_02_2021.
22Jamabandi.
23Administrative and Financial Approval.
24EDS Reply Letter dated 12_03_2021 with Annexures.
25NOC for Jalore Fort Archaeological Department EDS Reply Letter dated 30_12_2021.