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/17698/2016   (ii). Name of Project for which Forest Land is required : Bhasirodgarh Borav Water Supply Project   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : To provide safe and potable drinking water to the 38 villages and 27 other dhanies of Bhaisrodgarh Panchyat Samiti   (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) : 5073   (viii). Area of forest land proposed for diversion(in ha.): 3.8122   (ix). Non-forest land required for this project(in ha.): 31.53348   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : PUBLIC HEALTH ENGINEERING DEPARTMENT   (ii). Address1 : Executive Engineer,PHED,Project Dn.-Chittorgarh   (iii). Address2 : NIL   (iv). State : Rajasthan   (v). District : chittorgarh   (vi). Pin : 312001   (vii). Landmark : Shastri Nagar   (viii). Email address : eephedprocor@gmail.com   (ix). Landline Telephone No. : 1472-240918   (x). Fax No. : 1472-240918   (xi). Mobile No. : 9414423953   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Lokesh   (ii). Middle Name: NIL   (iii). Last Name: Saini   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: Executive Engineer, PHED, Project Dn.-Chittorgarh   (vii). Address 2: NIL   (viii). State: Rajasthan   (ix). District: chittorgarh   (x). Tehsil: NIL   (xi). Pin: 312001   (xii). Landmark: Shastri Nagar   (xiii). Email Address: eephedprocor@gmail.com   (xiv). Landline Telephone No.: 1472-240918   (xv). Fax No.: 01472240918   (xvi). Mobile No.: 8619968640   (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.Mukundra NP2.3037.96208
2.Kota Wildlife00.45
3.Chittorgarh Territorial1.509223.1214
Total3.812231.53348
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.chittorgarh3.812231.53348
Total3.812231.53348
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Nahargarh0.03960.47
2Dhanganmau Khurd1.14311.5214
3Bhawanipura00.294
4Udpuriya00.156
5Bhainsrorgarh0.513.26508
6Madarchok01.187
7Jagpura0.1090.2465
8Kodiya Khal0.0780
9Balapura00.066
10Gopalpura (Bhainsrorgarh)0.1060.3735
11Amba0.0250.032
12Sripura1.2912.207
13Khalgaon0.0720
14Bhunjar Khurd00.48
15Nasera0.1120
16Lothiyana00.455
17Umarcha0.1940.297
18Nagpura0.0730.571
19Borav0.05955.812
20Bhunjar Kallan00.65
21Dhanganmau Kallan04.65
22Khumanganj00.4
23Laxmikheda00.4
24Nayagaon00.65
25Sukhpura00.55
26Khemakheda00.4
27Gopalpura (Borav)00.75
28Borda00.45
29Ganeshpura00.45
30Jayanagar00.35
31Ramnagar00.35
32Shambhupuriya00.65
33Tamboliya00.45
34Gorkhiya00.2
35Kesarpura00.45
36Pipalda00.55
37Partapura00.65
38Shambhunathji ka kheda00.65
39Takarda00.45
Total 3.8122 31.53348
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Pipe Line Up to 250 mm Dia in Jawahar Sagar Sanctu1.1363.9585
211 KV Power Line In Jawahar Sagar Sanctuary0.9173.16358
3Const. of Intake Structure, Filter Plant, Pump Hou0.250.84
4Pipe Line up to 250 mm Dia in Bhainsrorgarh Sanctu00.45
5Pipe Line up 250 mm Dia in Van Mandal Chittorgah1.50921.5714
6Const. of Pump House, OHSRs, Laying of pipe line/P021.55
Total 3.8122 31.53348
C. Maps of forest land proposed to be diverted
Division 1. : Mukundra NP
  (i). Area of forest land proposed to be diverted(in ha.) : 2.303   (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).
1.2.303    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. : Kota Wildlife
  (i). Area of forest land proposed to be diverted(in ha.) : 0   (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    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 3. : Chittorgarh Territorial
  (i). Area of forest land proposed to be diverted(in ha.) : 1.5092   (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).
