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/140508/2021
(ii). Name of Project for which Forest Land is required :
“Construction of Widening and Strengthening Road from Viratnagar (NH-248A) to Chilpali Mod (NH-148) Via Teori , Sewra Palri, Palri Tiraha , Ghota, Sawami ki Dhani, Badshahpur, Gudha Baijanathpura ,Todalari , Tehsil–Viratnagar ,District -Jaipur (Rajasthan)”
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
“Construction of Widening and Strengthening Road from Viratnagar (NH-248A) to Chilpali Mod (NH-148) Via Teori , Sewra Palri, Palri Tiraha , Ghota, Sawami ki Dhani, Badshahpur, Gudha Baijanathpura ,Todalari , Tehsil–Viratnagar ,District -Jaipur (Rajasthan) Total Road Route Length =29.900 km
(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) :
3000
(viii). Area of forest land proposed for diversion(in ha.):
4.314
(ix). Non-forest land required for this project(in ha.):
25.586
(x). Total period for which the forest land is proposed to be diverted(in years):
99
A-2.
Details of User Agency
(i). Name :
PUBLIC WORKS DEPARTMENT RAJASTHAN
(ii). Address1 :
PUBLIC WORKS DEPARTMENT, JACOB ROAD, JAIPUR
(iii). Address2 :
NIL
(iv). State :
Rajasthan
(v). District :
Jaipur
(vi). Pin :
302006
(vii). Landmark :
NIL
(viii). Email address :
nlkanil.86@gmail.com
(ix). Landline Telephone No. :
0-
(x). Fax No. :
0-
(xi). Mobile No. :
8233120736
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
Harish
(ii). Middle Name:
NIL
(iii). Last Name:
KUMAR
(iv). Gender:
Male
(v). Designation:
AssistantEngineer
(vi). Address 1:
Assistant Engineer , Public Works Department, Sub Division-I, Viratnagar,
(vii). Address 2:
NIL
(viii). State:
Rajasthan
(ix). District:
Jaipur
(x). Tehsil:
Viratnagar
(xi). Pin:
303102
(xii). Landmark:
NIL
(xiii). Email Address:
nlkanil.86@gmail.com
(xiv). Landline Telephone No.:
0-
(xv). Fax No.:
NIL
(xvi). Mobile No.:
8233120736
(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.
Jaipur (North) Territorial
4.314
25.586
Total
4.314
25.586
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Jaipur
4.314
25.586
Total
4.314
25.586
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Viratnagar
4.216
2.458
2
Tevri
0.098
2.302
3
Khera
0
2.5
4
Shyampura
0
2.64
5
Palri
0
2.856
6
Harkishanpura
0
1.82
7
Gheota
0
1.525
8
Bhindor
0
2.36
9
Swami ki Dhani
0
1.65
10
Badshapur
0
1.38
11
Gol Gudha
0
2.25
12
Todaladi
0
1.845
Total
4.314
25.586
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Construction of Widening andStrengthening Road
4.314
25.586
Total
4.314
25.586
C.
Maps of forest land proposed to be diverted
Division 1. : Jaipur (North) Territorial
(i). Area of forest land proposed to be diverted(in ha.) :
4.314
(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.
4.314
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:
Existing road
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):
5500
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. : Jaipur
(a). Village:
Kuhada
(b). Area(in ha.):
4.314
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
128,129,130,131,132,133
(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
1
ADMINISTRATIVE AND FINANCIAL SANCTION
2
AUTHORIZATION LETTER
3
TECHNICAL SANCTION
4
CROSS SECTION
5
GRAM PANCHAYAT TEVRI NOC
6
JAMABANDI
7
PROJECT REPORT
8
BAR CHART
9
CERTIFICATE FOR MINIMUM USE OF FOREST LAND
10
JUSTIFICATION FOR LOCATING THE PROJECT IN FOREST AREA
11
UNDERTAKING FOR CONSERVATION OF FLORA-FAUNA AND WILDLIFE ANIMALS DURING ROAD CONSTRUCTION
12
UNDERTAKING FOR FRA CERTIFICATE
13
UNDERTAKING FOR MUCK DISPOSAL DURING CONSTRUCTION OF ROAD
14
UNDERTAKING FOR NO CHANGE S IN STATUTORY POSITION OF DIVERTED FOREST LAND
15
UNDERTAKING FOR PAYMENT OF ANY OTHER COST and CONDITION
16
UNDERTAKING FOR PAYMENT OF COST OF COMENSATORY AFFORESTATION
17
UNDERTAKING FOR PAYMENT OF NET PRESENT VALUE OF FOREST LAND
18
UNDERTAKING FOR PROVIDE NON -FOREST LAND
19
UNDERTAKING FOR USE OF ANY MATERIAL FROM SURROUNDED FOREST LAND DURING CONSTRUCTION OF ROAD
20
UNDERTAKING FOR WASTE MANAGEMENT DURING CONSTRUCTION ACTIVITY
21
Khasra Map Super Imposed for required Forest land and Road Alignment Scale 1 : 4000
22
STATEMENT SHOWING DETAILS OF FOREST AREA PROPOSED FOR DIVERSION
23
STATEMENT SHOWING DETAILS OF NON-FOREST AREA INVOLVED IN THE PROPOSAL
24
GEO-REFERENCED DIGITAL MAP SHOWING FOR REQUIRED LAND COORDIANTE WITH PROPOSED ROAD ALIGNMENT
25
MAP SHOWING FOR GEO-REFERENCED SURVEY OF INDIA TOPOSHEET WITH PROPOSED ROAD ALIGNMENT FULL TOPOSHEET NO 54 A/3 SCALE 1 : 50000
26
MAP SHOWING FOR GEO-REFERENCED SURVEY OF INDIA TOPOSHEET WITH PROPOSED ROAD ALIGNMENT FULL TOPOSHEET NO 54 A/4 SCALE 1 : 50000
27
EDS Reply-14-08-2021
28
EDS REPLY-15-02-2022
29
EDS Reply-22-03-2022
30
Jamabandi for CA NFL
31
khasra map for CA NFL
32
DGPS map for CA NFL
33
Topo sheet map for CA NFL
34
Tehsildar and Patwari report for CA NFL
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