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/35700/2018
(ii). Name of Project for which Forest Land is required :
IOCl New retail outlet at Village Shubhdand District Nagaur
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Diversion of 0.1887 ha forest land for construction of approach road for a proposed retail outlet of IOCL along the NH-89 (Nagaur –Merta City ROAD)LHS, Part of khasra no. 209/108, at village Shubhdand, Tehsil Merta City, District. Nagaur, (Raj.). Betw k.m. 83-84 (Ch 83+497.60-83+532.60)LHS
(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) :
50
(viii). Area of forest land proposed for diversion(in ha.):
0.1887
(ix). Non-forest land required for this project(in ha.):
0.2145
(x). Total period for which the forest land is proposed to be diverted(in years):
19.91
A-2.
Details of User Agency
(i). Name :
INDIAN OIL CORPRATION LIMITED
(ii). Address1 :
24 Sainik basti Nagaur
(iii). Address2 :
NIL
(iv). State :
Rajasthan
(v). District :
Nagaur
(vi). Pin :
341001
(vii). Landmark :
Near sugan singh circle
(viii). Email address :
petrolpumpproposalsfcaiocl@yahoo.co.in
(ix). Landline Telephone No. :
141-2601234
(x). Fax No. :
141-
(xi). Mobile No. :
9414040298
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
Central PSU
A-3.
Details of Person Making Application
(i). First Name:
GAURAV
(ii). Middle Name:
NIL
(iii). Last Name:
KUMAR
(iv). Gender:
Male
(v). Designation:
SENIOR MANAGER
(vi). Address 1:
SHASTRI NAGAR AJMER
(vii). Address 2:
NIL
(viii). State:
Rajasthan
(ix). District:
Nagaur
(x). Tehsil:
NIL
(xi). Pin:
341001
(xii). Landmark:
NEAR GOVT HOSPITAL
(xiii). Email Address:
petrolpumpproposalsfcaiocl@yahoo.co.in
(xiv). Landline Telephone No.:
143-2601234
(xv). Fax No.:
NIL
(xvi). Mobile No.:
6350612424
(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
Approved
FP/RJ/ROAD/21814/2016
FP/RJ/ROAD/21814/2016
0.122
0.122
14 Mar 2017
01 May 2017
2
Approved
FP/RJ/ROAD/42922/2019
FP/RJ/ROAD/42922/2019
0.201
0.201
31 Jan 2020
02 Jul 2020
3
Inprinciple
FP/RJ/ROAD/26589/2017
FP/RJ/ROAD/26589/2017
0.1646
0.1646
27 Aug 2020
Total
0.4876
0.4876
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.
Nagaur Territorial
0.1887
0.2145
Total
0.1887
0.2145
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Nagaur
0.1887
0.2145
Total
0.1887
0.2145
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Shubhdand
0.1887
0.2145
Total
0.1887
0.2145
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Left hand side Deceleration Lane
0.0866
0.0285
2
Right Hand Side Acceleration Lane
0.0811
0.0285
3
Front Side Service land
0.021
0
4
Outlet Area
0
0.1575
Total
0.1887
0.2145
C.
Maps of forest land proposed to be diverted
Division 1. : Nagaur Territorial
(i). Area of forest land proposed to be diverted(in ha.) :
0.1887
(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.
0.0866
View File
2.
0.0811
View File
3.
0.021
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:
ROW DECLARED PROTECTED FOREST STRIP
E.
Employment likely to be generated
(i). Whether the Project is likely to generate employment ?:
Yes
(ii). Permanent/Regular Employment(Number of persons):
9
(iii). Temporary Employment(Number of person-days):
250
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
application to nodal officer Jaipur
2
Check list 7 forest land detail
3
Check list 8 Non forest land detail
4
Check list 9 Justification of project
5
Check list 10 Minimum use of forest
6
Undertaking for CA cost
7
Undertaking for NPV cost
8
Undertaking for Addit NPV cost
9
Area Calculation Sheet
10
Technical report
11
Undertaking for maintenance cost
12
Undertaking for Muck disposal
13
Undertaking no retail between two in 1 km
14
Undertaking No material use from forest
15
SOI Map of Site
16
DGPS Map
17
Conversion order for land
18
FRA certificate
19
Gazette notification forest merta ren road
20
Jamabandi Land shubhdand
21
Map land revenue
22
LOI
23
Land Registry
24
NHAI NOC
25
POI IOCL Gaurav Kumar
26
Forest area calculation map
27
NHAI Approved layout plan revised
28
Gram Panchyat NOC
29
Bar Chart revised after EDS
30
SOI Toposheet Map 50000 Scale new
31
Khasra map marking
32
EDS reply
33
BAR CHART
34
Details of Permanent Employment to be Generated
35
UNDERTAKING FOR HIGH TENSION LINE
36
UNDERTAKING FOR LP GAS GODOWN
37
UNDERTAKING FOR SITE SELECTION AND DISTANCE BETWEEN RETAIL OUTLET ON EITHER SIDE
38
Revised Layout plan
39
Pollution Certificate
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