View Form A Part 1

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/153642/2022 (ii). Name of Project for which Forest Land is required : KALITEER LIFT SCHEME,DHOLPUR(RAJASTHAN) (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : TO PROVIDE DRINKING WATER TO 483 VILLAGES OF 4 TEHSILS OF DHOLPUR (BASEDI,SARMATHURA,BADI AND SAIPAU) WITH DHOULPUR TOWN. (iv). State : Rajasthan (v). Category of the Proposal : Drinking Water (vi). Shape of forest land proposed to be diverted : Linear (vii). Estimated cost of the Project(Rupees in lacs) : 80004 (viii). Area of forest land proposed for diversion(in ha.): 9.5611 (ix). Non-forest land required for this project(in ha.): 8.6219 (x). Total period for which the forest land is proposed to be diverted(in years): 99

A-2.	Details of User Agency

(i). Name : SE,WRD, DHOLPUR (RAJ) (ii). Address1 : OFFICE OF SE,WRD, DHOLPUR(RAJ) (iii). Address2 : NIL (iv). State : Rajasthan (v). District : dholpur (vi). Pin : 328001 (vii). Landmark : NIL (viii). Email address : wrcircledlp@gmail.com (ix). Landline Telephone No. : 0- (x). Fax No. : 0- (xi). Mobile No. : 9414375703 (xii). Website (if any) : NIL (xiii). Legal status of User Agency : State Government

A-3.	Details of Person Making Application

(i). First Name: VIJAY (ii). Middle Name: KUMAAR (iii). Last Name: SHARMA (iv). Gender: Male (v). Designation: Ex EnGINEER (vi). Address 1: OFFICE OF Ex ENGINEER,WRD KHAND II,DHOLPUR ,RAJ (vii). Address 2: NIL (viii). State: Rajasthan (ix). District: dholpur (x). Tehsil: Dhaulpur (xi). Pin: 328001 (xii). Landmark: NIL (xiii). Email Address: eewrdlp22@gmail.com (xiv). Landline Telephone No.: 0- (xv). Fax No.: NIL (xvi). Mobile No.: 9782526885 (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.	DCF Chambal Sanctuary Sawaimadhopur	9.5611	8.6219
Total		9.5611	8.6219

B-2.2

Details of Districts involved

District wise breakup
S.no	District Name	Forest Land(ha.)	Non-Forest Land(ha.)
1.	dholpur	9.5611	8.6219
Total		9.5611	8.6219

B-2.3

Village wise breakup

Villages wise breakup
S.no	Village	Forest Land(ha.)	Non-Forest Land(ha.)
1	BHAUHARI	3.5031	1.8487
2	GUNRAICH	0	6.0363
3	MADANPUR	3.0063	0.2494
4	GOPALPUR	1.2531	0.0892
5	MATHARA	1.7986	0.3983
Total		9.5611	8.6219

B-2.4

Component wise breakup

Component wise breakup
S.no	Component	Forest Land(ha.)	Non-Forest Land(ha.)
1	Apporach Channel	0.8136	1.0264
2	Pump House 1	0.1878	0.1122
3	Pump House 2	0	3.2
4	Laying of Pipeline, 33 KV Cable & Approach Road	8.5597	3.2833
5	GSS 33/132 KV	0	1
Total		9.5611	8.6219

C.	Maps of forest land proposed to be diverted

Division 1. : DCF Chambal Sanctuary Sawaimadhopur

(i). Area of forest land proposed to be diverted(in ha.) : 9.5611 (ii). Nature of the Project: Linear (b). No. of Segments : Nine

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.	0.8136	View File
2.	0.1878	View File
3.	0.602	View File
4.	0.2827	View File
5.	1.5821	View File
6.	0.0349	View File
7.	4.7956	View File
8.	0.7412	View File
9.	0.5212	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): 2 (iii). Temporary Employment(Number of person-days): 10000

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? : Yes (a). Whether Project or a part thereof is located within a Protected Area ? : Yes (b). Status of approval of the Supreme Court : Application yet to b (ii). Status of approval of the Standing Committee of National Board for the Wildlife(NBWL) to the Project : Application under process (a). Date of submission of proposals : 07 May 2024 (b). Current status : NIL

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. : dholpur

(a). Village: Jheeri (b). Area(in ha.): 14.8859 (c). Copy of KML file of the patch:

View File (d). Khasra details: 2058/2053 (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
1		Administrative and Financial Sanction.
2		FRA Certificate.
3		EDS Reply Letter kaliteer Dholpur 153642 dated 04_09_2023.
4		Minutes of 72 nd Meeting of SC-NBWL.
5		Typical Cross Section.
6		Project Report.
7		CERTIFICATE FOR MINIMUM USE OF FOREST LAND.
8		JUSTIFICATION FOR LOCATING PROJECT IN FOREST AREA.
9		UNDERTAKING FOR CONSERVATION OF FLORA FAUNA DURING.
10		Undertaking for Muck Disposal.
11		UNDERTAKING FOR NO CHANGES IN STATUTORY POSITION OF DIVERTED FOREST LAND.
12		Undertaking for no Deemed Forest Land is involved.
13		UNDERTAKING FOR NO OTHER FEASIBLE ALTERNATIVE MINIMUM FOREST LAND.
14		UNDERTAKING FOR PAYMENT OF ANY OTHER COST and CONDITION.
15		UNDERTAKING FOR PAYMENT OF COST OF CA.
16		UNDERTAKING FOR PAYMENT OF NET PRESENT VALUE OF FOREST AREA.
17		Undertaking for Use of Any Material From Forest Land.
18		UNDERTAKING FOR USE OF FOREST LAND.
19		Undertaking for Waste Management.
20		Digital Map Zoom View Segment Map 1 to 6 with Coordinates.
21		Digital Map Zoom View Segment Map 7 to 9 with Coordinates.
22		Georeferenced Digital Map Total Alignment 50000 scale.
23		SOI Toposheet Map Total Alignment 50000 scale.
24		Georeferenced Khasra Map 4000 SCALE.
25		Segment and Component Wise Area Calculation Sheet.
26		Authorisation Letter.
27		Details of Permanent Employment to be generated.
28		Village Wise Area Calculation Sheet.
29		Dholpur Sanctuary Notification 28 Sept 2023.
30		EDS Reply Letter kaliteer Dholpur 153642 dated 30_03_2024.
31		Jamabandi Nakal Bhauhari Village 373 and 356_497
32		Jamabandi Nakal Gopalpura Village 650 435 and 436
33		Jamabandi Nakal Madanpur Village 100 432 and 437
34		Jamabandi Nakal Mathara Village 1110
35		Khasra Wise Area Calculation Sheet.
36		CA Land Digital Map.
37		CA Land Toposheet Map.
38		CA Land Allotment Letter (NFL)
39		Alternative Digital Map.
40		Alternative Route Toposheet Map.
41		Alternative Route Analysis.
42		EDS Reply Letter Dated 24_07_2024 with Annexure.
43		Legally Binding Certificate.