1.1.5092    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: The villages/ Dhanies has to be supplied drinking
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 20   (iii). Temporary Employment(Number of person-days): 21900
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 : Approval obtained   (c). Date of Approval : NIL   (d).Copy of the approval of the Supreme Court:   (ii). Status of approval of the Standing Committee of National Board for the Wildlife(NBWL) to the Project : Approval obtained   (a). MoEF File No : 50th meeting of NBWL   (b). Copy of approval of Standing of the NBWL:   (c). Date of Approval : 07 Sep 2018
J. Applicability of special provisions governing Scheduled Areas
  (i).Whether the Project or a part thereof is located in a Scheduled Area? : Yes
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: Two
District 1. : chittorgarh
  (a). Village: Gopalpura   (b). Area(in ha.): 2.3   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 33,34   (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:
District 2. : chittorgarh
  (a). Village: Kolpura   (b). Area(in ha.): 1.5122   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 102   (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
1Complete Project details
2Administrative and Financial Sanction
3Khasra map with marking of pipe line & other work for Village Amba
4Khasra map with marking of pipe line & other work for Village Balapura
5Khasra map with marking of pipe line & other work for Village Bhawanipura
6Khasra map with marking of pipe line & other work for Village Bhunjar khurd
7Khasra map with marking of pipe line & other work for Village Borav
8Khasra map with marking of pipe line & other work for Village Dhanganmaukhurd
9Khasra map with marking of pipe line & other work for Village Jagpura
10Khasra map with marking of pipe line & other work for Village Khalgaon
11Khasra map with marking of pipe line & other work for Village Kodiya khal
12Khasra map with marking of pipe line & other work for Village Lothiyana
13Khasra map with marking of pipe line & other work for Village Nagpura
14Khasra map with marking of pipe line & other work for Village Sripura
15Khasra map with marking of pipe line & other work for Village Udpuriya
16Khasra map with marking of pipe line & other work for Village Umarcha
17Khasra map with marking of pipe line & other work for Village Bhainsrorgarh
18Complete Consolidated Area Calculation Sheet No.1
19Complete Consolidated Area Calculation Sheet No.2
20Forest & Non forest area calculation Sheet Khasra wise details in Jawahar Sagar Sanctuary Sheet 1
21Forest & Non forest area calculation Sheet Khasra wise details in Jawahar Sagar Sanctuary Sheet 2
22Forest & Non forest area calculation Sheet Khasra wise details in Jawahar Sagar Sanctuary Sheet 3
23Forest & Non forest area calculation Sheet Khasra wise details in Bhainsrorgarh Sanctuary
24Various Unertaking
25Reply of EDS Dated 16.05.2017
26Khasra Map of Village Nahargarh with marking of pipe line
27Villagewise Abstract of Forest Land
28Work wise Khasra wise Forest Land
29Forest & Non forest area calculation sheet khasrawise details in Van Mandal Chittorgarh
30Letter for FRA for diversion of 3.81220 Ha. Forest Land
31Letter for compensatory afforestation for diversion of 3.81220 Ha. Forest Land
32Letter for Reply of EDS dated 2.5.18
33Complete all coordinate List
34Google Image of the Project
35Minutes of Sub Divisional & District Level meeting for Forest Right Act
36Minutes of Village Level Level meeting for Forest Right Act
37Bar Chart
38Google Image of C A Land at Village Gopalpura & Kolpura
39Survey Report (Co-ordinate )of CA Land at Village Gopalpura & Kolpura
40Reply of EDS Dated 11.10.2018 of Region Office Lucknow
41reply of EDS dated 17.03.2020 of DCF MNP Kota
42Reply of EDS raised by DCF Chittorgarh on dated 28.07.2020
43Reply of EDS dated 12.11.20 of DCF MNP Kota
44Reply of EDS dated 09.12.2020