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/34144/2018   (ii). Name of Project for which Forest Land is required : Construction of Service road from Shiv Circle to Govt. Hospital (West Side of NH 62) Sriganganagar and Construction of Service road from Shiv Circle to Govt. Hospital East Side of NH 62 Sriganganagar.)   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : In view of the increasing traffic on suratgarh road from Shiv Circle to Govt. Hospital, It has been decided to provide service road for providing extra space for local traffic and to smoothen movement of heavy vehicle on the main road. It is also expected to decrease the accident rate in the above m   (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) : 160   (viii). Area of forest land proposed for diversion(in ha.): 0.99   (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 : URBAN IMPROVEMENT TRUST SRI GANGANAGAR   (ii). Address1 : MODEL TOWN SRIGANGANAGAR   (iii). Address2 : NIL   (iv). State : Rajasthan   (v). District : Sri Ganganagar   (vi). Pin : 335001   (vii). Landmark : URBAN IMPROVEMENT TRUST   (viii). Email address : niteshjangir@gmail.com   (ix). Landline Telephone No. : 154-2466652   (x). Fax No. : 154-   (xi). Mobile No. : 9875203040   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Kailash   (ii). Middle Name: Chand   (iii). Last Name: Sharma   (iv). Gender: Male   (v). Designation: Secretary   (vi). Address 1: Urban Improvement Trust, Sriganganagar   (vii). Address 2: NIL   (viii). State: Rajasthan   (ix). District: Sri Ganganagar   (x). Tehsil: Ganganagar   (xi). Pin: 335001   (xii). Landmark: Urban improvement Trust   (xiii). Email Address: niteshjangir@gmail.com   (xiv). Landline Telephone No.: 154-2466652   (xv). Fax No.: NIL   (xvi). Mobile No.: 9875203040   (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.Sriganganagar Territorial0.990
Total0.990
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Sri Ganganagar0.990
Total0.990
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
16 e chhoti0.990
Total 0.99 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Service Road on West Side of Existing Metal Road0.4950
2Service road on East Side of Existing Service Road0.4950
Total 0.99 0
C. Maps of forest land proposed to be diverted
Division 1. : Sriganganagar Territorial
  (i). Area of forest land proposed to be diverted(in ha.) : 0.99   (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).
1.0.495    View File
2.0.495    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: No Alternative is possible for Service road.
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): 1422
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.
2Technical Sanction
3Project Report
4Area Calculation Report
5Gazette Notification
6No Objection from PWD NH Division Bikaner
7Jamabandi
8Rajasv Map
9Bar Chart
10Existing and proposed cross Section of Road
11Zoom View of proposal on toposheet
12Superimposition of proposal on Google map.
13Undertaking for payment of Net Present Value of Forest Area
14Undertaking for No Feasible Alternative and Bare Minimum Diversion of forest land.
15Undertaking for Waste Management During Construction Activity
16Undertaking for No USe of Diverted Forest Land for any Other Purpose Other Than Mentioned.
17Undertaking for No Use of any Material from Forest Land
18Undertaking for Conservation of Flaura Fauna of Forest Area.
19Undertaking for No Change in Statutory Position of Diverted Forest Land.