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/154137/2022
(ii). Name of Project for which Forest Land is required :
“Construction of Bypass Road from NH-8 to Kothariya & Nathuwas link road, Tehsil-Nathdwara, District -Rajsamand (Rajasthan)”
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
“Construction of Bypass Road from NH-8 to Kothariya & Nathuwas link road, Tehsil-Nathdwara, District -Rajsamand (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) :
3700
(viii). Area of forest land proposed for diversion(in ha.):
1.2978
(ix). Non-forest land required for this project(in ha.):
6.8418
(x). Total period for which the forest land is proposed to be diverted(in years):
99
A-2.
Details of User Agency
(i). Name :
NAGAR PALIKA NATHDWARA,RAJASTHAN
(ii). Address1 :
NAGAR PALIKA, NATHDWARA ,RAJSAMAND( RAJASTHAN)
(iii). Address2 :
NIL
(iv). State :
Rajasthan
(v). District :
Rajsamand
(vi). Pin :
313301
(vii). Landmark :
NIL
(viii). Email address :
nagarpalikanathdwara@gmail.com
(ix). Landline Telephone No. :
2953-233526
(x). Fax No. :
2953-
(xi). Mobile No. :
9784593405
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
State PSU
A-3.
Details of Person Making Application
(i). First Name:
C
(ii). Middle Name:
M
(iii). Last Name:
KAUSHIK
(iv). Gender:
Male
(v). Designation:
ASSISTANT ENGINEER
(vi). Address 1:
NAGAR PALIKA NATHDWARA,RAJSAMAND,RAJASTHAN
(vii). Address 2:
NIL
(viii). State:
Rajasthan
(ix). District:
Rajsamand
(x). Tehsil:
Nathdwara
(xi). Pin:
313301
(xii). Landmark:
NIL
(xiii). Email Address:
np_ntd@yahoo.in
(xiv). Landline Telephone No.:
0-
(xv). Fax No.:
NIL
(xvi). Mobile No.:
9414806661
(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
List of 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
NIL
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.
Rajsamand Wildlife
1.2978
6.8418
Total
1.2978
6.8418
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Rajsamand
1.2978
6.8418
Total
1.2978
6.8418
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Nathdwara
1.2978
0.9648
2
Nathuwas
0
3.5424
3
Vadlawala
0
1.665
4
Modwa
0
0.6696
Total
1.2978
6.8418
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Construction of Road
1.2978
6.8418
Total
1.2978
6.8418
C.
Maps of forest land proposed to be diverted
Division 1. : Rajsamand Wildlife
(i). Area of forest land proposed to be diverted(in ha.) :
1.2978
(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.
0.0738
View File
2.
1.1574
View File
3.
0.0666
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):
3
(iii). Temporary Employment(Number of person-days):
22424
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?:
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. : Rajsamand
(a). Village:
Badiya Hira
(b). Area(in ha.):
3.4164
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
199
(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:
Additional information Details
Documents
S.No
Documents
Remarks
1
Authorization Letter
2
Cross Section
3
PROJECT REPORT
4
Processing letter for CA (NFL) by commissioner
5
Patwari Report and Tehsidar Report for CA (NFL)
6
Tehsildar Report for CA (NFL)
7
Jamabandi for CA (NFL)
8
Khasra Map for CA (NFL)
9
EDS Reply OM on PARIVESH offline Module dated 14-11-2022
10
GEO-REFERENCED DGPS MAP FOR COMPENSATORY AFFORESTAION (NFL)
11
MAP SHOWING FOR GEO-REFERENCED SURVEY OF INDIA TOPOSHEET WITH COMPENSATORY AFFORESTAION (NFL) TOPOSHEET NO 45K/5 SCALE 1 : 50000
12
Accidental Detail
13
Collector Order NFL Land
14
Traffic Survey Khothariya and Nathuwas
15
TRAFFIC VOLUME COUNT
16
Area edit Application to Nodal officer
17
Area Calculation Sheet
18
BAR CHART STATUS
19
CERTIFICATE FOR MINIMUM USE OF FOREST LAND
20
CERTIFICATE TOWARD MUCK DISPOSAL
21
JUSTIFICATION FOR LOCATING THE PROJECT IN FOREST AREA
22
UNDERTAKING FOR ALL TYPE FOREST INCLUDED
23
UNDERTAKING FOR CONSERVATION OF FLORA-FAUNA AND WILDLIFE
24
UNDERTAKING FOR FRA CERTIFICATE
25
UNDERTAKING FOR MUCK DISPOSAL DURING CONSTRUCTION OF ROAD
26
UNDERTAKING FOR NO CHANGE S IN STATUTORY POSITION OF DIVERTED FOREST LAND
27
UNDERTAKING FOR PAYMENT OF ANY OTHER COST AND CONDITION
28
UNDERTAKING FOR PAYMENT OF COST OF COMENSATORY
29
UNDERTAKING FOR PAYMENT OF NET PRESENT VALUE
30
UNDERTAKING FOR USE OF ANY MATERIAL FROM SURROUNDED FOREST
31
UNDERTAKING FOR WASTE MANAGEMENT DURING CONSTRUCTION
32
Village Wise area Calculation Sheet
33
Comparative Statement of Alternative Route
34
JAMABANDI REQUIRED FOREST LAND
35
Khasra wise Area Calculation Sheet
36
Segment Wise Area Calculation Sheet
37
STATEMENT SHOWING DETAILS OF FOREST AREA PROPOSED FOR DIVERSION
38
STATEMENT SHOWING DETAILS OF NON-FOREST INVOLVED
39
MAP SHOWING FOR GEO-REFERENCED SURVEY OF INDIA TOPOSHEET WITH PROPOSED ROAD ALIGNMENT FULL TOPOSHEET NO 45H/13 SCALE 1 : 50000
40
Geo-Referenced DGPS Map Showing for Required Land Coordinate with Proposed Road Alignment Scale 1 : 5000
41
Full Digital Map
42
Alternative Route Digital Map
43
Zoom View Toposheet Map
44
EDS Reply 13-05-2023
45
Undertaking for Construction of Wall
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