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/144538/2021
(ii). Name of Project for which Forest Land is required :
Construction of Missing Link Road from NH 148 to Moroli via Peepli Patalwas Koliwada Dob Paplaj Mata Sar Dhaun (MDR-145) km 9.00 to 15.00, in the State of Rajasthan (Total Length 4.530 km)
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Construction of Missing Link Road from NH 148 to Moroli via Peepli Patalwas Koliwada Dob Paplaj Mata Sar Dhaun (MDR-145) km 9.00 to 15.00, in the State of Rajasthan (Total Length 4.530 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) :
500
(viii). Area of forest land proposed for diversion(in ha.):
3.0207
(ix). Non-forest land required for this project(in ha.):
1.5093
(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 JAIPUR
(ii). Address1 :
Office of the Chief Engineer
(iii). Address2 :
PWD Jaipur
(iv). State :
Rajasthan
(v). District :
Jaipur
(vi). Pin :
302006
(vii). Landmark :
NIL
(viii). Email address :
mahesh123321@gmail.com
(ix). Landline Telephone No. :
0-
(x). Fax No. :
0-
(xi). Mobile No. :
8209363279
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
J
(ii). Middle Name:
P
(iii). Last Name:
Kardam
(iv). Gender:
Male
(v). Designation:
ExecutiveEngineer
(vi). Address 1:
Office of the Executive Engineer, Division Dausa, Raj
(vii). Address 2:
NIL
(viii). State:
Rajasthan
(ix). District:
Dausa
(x). Tehsil:
NIL
(xi). Pin:
303303
(xii). Landmark:
NIL
(xiii). Email Address:
mahesh123321@gmail.com
(xiv). Landline Telephone No.:
0-
(xv). Fax No.:
NIL
(xvi). Mobile No.:
8209363279
(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
1
Approved
FP/RJ/ROAD/28770/2017
F.1(25)Forest/2018
0.92
0.92
17 Apr 2018
14 Aug 2018
Total
0.92
0.92
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.
Dausa Territorial
3.0207
1.5093
Total
3.0207
1.5093
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Dausa
3.0207
1.5093
Total
3.0207
1.5093
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Ramsar
0
0.742
2
Koliwara
0
0.341
3
Dob
1.322
0
4
Ghata
1.6987
0.4263
Total
3.0207
1.5093
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Construction of Missing Link Road
3.0207
1.5093
Total
3.0207
1.5093
C.
Maps of forest land proposed to be diverted
Division 1. : Dausa Territorial
(i). Area of forest land proposed to be diverted(in ha.) :
3.0207
(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.
2.9196
View File
2.
0.1011
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):
175
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. : Dausa
(a). Village:
Godawas
(b). Area(in ha.):
3.0207
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
17
(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
Project Report.
3
EDS Reply Letter Dated 02_08_2021.
4
Typical Cross Section.
5
EDS Reply Letter Dated 17_09_2021.
6
CERTIFICATE FOR MINIMUM USE OF FOREST LAND.
7
UNDERTAKING FOR CONSERVATION OF FLORA FAUNA DURING.
8
UNDERTAKING FOR FRA CERTIFICATE.
9
UNDERTAKING FOR NO CHANGES IN STATUTORY POSITION OF DIVERTED FOREST LAND.
10
Undertaking for no Deemed Forest Land is involved.
11
UNDERTAKING FOR NO OTHER FEASIBLE ALTERNATIVE MINIMUM FOREST LAND.
12
UNDERTAKING FOR PAYMENT OF ANY OTHER COST and CONDITION.
13
UNDERTAKING FOR PAYMENT OF NET PRESENT VALUE OF FOREST AREA.
14
Undertaking for Use of Any Material From Forest Land During CONSTRUCTION.
15
UNDERTAKING FOR USE OF FOREST LAND.
16
Undertaking for Waste Management.
17
Village wise Area Calculation Sheet.
18
Bar Chart Status.
19
Geo Referenced Digital Map with Coordinates.
20
Geo Referenced Digital Map 50000 scale.
21
Geo Referenced Full Toposheet Map 50000 scale 54B6.
22
Geo Referenced Toposheet Map 50000 scale.
23
Segment wise Area Calculation Sheet.
24
EDS Reply Letter Dated 29_10_2021.
25
Khasra wise Area Calculation Sheet.
26
Khasra Map and Jamabandi.
27
Reply of 19.05.2022 EDS letter.
28
CA Land Allotment Letter,
29
Reply letter of 14.06.2022 EDS.
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