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/18883/2016   (ii). Name of Project for which Forest Land is required : Widening and Curve Improvement on Existing Road Alignment .   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Widening and Curve Improvement on Existing Road Alignment between Existing chainage 17.350km to 19.600km of Kishangarh-Hanumangarh Mega Highway Project. Village-Chakbeer, Tehsil- Roopangarh, District-Ajmer (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) : 21915   (viii). Area of forest land proposed for diversion(in ha.): 4.47   (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): 99
A-2. Details of User Agency
  (i). Name : PUBLIC WORKS DEPARTMENT RAJASTHAN JAIPUR   (ii). Address1 : Executive Engineer, Public Works Department (PWD) Ajmer Circle, Rajasthan.   (iii). Address2 : NIL   (iv). State : Rajasthan   (v). District : Ajmer   (vi). Pin : 305001   (vii). Landmark : NIL   (viii). Email address : rcjainpwdajmer@gmail.com   (ix). Landline Telephone No. : 145-2627898   (x). Fax No. : 145-   (xi). Mobile No. : 8003344999   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Rakesh   (ii). Middle Name: Kumar   (iii). Last Name: Dixit   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: Executive Engineer, Public Works Department (PWD) Division - Kishangarh , Ajmer (Rajasthan).   (vii). Address 2: NIL   (viii). State: Rajasthan   (ix). District: Ajmer   (x). Tehsil: NIL   (xi). Pin: 305001   (xii). Landmark: NIL   (xiii). Email Address: rcjainpwdajmer@gmail.com   (xiv). Landline Telephone No.: 145-2627898   (xv). Fax No.: NIL   (xvi). Mobile No.: 9799999445   (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
1InprincipleFP/RJ/ROAD/6952/2014P.1(33)Forest/20150.310.3103 Mar 2015
2InprincipleFP/RJ/ROAD/6983/2014P.1(37)Forest/20150.50.503 Mar 2015
3InprincipleFP/RJ/ROAD/6986/2014P.1(43)Forest/20150.550.5518 Mar 2015
4InprincipleFP/RJ/ROAD/6993/2014P.1(40)Forest/20150.930.9318 Mar 2015
5InprincipleFP/RJ/ROAD/7558/2014P.1(50)Forest/20150.520.5218 Mar 2015
6InprincipleFP/RJ/ROAD/7595/2014P.1(45)Forest/20150.950.9518 Mar 2015
7InprincipleFP/RJ/ROAD/7609/2014P.1(44)Forest/20150.9960.99604 Mar 2015
8InprincipleFP/RJ/ROAD/7757/2014P.1(52)Forest/20150.9940.99418 Mar 2015
9InprincipleFP/RJ/ROAD/7759/2014P.1(46)Forest/20150.20.203 Mar 2015
10Under Processing at State GovernmentFP/RJ/ROAD/6980/201410
11Under Processing at State GovernmentFP/RJ/ROAD/6997/20145.20
12Under Processing at State GovernmentFP/RJ/ROAD/6958/20142.680
13Under Processing at State GovernmentFP/RJ/ROAD/6954/20142.960
14Under Processing at State GovernmentFP/RJ/ROAD/7127/20141.140
15Under Processing at State GovernmentFP/RJ/ROAD/9251/20154.30
16Under Processing at State GovernmentFP/RJ/ROAD/10911/20152.270
Total 25.5 5.95
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 Territorial4.470
Total4.470
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Ajmer4.470
Total4.470
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Chakbeer4.470
Total 4.47 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Widening of Existing Road Alignment3.54420
2Curve Improvement 10.62780
3Curve Improvement 20.2980
Total 4.47 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.) : 4.47   (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).
1.4.47    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: This is the Existing Road Widening Project.
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): 40
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. : Ajmer
  (a). Village: Sawaipura   (b). Area(in ha.): 4.47   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 754   (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
1Sanction Letter from Government of Rajasthan.
2Agreement Letter.
3Request Letter to FCA Nodal officer.
4Khasra Map and Jamabandi.
5Technical and Financial Sanction.
6CERTIFICATE FOR MINIMUM USE OF FOREST LAND.
7UNDERTAKING FOR CONSERVATION OF FLORA FAUNA DURING CONSTRUCTION OF ROAD.
8UNDERTAKING FOR NO CHANGES IN STATUTORY POSITION OF DIVERTED FOREST LAND.
9UNDERTAKING FOR NO OTHER FEASIBLE ALTERNATIVE AND DIVERSION OF MINIMUM FOREST LAND.
10UNDERTAKING FOR PAYMENT OF ANY OTHER COST AND CONDITION.
11UNDERTAKING FOR PAYMENT OF COST OF COMPENSATORY AFFORESTATION.
12UNDERTAKING FOR PAYMENT OF NET PRESENT VALUE OF FOREST AREA.
13Undertaking for Use of Any Material From Forest Land.
14UNDERTAKING FOR USE OF FOREST LAND.
15Undertaking for Waste Management.
16STATEMENT SHOWING DETAILS OF NON FOREST AREA.
17Georeferenced Digital Map with Coordinates.
18Georeferenced Toposheet Map 50000 scale.
19Georeferenced Full Toposheet Map Sheet No 45J13.
20Georeferenced Full Toposheet Map Sheet No 45J14.
21Area Calculation Sheet.
22Bar Chart Status.
23Reply Letter of 26th March 2019 EDS.
24MoEF EDS Reply Letter.
25Undertaking for Payment of Penal Amount if Any.