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/39719/2019   (ii). Name of Project for which Forest Land is required : diversion of 0.024 ha of forest land for blower room at walkway of new intake well near Takhat Sagar Reservoir   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Re org. UWSS JODHPUR Takhat Sagar Based WS Works viz. imp. at new intake well, const. of RWPH, RWPL, WTP, CWR etc. diversion of 0.024 ha of forest land for blower room at walkway of new intake well near Takhat Sagar Reservoir   (iv). State : Rajasthan   (v). Category of the Proposal : Drinking Water   (vi). Shape of forest land proposed to be diverted : Non Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 195   (viii). Area of forest land proposed for diversion(in ha.): 0.024   (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 : X EN PHED PROJECT DIVI III JODHPUR   (ii). Address1 : PHED PROJECT DIVISION III BASNI JODHPUR   (iii). Address2 : NIL   (iv). State : Rajasthan   (v). District : Jodhpur   (vi). Pin : 342005   (vii). Landmark : BASNI   (viii). Email address : rajeshwar.mathur17@gmail.com   (ix). Landline Telephone No. : 291-2651700   (x). Fax No. : 291-   (xi). Mobile No. : 9414411940   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: AJAY   (ii). Middle Name: KISHAN   (iii). Last Name: CHHANGANI   (iv). Gender: Male   (v). Designation: XEN   (vi). Address 1: PHED PROJECT DIVISION III BASNI JODHPUR   (vii). Address 2: NIL   (viii). State: Rajasthan   (ix). District: Jodhpur   (x). Tehsil: Jodhpur   (xi). Pin: 342005   (xii). Landmark: BASNI   (xiii). Email Address: rajeshwar.mathur17@gmail.com   (xiv). Landline Telephone No.: 291-2651700   (xv). Fax No.: NIL   (xvi). Mobile No.: 9414411940   (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
1ApprovedOFFLINE8B/RAJ/08/01/2015/FC6.216.2124 Jun 201607 Jun 2017
Total 6.21 6.21
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.Jodhpur Territorial0.0240
Total0.0240
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Jodhpur0.0240
Total0.0240
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1GEVA0.0240
Total 0.024 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1const of blower room0.0240
Total 0.024 0
C. Maps of forest land proposed to be diverted
Division 1. : Jodhpur Territorial
  (i). Area of forest land proposed to be diverted(in ha.) : 0.024   (ii). Nature of the Project: Non Linear   (a). No. of patches : One
Patch wise details
Patch No. Area of Patch(in ha.) Kml File of PatchesTo view KML file on google the same may be downloaded and then open if in google earth install in your computer.
1.0.024    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:
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 10   (iii). Temporary Employment(Number of person-days): 10
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
1Administrative and financial sanction
2certification of authorized person
3Employment generation sheet
4FRA 2006 sanction with Sub division and ward committee procceding enclosed
5administrative and financial sanctio
6Area calculation sheet
7Bar Chart 1
8Bar Chart 2
9Certificate for minimum use of forest land
10certificate of authorization
11detail of employeement
12Examination of alternate proposal
13Fra 2006 with proceding
14General under taking
15Jamabandi 1
16Jamabandi original sign patwari
17Justification
18Lay out plan
19Muck Disposal plan
20NFL undertaking
21NPV undertaking
22Project Report
23CA Undertaking
24revenue Map
25Area calculation village and khasra wise
26Compliance of EDS letter 1340 dated 13-2-2020 submitted by letter no 945-49 dt 18-2-2020