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/43002/2019   (ii). Name of Project for which Forest Land is required : Rehabilitation of jhalrapatan ,Gindor,Railway station Jhikriya, Kishanpura Durgpura Gagron (MDR-227)   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : REHABILITAION OF JHALRA PATAN-GINDOR-RAILWAY STATION-JHIKARIYA - KISHANPURA-DURGPURA-GAGRON ( MEGHAHIGHWAY MDR- 227 KM 0 to 10500) Total length 7900 meter . sanction in gramin and urban road in 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) : 1889.85   (viii). Area of forest land proposed for diversion(in ha.): 0.999   (ix). Non-forest land required for this project(in ha.): 6.111   (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 JHALAWAR   (ii). Address1 : EXECUTIVE ENGINEER PWD DIV. JHALAWAR   (iii). Address2 : NIL   (iv). State : Rajasthan   (v). District : Jhalawar   (vi). Pin : 326001   (vii). Landmark : MINI SECRITAIT   (viii). Email address : eejhalawar@rediffmail.com   (ix). Landline Telephone No. : 7432-230449   (x). Fax No. : 7432-230449   (xi). Mobile No. : 9982124063   (xii). Website (if any) : no   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Damodar   (ii). Middle Name: Prasad   (iii). Last Name: Agarwal   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: Executive engineer PWD DIV. JHALAWAR   (vii). Address 2: NIL   (viii). State: Rajasthan   (ix). District: Jhalawar   (x). Tehsil: NIL   (xi). Pin: 326001   (xii). Landmark: MINI SECRITAIT   (xiii). Email Address: eejhalawar@rediffmail.com   (xiv). Landline Telephone No.: 7432-230449   (xv). Fax No.: 07432230449   (xvi). Mobile No.: 9414421027   (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
1InprincipleF-1(56)FP/2004/20-10-20048B/RAJ/09/18/2004/FC9.719.7103 Mar 2005
Total 9.71 9.71
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.Jhalawar Territorial0.9996.111
Total0.9996.111
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Jhalawar0.9996.111
Total0.9996.111
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Jhalra patan0.94950.531
2Gindor00.5715
3Gawadi0.04952.1645
4Raipur01.575
5Balgarh00.495
6Gudda00.774
Total 0.999 6.111
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road0.9996.111
Total 0.999 6.111
C. Maps of forest land proposed to be diverted
Division 1. : Jhalawar Territorial
  (i). Area of forest land proposed to be diverted(in ha.) : 0.999   (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).
1.0.95    View File
2.0.049    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): 20
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
1undertaking for any materiel surrounding forest
2undertaking for any other cost and condition
3undertaking for cost of ca
4undertaking for flor and fhona
5undertaking for minimum use of forest land
6undertaking for npv
7undertaking for fra
8undertaking for use of forest land
9undertaking for muk disposal
10alternate route dgps
11justification of road
12KHASARA DETAIL
13area calculation
14sanction
15x secxtion of road
16attested authorization latter
17balgarh revenue
18gawari revenue
19gudda revenue
20raipur revenue
21jhalra patan jamabandhi
22ganwari jamabandhi
23reply of eds 7 2 20
24bar chart
25detail project report
26road map superimpose on khasara map
27reply of eds 13 5 20