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/WATER/33714/2018   (ii). Name of Project for which Forest Land is required : Fluoride Control Project for Remaining Villages of Tehsil Beawar   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Govt. of Rajasthan Sanctioned the prestigious Fluoride control project Jawaja for Remaining Village of Tehsil Beawar, 589 Village District Ajmer. In this proposal NH road along area has already diverted in favor of UA and required Diversion for Laying of Pipe line.   (iv). State : Rajasthan   (v). Category of the Proposal : Drinking Water   (vi). Shape of forest land proposed to be diverted : Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 24782   (viii). Area of forest land proposed for diversion(in ha.): 7.0484   (ix). Non-forest land required for this project(in ha.): 158.7932   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : PHED   (ii). Address1 : Superintentdent Engineer. Public Health Department, Project Circle,Todarmal Marg,Jal Bhawan,Ajmer   (iii). Address2 : NIL   (iv). State : Rajasthan   (v). District : Ajmer   (vi). Pin : 305001   (vii). Landmark : Collectorate   (viii). Email address : sebisalpur@yahoo.co.in   (ix). Landline Telephone No. : 145-2627342   (x). Fax No. : 145-   (xi). Mobile No. : 9462047503   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Murari   (ii). Middle Name: Lal   (iii). Last Name: Uchenia   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: Executive Engineer,PHED,Project Div.Jawaja,Tehsil Beawar,District Ajmer   (vii). Address 2: NIL   (viii). State: Rajasthan   (ix). District: Ajmer   (x). Tehsil: Beawar   (xi). Pin: 305922   (xii). Landmark: HOTEL JYOTI PARADISE   (xiii). Email Address: sebisalpur@yahoo.co.in   (xiv). Landline Telephone No.: 145-2627342   (xv). Fax No.: NIL   (xvi). Mobile No.: 8003295153   (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/WATER/10622/2015F.1(105)FOREST/20150.14350.143509 Mar 2015
2InprincipleFP/RJ/WATER/18811/20168B/RAJ/08/41/201515.001515.001501 Apr 2016
Total 15.145 15.145
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 Territorial4.6723158.2311
2.Rajsamand Wildlife2.37610.5621
Total7.0484158.7932
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Ajmer6.4731158.7932
1.Rajsamand0.57530
Total7.0484158.7932
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Gafa Village0.20451.0153
2Goojar Gama Village01.1577
3Delwada0.275.0754
4Garhi Toriyan0.181.0726
5Beawar03.0705
6Balad0.071.1408
7Nundri Maldev05.0732
8Shivnathpura02.0582
9Bhojpura0.114.0674
10Singhariya02.0104
11Kesarpura0.083.0212
12Narbedkhera0.091.0894
13Gohana0.125.1491
14Sanwa0.142.0222
15Rajiyawas0.184.0765
16Kalinjar0.174.9352
17Bhatio Ka Badia03.1264
18Dewata0.150.0221
19Badiya Nanga0.060.0421
20Surajpura Sarveena0.124.1678
21Bhambhipura0.111.1492
22Rawatmal0.210.0645
23Naharpura0.180.0775
24Amba Ka Badia00.0455
25Kishanpura (Dewata)01.0894
26Kalat Khera0.221.0773
27Chiliya Bar0.110.0493
28Badia Bhau0.180.0584
29Jawaja0.220.0488
30Bhagwanpura0.170
31Dand Chouraha03.0834
32Biyan Khera0.0880
33Lotiyana0.172.1453
34Bagliya0.122.1365
35Khera Danti01.0562
36Taragarh0.0523.0708
37Shero Ka Bala01.0805
38Bala Charat00.0538
39Mehrali00.0887
40Shera Ka Badia02.0871
41Indra Colony00.0508
42Nayakhera03.0918
43Karkara00.0698
44Kala Danta01.0725
45Dandola0.12940.0785
46Charpala00.0561
4724 Mile0.17321.0991
48Jassa kheda0.15890
49Barla Chaura0.24322.0638
50Bheelo Ka Naka00.0861
51Gada Rail00.0824
52Bhuja Rail00.1728
53Media01.0794
54Badia Loomba0.210.1725
55Ketha Ka Badia00.0504
56Badia Mota01.0877
57Badia Teja00.0751
58Badia Gena01.0412
59Uparla Badia00.0883
60Sheli Beri00.0894
61Nadi Ka Badia01.0587
62Badia Ajba01.088
63Nichala Badia00.0881
64Kotra00.0831
65Rajendra01.0881
66Bassi00.0554
67Bhambhi Basti00.0924
68Kanjro Ka Badia01.0806
69Kabra JN00.0817
70Puwadiya02.0897
71Thooni Thak01.0827
72Kishanpura03.0925
73Byana Khera01.0867
74Shiv nagar0.172.0498
75Sarwan0.0545.0865
76Jaliya Lalabas-20.186.0527
77Rebari Dhani02.0521
78Punera0.1683.0795
79Bamanheda02.0627
80Koyade07.0717
81Palad choraha0.12321.0641
82Aljiriya0.4054.0784
83Saroopa0.18252.1584
84Uparla Bas03.0463
85Baghmal0.2572.0316
86Sama Deori02.2784
87Banjari Been0.0565.1369
88Sarveena0.110
89Surajpura0.122.0385
90Jaspala0.12210.0597
91Modiya0.212.1784
92Sathoo Khera0.04231.0688
93Badia Rent01.1245
94Teela Khera0.05640.0893
95Rawali0.10273.0575
96Bharo Ki Bor02.1583
97Doddhaleshwar03.0583
98Domajani01.1797
Total 7.0484 158.7932
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Laying of Pipeline7.048484.2832
2Pump House (100 x 100 mtr)08
3ESR (50 x 50 mtr)018
4GLR (30 x 30 mtr)048.51
Total 7.0484 158.7932
C. Maps of forest land proposed to be diverted
Division 1. : Rajsamand Wildlife
  (i). Area of forest land proposed to be diverted(in ha.) : 2.3761   (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).
