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/21211/2016   (ii). Name of Project for which Forest Land is required : Development of Tarnau-Deedwana-Laxmangarh-Mukundgarh, Section of SH-60, SH-20, SH-83, SH-82A & SH-8 from design chainage km 39.668 to km 205.300 of SH-60, in the state of Rajasthan   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Project Name: Consultancy Services for Preparation of Feasibility Report of Two-laning of Km. 39.668 to Km. 205.233 (Design Chainage) of SH-60, SH-20,SH-83, SH-82A & SH-8 comprising the section from Tarnau to Mukundgarh (the “Highway-III”) Via Deedwana, Salasar & Laxmangarh   (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) : 37757   (viii). Area of forest land proposed for diversion(in ha.): 84.248   (ix). Non-forest land required for this project(in ha.): 297.007   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : PWD JAIPUR   (ii). Address1 : Jakob Road-1, Civil lines, Jaipur   (iii). Address2 : NIL   (iv). State : Rajasthan   (v). District : Jaipur   (vi). Pin : 302001   (vii). Landmark : Jaipur Polo Club, Jaipur   (viii). Email address : pd2pppjaipur@gmail.com   (ix). Landline Telephone No. : 141-5110547   (x). Fax No. : 141-   (xi). Mobile No. : 8696666778   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Project Director II   (ii). Middle Name: PPP Jaipur   (iii). Last Name: PWD Rajasthan   (iv). Gender: Female   (v). Designation: Project Director   (vi). Address 1: Jakob Road-1, Civil lines, Jaipur   (vii). Address 2: NIL   (viii). State: Rajasthan   (ix). District: Jaipur   (x). Tehsil: NIL   (xi). Pin: 302001   (xii). Landmark: Jaipur Polo Club, Jaipur   (xiii). Email Address: pd2pppjaipur@gmail.com   (xiv). Landline Telephone No.: 141-5110547   (xv). Fax No.: NIL   (xvi). Mobile No.: 8696666778   (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
1ReturnedFP/RJ/ROAD/19859/2016FP/RJ/ROAD/19859/20161.85940
2ReturnedFP/RJ/ROAD/19709/2016FP/RJ/ROAD/19709/201610.92360
3ReturnedFP/RJ/ROAD/20844/2016FP/RJ/ROAD/20844/20162.83020
4Under Processing in MoEFFP/RJ/ROAD/21137/2016FP/RJ/ROAD/21137/20160.11040
5Under Processing in MoEFFP/RJ/ROAD/21044/2016FP/RJ/ROAD/21044/20160.9840
Total 16.7076 0
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 Territorial74.598135.857
2.Sikar Territorial9.65161.15
Total84.248297.007
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Nagaur74.598135.857
1.Sikar9.65161.15
Total84.248297.007
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Jayal16.811.2
2Kathoti with Toll13.1558.77
3Bathadi6.514.34
4Ransisar4.2152.81
5Khirab Jagir8.5955.73
6Koliya12.9758.65
7Kapdod2.851.9
8Deedwana029.75
9Ass ki Dhani02.5
10Thanu010
11Devrathi withToll Plaza04.125
12Ambapa06.75
13Inadrpura08.125
14Kheewanj07.25
15Dhava Rampura00.55
16Lachadi02.45
17Mithary013.5
18Tiloti01.125
19Bochi07.5
20Ganeri013
21Sutod010.125
22Juliyasar09.725
23Mangluna012.675
24Dhanani08.725
25Jajod021.5
26Bhuma Chota with Toll Forest Area4.3250
27Bhuma Bada04.35
28Kheri Dhukiya010.125
29Sanwali04.3
30Laxamangarh Forest Area3.914.55
31Sigodra08.5
32Basni Udak02.25
33Antroli05.5
34Kaswali04.7
35Bherupura05.6
36Balaran Forest Area1.4257.025
37Chudimiya011
38Manda Basni2.6251.75
39Tarnau3.1232.082
40Dharana3.752.5
Total 84.248 297.007
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Nagaur74.598135.857
2Bhuma Chota ( Sikar Section)4.32571.4
3Laxamangarh (Sikar Section)3.945.9
4Balaran (Sikar Section)1.42513.225
Total 84.248 266.382
C. Maps of forest land proposed to be diverted
Division 1. : Sikar Territorial
  (i). Area of forest land proposed to be diverted(in ha.) : 9.65   (ii). Nature of the Project: Linear   (b). No. of Segments : Three
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).
1.4.325    View File
2.3.9    View File
3.1.425    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:
Division 2. : Nagaur Territorial
  (i). Area of forest land proposed to be diverted(in ha.) : 74.598   (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).
1.74.598    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: Road already exists.
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): 365000
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?: Yes   (a). Copy of Cost-Benefit analysis: No Data
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?: No   (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) . Reason for not providing Non-Forest Land: Linear or 'strip' plantation declared as protected forest along with road/rail/canal sides for widening or expansion of road/rail/canal
Additional information Details
Documents
S.No Documents
Remarks
1Survey of IndiaToposheet Part-1
2Survey of IndiaToposheet Part-2
3Undertaking for Waste Managment During Construction
4Administrative and financial sanction
5undertaking for NPV AND additional NPV
6UNDERTAKING FOR Minimum area
7undertaking for not working in NH-11 and RIDCORE MEGAHIGHWAY
8BAR CHART
9undertaking for loss of flora fauna
10under taking for land for land in Sikar and payment in Nagaur
11full justification
12revenue map signed
13executive summary
14verification of Signature of PD II PPP Jaipur,Sangeeta Sharma
15Diversion Land Khasra Map
16Diversion Land GT Sheet
17letter of Collector sikar for allotment land of 9.65 Hectares
18FINAL DGPS MAP
19Area Table
20DGPS PLAN
21Collector sikar allotment
22Encumberence certificate
23Jamabandi
24Comliance Tarnau Mukundgarh
25Authorization letter
26undertaking for noother purpose
27PWD ROW Forest notification
28Balance area calculation table
29Revised FRA certific ate