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/20238/2016
(ii). Name of Project for which Forest Land is required :
NEW ESSAR RETAIL OUTLET AT VILLAGE DHUNDHWALO KI DHANI TEHSIL & DISTRICT NAGAUR
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Diversion of 0.1454 hectare forest land for construction of approach road for a proposed retail outlet of Essar Oil Limited along the NH-89(NAGAUR-NOKHA ROAD), village Dhundhwalo Ki Dhani, Part of Khasra no. 1208/1170, Tehsil Nagaur, Distt. Nagaur, (Rajasthan) Between k.m. stone 183-184 ( CH. 183.56
(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) :
70
(viii). Area of forest land proposed for diversion(in ha.):
0.1454
(ix). Non-forest land required for this project(in ha.):
0.183
(x). Total period for which the forest land is proposed to be diverted(in years):
20
A-2.
Details of User Agency
(i). Name :
Essar Oil Limited
(ii). Address1 :
202, Shyam Anukampa,Ashok Marg,
(iii). Address2 :
C-Scheme, Opp.HDFC Bank,Jaipur
(iv). State :
Rajasthan
(v). District :
Jaipur
(vi). Pin :
302001
(vii). Landmark :
NIL
(viii). Email address :
devkamra3535@gmail.com
(ix). Landline Telephone No. :
141-5105524
(x). Fax No. :
141-5105525
(xi). Mobile No. :
9001811111
(xii). Website (if any) :
www.essaroil.co.in
(xiii). Legal status of User Agency :
Private
A-3.
Details of Person Making Application
(i). First Name:
Satwant
(ii). Middle Name:
Singh
(iii). Last Name:
Dhatt
(iv). Gender:
Male
(v). Designation:
Divisional Manager Business De
(vi). Address 1:
Essar oil ltd 8 & 9A, 4th Floor Man Upasana Plaza Sardar Patel Marg C-Scheme, Jaipur
(vii). Address 2:
NIL
(viii). State:
Rajasthan
(ix). District:
Jaipur
(x). Tehsil:
NIL
(xi). Pin:
302001
(xii). Landmark:
Man Upasana Plaza
(xiii). Email Address:
petrolpumpproposalsfcaessar@gmail.com
(xiv). Landline Telephone No.:
141-4056882
(xv). Fax No.:
01414056882
(xvi). Mobile No.:
9610765111
(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/14358/2015
FP/RJ/ROAD/14358/2015
0.1441
0.1441
14 Mar 2017
20 May 2017
2
Approved
FP/AJ/ROAD/14366/2015
FP/RJ/ROAD/14366/2015
0.1502
0.1502
14 Mar 2017
20 May 2017
Total
0.2943
0.2943
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.
Nagaur Territorial
0.1454
0.183
Total
0.1454
0.183
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Nagaur
0.1454
0.183
Total
0.1454
0.183
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
DHUNDHWALO KI DHANI
0.1454
0.183
Total
0.1454
0.183
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
APPROACH A
0.0642
0
2
APPROACH B
0.0812
0
3
NON FOREST INCLUDING PLOT
0
0.183
Total
0.1454
0.183
C.
Maps of forest land proposed to be diverted
Division 1. : Nagaur Territorial
(i). Area of forest land proposed to be diverted(in ha.) :
0.1454
(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.
0.1454
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:
THERE ARE ONLY ONE APPROACH
E.
Employment likely to be generated
(i). Whether the Project is likely to generate employment ?:
Yes
(ii). Permanent/Regular Employment(Number of persons):
6
(iii). Temporary Employment(Number of person-days):
4
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?:
Not Applicable
(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:
Not Applicable
Additional information Details
Documents
S.No
Documents
Remarks
1
Land conversion order
2
LOI
3
Gram Panchayat Noc
4
Nhai and Pwd Noc
5
Essar Power of attorney
6
Land Registration papers
7
Forest Calculation Map
8
Nhai approved layout plan
9
SOI Map of site
10
Undertaking regarding loi for essar
11
Check list no 7
12
Revenue map
13
check list 9 justification
14
Revenue jamabandi of land
15
Area Calculation sheet
16
DGPS Site
17
FRA
18
Undertaking Additional NPV cost
19
Undertaking CA Cost
20
Undertaking Distance of 1km between two outlet
21
Undertaking Minimum use of forest
22
Undertaking Maintenance cost
23
Undertaking No material use from forest land
24
Undertaking NPV
25
Bar chart
26
Google image
27
Technical report
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