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/16088/2015   (ii). Name of Project for which Forest Land is required : Kudi Bhagtasani HB to Pali Link Road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : It is a 100 feet link road to connecting the entire area to pali main road (200 feet).   (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) : 21   (viii). Area of forest land proposed for diversion(in ha.): 0.3291   (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 : JODHPUR DEVELOPMENT AUTHORITY JODHPUR   (ii). Address1 : OPPOSITE RAILWAY HOSPITAL RATANADA JODHPUR   (iii). Address2 : JODHPUR   (iv). State : Rajasthan   (v). District : Jodhpur   (vi). Pin : 342001   (vii). Landmark : RAILWAY HOSPITAL   (viii). Email address : doulatramgodara@gmail.com   (ix). Landline Telephone No. : 291-2656355   (x). Fax No. : 291-2615372   (xi). Mobile No. : 8003094366   (xii). Website (if any) : www.jdajodhpur.rajasthan.gov.in   (xiii). Legal status of User Agency : State PSU
A-3. Details of Person Making Application
  (i). First Name: DOULAT   (ii). Middle Name: RAM   (iii). Last Name: GODARA   (iv). Gender: Male   (v). Designation: RANGE FOREST OFFICER   (vi). Address 1: OPPOSITE RAILWAY HOSPITAL JODHPUR   (vii). Address 2: JODHPUR   (viii). State: Rajasthan   (ix). District: Jodhpur   (x). Tehsil: Jodhpur   (xi). Pin: 342001   (xii). Landmark: RAILWAY HOSPITAL   (xiii). Email Address: doulatramgodara@gmail.com   (xiv). Landline Telephone No.: 291-2656355   (xv). Fax No.: 02912615372   (xvi). Mobile No.: 8003094366   (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.Jodhpur Territorial0.32910
Total0.32910
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Jodhpur0.32910
Total0.32910
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Jodhpur0.32910
Total 0.3291 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Construction of 100 feet road0.32910
Total 0.3291 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.) : 0.3291   (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).
1.0.3291    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: There is no any alternate route.
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): 20
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
1Technical and financial sanction.
2Justification for locating project in forest.
3AFRI NOC
4undertaking for NPV.
5Undertaking of CA land.
6Area Calculation.
7Geo-Referenced Google Image Map.
8Geo-Referenced Toposheet Map 50000 scale.
9CERTIFICATE FOR MINIMUM USE OF FOREST LAND.
10UNDERTAKING FOR MINIMUM FOREST LAND FOR DIVERSION.
11UNDERTAKING FOR PAYMENT OF NET PRESENT VALUE OF FOREST AREA.
12UNDERTAKING FOR WASTE MANAGEMENT DURING CONSTRUCTION ACTIVITY.
13EDS Reply Letter.
14Reply of 11.10.2019 EDS Letter
15Reply Letter of 26 November 2019 EDS.
16EDS Reply Letter.
17Reply Letter of 14.09.2020 EDS.
18Digital Map.
19Bar Chart Status.
20Typical Cross Section.
21EDS Reply Letter Dated 02_08_2021 with annexure.
22Jmabandi and khasra Map.
23EDS Reply Letter dated 28_9_2021 with Jmabandi and khasra.
24EDS Reply Letter Dated 22_11_2021.