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/IRRIG/22443/2016   (ii). Name of Project for which Forest Land is required : BATTISA NALLAH MINOR IRRIGATION PROJECT   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Battisa Nallah Project having gross storage capacity of 577.57mcft water is proposed on local stream, for irrigation facilities in 900 Ha. land of village Deldar, Bharja and 269.96mcft water for drinking water facilities in 31nos villages and 2nos town of district Sirohi.   (iv). State : Rajasthan   (v). Category of the Proposal : Irrigation   (vi). Shape of forest land proposed to be diverted : Non Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 22805   (viii). Area of forest land proposed for diversion(in ha.): 91.202   (ix). Non-forest land required for this project(in ha.): 66.818   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : WATER RESOURCES DIVISION SIROHI   (ii). Address1 : PWD COLONY, SIROHI   (iii). Address2 : NIL   (iv). State : Rajasthan   (v). District : Sirohi   (vi). Pin : 307001   (vii). Landmark : NIL   (viii). Email address : eewrsirohi@gmail.com   (ix). Landline Telephone No. : 2972-222336   (x). Fax No. : 2972-   (xi). Mobile No. : 9414545636   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Jagdish   (ii). Middle Name: Prasad   (iii). Last Name: Sharma   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: PWD COLONY, SIROHI   (vii). Address 2: NIL   (viii). State: Rajasthan   (ix). District: Sirohi   (x). Tehsil: NIL   (xi). Pin: 307001   (xii). Landmark: NIL   (xiii). Email Address: eewrsirohi@gmail.com   (xiv). Landline Telephone No.: 2972-222336   (xv). Fax No.: NIL   (xvi). Mobile No.: 9414243898   (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
1ApprovedFLD.1206/CR106/F.10D T.18.07.068-21/2006-FC83.43783.43720 Sep 200626 Dec 2008
Total 83.437 83.437
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.Sirohi Territorial91.20266.818
Total91.20266.818
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Sirohi91.20266.818
Total91.20266.818
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Deldar12.7564.56
2NICHLAGARH26.27215.708
3Kyari(Jayadara)51.98437.61
4Jayadara0.198.94
Total 91.202 66.818
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1DAM ALIGNMENT & CANAL OFF TAKE9.82.4
2PROPOSED ROAD6.7020
3DAM SUBMERGANCE74.764.417
Total 91.202 66.817
C. Maps of forest land proposed to be diverted
Division 1. : Sirohi Territorial
  (i). Area of forest land proposed to be diverted(in ha.) : 91.202   (ii). Nature of the Project: Non Linear   (a). No. of patches : Three
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.
1.9.8    View File
2.74.7    View File
3.6.702    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): 50   (iii). Temporary Employment(Number of person-days): 5000
F. Displacement of People due to the Project, if any
  (i). Whether Project involves displacement?: Yes   (a). Total Number of families : 84   (b). Number of Scheduled Caste families : NIL   (c). Number of Schedule Tribes families : 84   (d). Number of other families : NIL   (ii). Copy of Rehabilitation and Resettlement Plan:   (a). Copy of approval to Ministry of Tribal Affairs,Government of India to Rehabilitation and Resettlement:
G. Details of Cost-Benefit analysis for the Project
  (i). Whether the Project requires Cost-Benefit analysis?: Yes   (a). Copy of Cost-Benefit analysis:
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? : Yes
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: No Data
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: Two
District 1. : Sirohi
  (a). Village: Shergaon   (b). Area(in ha.): 87.356   (c). Copy of KML file of the patch:     View File   (d). Khasra details: As per the Collector letter details   (e). Present owner: Others   (f). Copy of ownership proof:   (g). Copy of Mou/agreement executed between the Present owner and the User Agency:   (h). Copy of non encumberence certificate for the forest land:
District 2. : Sirohi
  (a). Village: Utraj   (b). Area(in ha.): 3.845   (c). Copy of KML file of the patch:     View File   (d). Khasra details: As per the Collector letter details   (e). Present owner: Others   (f). Copy of ownership proof:   (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:
M. Hydel/Irrigation/Multipurpose Project
  (i). Installed power generation capacity of the Project(in MW): 0   (ii). Total command area of the Project(in ha.): 900
Additional information Details
Documents
S.No Documents
Remarks
1Adminstrative and Financial Sanction
2Short Narratives
3Project details and sailent Features
4Project site joint inspection report
5Acceptence Letter from DCF wild life Mount Abu
6UNDERTAKING FOR NO OTHER FEASIBLE ALTERNATIVE AND DIVERSION OF MINIMUM FOREST LAND
7UNDERTAING FOR NPV COST
8UNDERTAKING FOR NO MATERIAL TAKEN FROM FOREST
9UNDERTAKING FOR PAYMENT OF ANY OTHER COST AND CONDITION
10UNDERTAKING FOR PAYMENT OF COST OF COMPENSATORY AFFORESTATION
11UNDERTAKING FOR USE OF FOREST LAND
12Concent of the DCF Sirohi for CA Land in Wild Life
13Project Land on revenue map
14Justification for locating Project in Forest
15List of Benefited village for drinking water
16Various MAP OF CA LAND AND COORDINATES
17Past Proposal Details
18Project Requirement
19Area Calculation Sheet
20Bar Chart of land
21Land Jamabandi Nakal
22FRA Certificate
23Project Coordinate
24R & R Plan
25Digital Map of Project
26GT Sheet Map of Project
27Google Map of Project
28Justification for canal service road
29Justification regarding forest area of CA land
30Approved RR Plan i
31Approved RR Plan II
32Approved RR Plan III
33Documentary evidence for minor irrigation project
34Allotment letter of District Collector for NFL