1.2.3761    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. : Ajmer Territorial
  (i). Area of forest land proposed to be diverted(in ha.) : 4.6723   (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).
1.4.6723    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: Pipeline is proposed along the existing road.
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): 500
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? : Yes   (a). Whether Project or a part thereof is located within a Protected Area ? : Yes   (b). Status of approval of the Supreme Court : Approval obtained   (c). Date of Approval : NIL   (d).Copy of the approval of the Supreme Court:   (ii). Status of approval of the Standing Committee of National Board for the Wildlife(NBWL) to the Project : Approval obtained   (a). MoEF File No : F.460   (b). Copy of approval of Standing of the NBWL:   (c). Date of Approval : 08 Feb 2018
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: Bariya Lumba   (b). Area(in ha.): 7.0484   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 264/113   (e). Present owner: Others   (f). Copy of ownership proof: No Data   (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
1JUSTIFICATION FOR LOCATING PROJECT IN FOREST AREA.
2UNDERTAKING FOR CONSERVATION OF FLORA FAUNA DURING Pipeline.
3Undertaking for Muck Disposal Plan.
4UNDERTAKING FOR NO CHANGES IN STATUTORY POSITION OF DIVERTED FOREST LAND.
5UNDERTAKING FOR NO OTHER FEASIBLE ALTERNATIVE.
6UNDERTAKING FOR PAYMENT OF ANY OTHER COST AND CONDITION.
7Undertaking for Use of Any Material From Forest Land.
8UNDERTAKING FOR USE OF FOREST LAND.
9Administration and Financial Sanction.
10TECHNICAL SANCTION.
11DCF AJMER Permission Laying Along NH-8 Ajmer.
12NOC NATIONAL HIGHWAY AUTHOURTY NHAI-8 Ajmer.
13NOC NATIONAL HIGHWAY AUTHOURTY NHAI- 25 PALI.
14DCF Forest Rajsamand PERMISSION ALONG NH-8.
15Morth Permission FCP.
16Dantela khasra map and jamabandi.
17Jammabandi and Khasra Maps of Satukhera_Mediya_Banjari_Sawan_Beena.
18Jammabandi and Khasra Maps of Bassi_Badiya_Lumba_Badiyaheda_Badiya_Nov_SiliBeri.
19Jammabandi and Khasra Maps of Village Bamanheda_Baghmal_Srupa_Aljiriya.
20WATER REQUIRED VILLAGE LIST.
21Jammabandi and Khasra Maps of Jalipa_Jaspala_Biharkheda_Mabra_Punera_Naikala.
22UNDERTAKING FOR PAYMENT OF COST OF COMPENSATORY AFFORESTATION.
23Regarding Old Forest Diversion Proposal and CA Land.
24NBWL Permission.
25CERTIFICATE FOR MINIMUM USE OF FOREST LAND.
26UNDERTAKING FOR PAYMENT OF NET PRESENT VALUE OF FOREST AREA.
27Component Wise Area Calculation Sheet.
28EDS Reply of 4th June 2018 Letter.
29Bar Chart Status.
30Geo Referenced Digital Map 50000 scale_Ajmer Division.
31Geo Referenced SOI Toposheet Map 50000 scale_Ajmer Division.
32Geo Referenced Digital Map 50000 scale_Rajsamand Division.
33Geo Referenced SOI Toposheet Map 50000 scale_Rajsamand Division.
34Geo Referenced Digital Map_Total Area.
35Geo Referenced SOI Toposheet Map_Total Area.
36EDS Reply of 5 Nov 2018 Letter.
37Area Calculation Sheet.
38Reply Letter of 30.07.2020 EDS
39CA Land Allotment and Maps.
40Point Wise Compliance report of EDS letter raised on 04.10.2021
41FRA Certificate copy.