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 Sawaimadhopur9.56118.6219
Total9.56118.6219
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.dholpur9.56118.6219
Total9.56118.6219
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1BHAUHARI3.50311.8487
2GUNRAICH06.0363
3MADANPUR3.00630.2494
4GOPALPUR1.25310.0892
5MATHARA1.79860.3983
Total 9.5611 8.6219
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Apporach Channel0.81361.0264
2Pump House 10.18780.1122
3Pump House 203.2
4Laying of Pipeline, 33 KV Cable & Approach Road8.55973.2833
5GSS 33/132 KV01
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
1Administrative and Financial Sanction.
2FRA Certificate.
3EDS Reply Letter kaliteer Dholpur 153642 dated 04_09_2023.
4Minutes of 72 nd Meeting of SC-NBWL.
5Typical Cross Section.
6Project Report.
7CERTIFICATE FOR MINIMUM USE OF FOREST LAND.
8JUSTIFICATION FOR LOCATING PROJECT IN FOREST AREA.
9UNDERTAKING FOR CONSERVATION OF FLORA FAUNA DURING.
10Undertaking for Muck Disposal.
11UNDERTAKING FOR NO CHANGES IN STATUTORY POSITION OF DIVERTED FOREST LAND.
12Undertaking for no Deemed Forest Land is involved.
13UNDERTAKING FOR NO OTHER FEASIBLE ALTERNATIVE MINIMUM FOREST LAND.
14UNDERTAKING FOR PAYMENT OF ANY OTHER COST and CONDITION.
15UNDERTAKING FOR PAYMENT OF COST OF CA.
16UNDERTAKING FOR PAYMENT OF NET PRESENT VALUE OF FOREST AREA.
17Undertaking for Use of Any Material From Forest Land.
18UNDERTAKING FOR USE OF FOREST LAND.
19Undertaking for Waste Management.
20Alternative Route Digital Map.
21Alternative Route Toposheet Map.
22Digital Map Zoom View Segment Map 1 to 6 with Coordinates.
23Digital Map Zoom View Segment Map 7 to 9 with Coordinates.
24Georeferenced Digital Map Total Alignment 50000 scale.
25SOI Toposheet Map Total Alignment 50000 scale.
26Georeferenced Khasra Map 4000 SCALE.
27Segment and Component Wise Area Calculation Sheet.
28Authorisation Letter.
29Details of Permanent Employment to be generated.
30Village Wise Area Calculation Sheet.
31Dholpur Sanctuary Notification 28 Sept 2023.
32EDS Reply Letter kaliteer Dholpur 153642 dated 30_03_2024.
33Jamabandi Nakal Bhauhari Village 373 and 356_497
34Jamabandi Nakal Gopalpura Village 650 435 and 436
35Jamabandi Nakal Madanpur Village 100 432 and 437
36Jamabandi Nakal Mathara Village 1110
37Alternative Route Analysis.
38Khasra Wise Area Calculation Sheet.