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/16150/2015
(ii). Name of Project for which Forest Land is required :
CHAMBAL-BHILWARA WATER SUPPLY PROJECT PHASE-II PACAKAGE-I
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
PROPOSAL FOR LAYING OF di PIPELINE FROM LALPURA TO BHADSI UNDER CBWSP PHASE II PACKAGE I
(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) :
24900
(viii). Area of forest land proposed for diversion(in ha.):
0.525
(ix). Non-forest land required for this project(in ha.):
0.16
(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 PROJECT DIVISION ASIND
(ii). Address1 :
EXECUTIVE ENGINEER,PHED PROJECT DIVISION ASIND,BARANA PUMP HOUSE
(iii). Address2 :
NIL
(iv). State :
Rajasthan
(v). District :
Bhilwara
(vi). Pin :
311301
(vii). Landmark :
BARANA CIRCLE
(viii). Email address :
eeasind@gmail.com
(ix). Landline Telephone No. :
1480-220030
(x). Fax No. :
1480-220030
(xi). Mobile No. :
9001217222
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
Rajeev
(ii). Middle Name:
NIL
(iii). Last Name:
Kumar
(iv). Gender:
Male
(v). Designation:
EXECUTIVE ENGINEER
(vi). Address 1:
EXECUTIVE ENGINEER, PHED, PROJECT DIVISION ASIND,BARANA PUMP HOUSE
(vii). Address 2:
NIL
(viii). State:
Rajasthan
(ix). District:
Bhilwara
(x). Tehsil:
NIL
(xi). Pin:
311301
(xii). Landmark:
BARANA CIRCLE
(xiii). Email Address:
eeasind@gmail.com
(xiv). Landline Telephone No.:
1480-220030
(xv). Fax No.:
01480220030
(xvi). Mobile No.:
9414681482
(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
Inprinciple
FP/RJ/WATER/18402/2016
F.1(27)FOREST2016
0.081
0.081
03 Aug 2016
2
Inprinciple
FP/RJ/WATER/13429/2015
F1(49)FOREST/2016
0.0578
0.0578
29 Dec 2016
3
Inprinciple
FP/RJ/WATER/18811/2016
8B/RAJ/08/41/2015
15.0015
15.0015
23 May 2016
4
Inprinciple
FP/RJ/WATER/10622/2015
F1.(105)FOREST/2015
0.1435
0.1435
18 Dec 2015
Total
15.2838
15.2838
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.
Rajsamand Territorial
0.31
0.005
2.
Bhilwara Territorial
0.215
0.155
Total
0.525
0.16
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Bhilwara
0.215
0.155
1.
Rajsamand
0.31
0.005
Total
0.525
0.16
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
sohanpura
0.105
0.042
2
Bhadsi
0.11
0.113
3
Lalpura
0.31
0.005
Total
0.525
0.16
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Pipe line
0.525
0.16
Total
0.525
0.16
C.
Maps of forest land proposed to be diverted
Division 1. : Bhilwara Territorial
(i). Area of forest land proposed to be diverted(in ha.) :
0.215
(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.
0.215
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:
Division 2. : Rajsamand Territorial
(i). Area of forest land proposed to be diverted(in ha.) :
0.31
(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.
0.31
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:
No alternative available.
E.
Employment likely to be generated
(i). Whether the Project is likely to generate employment ?:
Yes
(ii). Permanent/Regular Employment(Number of persons):
45
(iii). Temporary Employment(Number of person-days):
1000
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?:
No
(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) . Reason for not providing Non-Forest Land:
Public utility projects (excluding mining and regularization of encroachments) involving less than 20 hecatres of forest land implemented by Govt. Departments in hill districts and in other districts having forest area exceeding 50% of the total geographical area
Additional information Details
Documents
S.No
Documents
Remarks
1
2
Area calculation sheet
3
Khasara Map Sohanpura
4
Khasara Map Bhadsi
5
Khasara Map Lalpura
6
Project Proposal
7
Comments on width of trench and use of land by user agency
8
Various undertakings(NPV,Compensatory afforestation, use of min. forest land, no change in project proposal, etc.
9
Bar Chart
10
List of forest proposal applied online by PHED in past
11
Proceeding for FRA certificate (Bhilwara)
12
Proceeding for FRA certificate (Rajsamand)
13
FRA certificate of district collector bhilwara
14
IS code norms for ROW for laying 150mm DIA pipe line
15
DCF Rassamand letter in which recommendation for laying pipe line in forest area sent to CCF Udaipur
16
DISTRICT LEVEL MEETING PROCEEDING OF BHILWARA
17
FRA Certificate Rajsamand
18
Details of district level meeting Rajsamand
19
ADMINISTRATIVE & FINANCIAL SENCTION
20
MAP SHOWING GEO REFERENCED SURVEY OF INDIA TOPOSHEET WITH PROPOSED PIPELINE ALIGNMENT
21
DIGITAL MAP SHOWING GEO REFERENCED WITH PROPOSED PIPELINE ALIGNMENT
22
GOOGLE MAP SHOWING FOR PROPOSED PIPELINE ALIGNMENT
23
Letter of conservator of forests
24
FRA Certificate - BHILWARA
25
FRA Certificate Rajsamand
26
GRAM SABHA CERTIFICATE & MEETING COPY
27
BHILWARA DISTRICT LEVEL MEETING
28
Details of district level meeting Rajsamand
29
JAMABANDI NAKAL
30
GRAM PANCHYAT BHADSI NOC
31
PROSSING LETTER FOR FRA KHASRA DETAIL BY PHED
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