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/WATER/13768/2015
(ii). Name of Project for which Forest Land is required :
ITJSK PACKAGE2 DRINKING WATER PROJECT
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
“Laying of Pipeline and Construction of ESR under Integrated Taranagar – Jhunjhunu - Sikar Drinking Water Supply Project, PKG-II-Jhunjhunu (Rajasthan)”
(iv). State :
Rajasthan
(v). Category of the Proposal :
Drinking Water
(vi). Shape of forest land proposed to be diverted :
Non Linear
(vii). Estimated cost of the Project(Rupees in lacs) :
43600
(viii). Area of forest land proposed for diversion(in ha.):
0.5662
(ix). Non-forest land required for this project(in ha.):
20.887
(x). Total period for which the forest land is proposed to be diverted(in years):
99
A-2.
Details of User Agency
(i). Name :
PHED ITJSK PROJECT PACKAGE II
(ii). Address1 :
se phed projectjhunjhunu near jb shah college mandawa mod meghwal complex third floor jhunjhunu-333001
(iii). Address2 :
NIL
(iv). State :
Rajasthan
(v). District :
jhunjhunu
(vi). Pin :
333001
(vii). Landmark :
mandawa mode
(viii). Email address :
seprojectcirclejjn@gmail.com
(ix). Landline Telephone No. :
159-2230110
(x). Fax No. :
159-
(xi). Mobile No. :
9414053739
(xii). Website (if any) :
none
(xiii). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
BHARAT
(ii). Middle Name:
LAL
(iii). Last Name:
MEENA
(iv). Gender:
Male
(v). Designation:
SE
(vi). Address 1:
se phed projectjhunjhunu near jb shah college mandawa mod meghwal complex third floor jhunjhunu-333001
(vii). Address 2:
NIL
(viii). State:
Rajasthan
(ix). District:
jhunjhunu
(x). Tehsil:
Sayla
(xi). Pin:
333001
(xii). Landmark:
mandawa mode
(xiii). Email Address:
seprojectcirclejjn@gmail.com
(xiv). Landline Telephone No.:
159-2230110
(xv). Fax No.:
NIL
(xvi). Mobile No.:
7665438377
(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.
Jhunjhunu Territorial
0.5662
20.887
Total
0.5662
20.887
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Jhunjhunu
0.5662
20.887
Total
0.5662
20.887
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Tateeja
0.0477
0.43
2
Basant Bihar
0.018
0.213
3
Kalota
0.0253
0.445
4
Mandana
0.0478
0.5589
5
Dhani Dhima
0.0734
0.189
6
Papurana
0.0369
0.3926
7
Rajota
0.061
0.18
8
Chirani
0.124
0.1471
9
Badalwas
0.0143
0.3734
10
Tyonda
0.0569
0.2563
11
Sihor
0.0609
0.2377
12
Remaining Non forest Village as per attached list
0
17.46
Total
0.5662
20.883
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Laying of Pipeline
0.5037
20.887
2
Overhead tank
0.0625
0
Total
0.5662
20.887
C.
Maps of forest land proposed to be diverted
Division 1. : Jhunjhunu Territorial
(i). Area of forest land proposed to be diverted(in ha.) :
0.5662
(ii). Nature of the Project:
Non Linear
(a). No. of patches :
Two
Patch wise details
Patch No.
Area of Patch(in ha.)
Kml File of Patches
To view KML file on google the same may be downloaded and then open if in google earth install in your computer.
1.
0.0625
View File
2.
0.5037
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:
E.
Employment likely to be generated
(i). Whether the Project is likely to generate employment ?:
Yes
(ii). Permanent/Regular Employment(Number of persons):
5
(iii). Temporary Employment(Number of person-days):
1500
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?:
Yes
(a). Copy of Cost-Benefit analysis:
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
AUTHORIZATION LETTER
2
Administration and Financial Sanction
3
COST BENEFIT ANALYSIS
4
JAMABANDI NAKAL
5
PERMISSION FOR PWD NOC
6
Technical Sanction.
7
JUSTIFICATION FOR LOCATING PROJECT IN FOREST AREA.
8
Undertaking for FRA Certificate.
9
Undertaking for Use of Any Material From Forest Land.
10
UNDERTAKING FOR CONSERVATION OF FLORA FAUNA DURING LAYING OF PIPELINE.
11
UNDERTAKING FOR NO CHANGES IN STATUTORY POSITION OF DIVERTED FOREST LAND.
12
UNDERTAKING FOR NO OTHER FEASIBLE ALTERNATIVE AND DIVERSION OF MINIMUM FOREST LAND.
13
UNDERTAKING FOR PAYMENT OF ANY OTHER COST AND CONDITION.
14
UNDERTAKING FOR PAYMENT OF COST OF COMPENSATORY AFFORESTATION.
15
UNDERTAKING FOR PAYMENT OF NET PRESENT VALUE OF FOREST AREA.
16
UNDERTAKING FOR USE OF FOREST LAND.
17
Undertaking for Waste Management.
18
Khasra Map and jamabandi.
19
Digital Map.
20
Google Map.
21
Toposheet Map.
22
Revised Area Calculation Sheet.
23
Bar Chart Status of Jhunjhunu Water Supply Scheme.
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