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/15973/2015
(ii). Name of Project for which Forest Land is required :
Construction of BT Road from Sone Ka Gurja Simarra Village to Uwasa Village.
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
“Construction of BT Road from Sone Ka Gurja Simarra Village to Uwasa Village Via sidh Baba, Tehsil-Bari, District-Dholpur (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) :
180.77
(viii). Area of forest land proposed for diversion(in ha.):
0.96
(ix). Non-forest land required for this project(in ha.):
2.34
(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 RAJASTHAN JAIPUR
(ii). Address1 :
Executive Engineer PWD Dn Bari
(iii). Address2 :
Executive Engineer PWD Dn Bari
(iv). State :
Rajasthan
(v). District :
dholpur
(vi). Pin :
328021
(vii). Landmark :
Kharoli Khasara No 1061, 1096 Biloni Khasara No.
(viii). Email address :
ee_pwdbari@rediffmail.com
(ix). Landline Telephone No. :
5647-274684
(x). Fax No. :
5647-
(xi). Mobile No. :
9414219764
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
Radhe Shyam
(ii). Middle Name:
NIL
(iii). Last Name:
Koli
(iv). Gender:
Male
(v). Designation:
Executive Engineer
(vi). Address 1:
PWD Division-Bari
(vii). Address 2:
NIL
(viii). State:
Rajasthan
(ix). District:
dholpur
(x). Tehsil:
Bari
(xi). Pin:
328025
(xii). Landmark:
NIL
(xiii). Email Address:
pwdkhidarpur@gmail.com
(xiv). Landline Telephone No.:
5647-274684
(xv). Fax No.:
NIL
(xvi). Mobile No.:
9414415994
(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
1
Inprinciple
FP/RJ/ROAD/6952/2014
P.1(33)Forest/2015
0.31
0.31
03 Mar 2015
2
Inprinciple
FP/RJ/ROAD/6983/2014
P.1(37)Forest/2015
0.5
0.5
03 Mar 2015
3
Inprinciple
FP/RJ/ROAD/6986/2014
P.1(43)Forest/2015
0.55
0.55
18 Mar 2015
4
Inprinciple
FP/RJ/ROAD/6993/2014
P.1(40)Forest/2015
0.93
0.93
18 Mar 2015
5
Inprinciple
FP/RJ/ROAD/7558/2014
P.1(50)Forest/2015
0.52
0.52
18 Mar 2015
6
Inprinciple
FP/RJ/ROAD/7595/2014
P.1(45)Forest/2015
0.95
0.95
18 Mar 2015
7
Inprinciple
FP/RJ/ROAD/7757/2014
P.1(52)Forest/2015
0.994
0.994
18 Mar 2015
8
Inprinciple
FP/RJ/ROAD/7759/2014
P.1(46)Forest/2015
0.2
0.2
03 Mar 2015
9
Inprinciple
FP/RJ/ROAD/7609/2014
P.1(44)Forest/2015
0.996
0.996
04 Mar 2015
Total
5.95
5.95
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.
Dholpur Territorial
0.96
2.34
Total
0.96
2.34
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
dholpur
0.96
2.34
Total
0.96
2.34
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Uwasa
0.6
1.2
2
Shahpur
0.36
1.14
Total
0.96
2.34
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Construction of BT Road
0.96
2.34
Total
0.96
2.34
C.
Maps of forest land proposed to be diverted
Division 1. : Dholpur Territorial
(i). Area of forest land proposed to be diverted(in ha.) :
0.96
(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.
0.6
View File
2.
0.36
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:
Proposed Alignment is finalized on Existing Path.
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):
50
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
1
Technical and Financial Sanction of Uwasa.
2
Justification for locating the project in forest area.
3
Undertaking for Conservation of Flora Fauna During Construction of road.
4
Undertaking for no changes in statutory position of diverted forest land.
5
Undertaking for no Other Feasible Alternative and Diversion of Minimum forest land.
6
Undertaking for Payment of any Other Cost and Condition.
7
Undertaking for Payment of cost of Compensatory Afforestation.
8
UNDERTAKING FOR USE OF ANY MATERIAL FROM SURROUNDED FOREST LAND DURING CONSTRUCTION OF ROAD.
9
Undertaking for use of Forest Land.
10
UNDERTAKING FOR WASTE MANAGEMENT DURING CONSTRUCTION ACTIVITY.
11
Uwasa Area Calculation Sheet.
12
Khasra Map and Jamabandi of Uwasa.
13
BAR CHART SHOWING THE REQUIRED FOREST LAND STATUS.
14
MAP SHOWING DIGITAL MAP WITH FOREST LAND BOUNDARY AND PROPOSED ROAD ALIGNMENT.
15
MAP SHOWING GEO REFERENCED SURVEY OF INDIA TOPOSHEET WITH FOREST LAND BOUNDARY AND PROPOSED ROAD ALIGNMENT.
16
MAP SHOWING ZOOM VIEW OF GEO REFERENCED SURVEY OF INDIA TOPOSHEET WITH FOREST LAND BOUNDARY AND PROPOSED ROAD ALIGNMENT.
17
MAP SHOWING GOOGLE IMAGERY WITH FOREST LAND BOUNDARY AND PROPOSED ROAD ALIGNMENT.
18
MAP SHOWING ZOOM VIEW OF GOOGLE IMAGERY WITH FOREST LAND BOUNDARY AND PROPOSED ROAD ALIGNMENT.
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