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/34657/2018   (ii). Name of Project for which Forest Land is required : Construction of road chorakhari to nayagoun via maheshpur   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Construction of road chorakhari to nayagoun via maheshpur road under rural road scheme total road length 2.28 km and road under forest 1.872 km   (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   (viii). Area of forest land proposed for diversion(in ha.): 1.872   (ix). Non-forest land required for this project(in ha.): 0.408   (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   (ii). Address1 : Office of the Executive engineer PWD Division Shahabad, Bus stand Pin-325217   (iii). Address2 : NIL   (iv). State : Rajasthan   (v). District : Baran   (vi). Pin : 325217   (vii). Landmark : Shahabad Bus Stand   (viii). Email address : kkggbn@gmail.com   (ix). Landline Telephone No. : 7460-262300   (x). Fax No. : NIL   (xi). Mobile No. : 9414442171   (xii). Website (if any) : pwd.rajasthan.gov.in/   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Hari Prasad   (ii). Middle Name: NIL   (iii). Last Name: Meena   (iv). Gender: Male   (v). Designation: Executive engineer   (vi). Address 1: Office of the Executive engineer PWD Division Shahabad, Bus stand Pin-325217   (vii). Address 2: Office of the Executive engineer PWD Division Shahabad, Bus stand Pin-325217   (viii). State: Rajasthan   (ix). District: Baran   (x). Tehsil: NIL   (xi). Pin: 325217   (xii). Landmark: Shahabad Bus Stand   (xiii). Email Address: pwd_shahabad@rediffmail.com   (xiv). Landline Telephone No.: 7460-262300   (xv). Fax No.: NIL   (xvi). Mobile No.: 9414286802   (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
1ReturnedFP/RJ/ROAD/6998/20143.90
2ReturnedFP/RJ/ROAD/7127/20142.950
3ReturnedFP/RJ/ROAD/6983/20140.50
4ReturnedFP/RJ/ROAD/7000/20142.98080
5ReturnedFP/RJ/ROAD/6980/201410
Total 11.3308 0
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.Baran Territorial1.8720.408
Total1.8720.408
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Baran1.8720.408
Total1.8720.408
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Maheshpur1.730
2Nayagoun0.1420.408
Total 1.872 0.408
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1road1.8720.408
Total 1.872 0.408
C. Maps of forest land proposed to be diverted
Division 1. : Baran Territorial
  (i). Area of forest land proposed to be diverted(in ha.) : 1.872   (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).
1.1.872    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): 0   (iii). Temporary Employment(Number of person-days): 10
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. : Baran
  (a). Village: RANIPURA   (b). Area(in ha.): 1.872   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 79,188   (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
1undertaking for any material surrounding forest area
2undertaking for any other cost and conditian
3undertaking fo rflora fhuna
4undertaking for minimum use of forest land
5undertaking for NPV
6undertaking for CA LAND
7undertaking for FRA
8undertaking for USE OF FOREST LAND
9undertaking for MUK DISPOSAL
10AREA CALCULATION
11BAR CHART
12DETAIL PROJECT REPORT
13ALTERNATE ROUTE PLAN
14SANCTION
15X SECTION OF ROAD
16REVENUE MAHESHPUR
17REVENUE NAYAGOUN
18JAMABANDHI MAHESHPUR
19JAMABANDHI NAYAGOUN
20reply of eds 24 2 20
21reply 4 8 20
22justification of road
23alternate road map
24reply of eds dt 4 11 20
25reply 10 11 22
26REPLY 27 4 23
27REPLY OF EDS 19 5 23
28REPLY 6 7 23
29undertaking tree cutting
30REPLY OF EDS 6 9 23
31REPLY OF EDS 21 9 23
32reply of eds 7 3 24
33ESTIMATE OF UNDERPASS
34REPLY OF EDS 24 4 24
35REPLY OF EDS 12 6 24
36REPLY OF EDS 12 9 24