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/34405/2018   (ii). Name of Project for which Forest Land is required : Construction of 950 KL Capacity OHSR at Navjeevan Colony Bundi   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Construction of OHSR at Navjeevan Colony will fead around more than 5000 residents of colonies situated on both sides of Nainwa Road. This OHSR zone will ensure equitable distribution of water with more than 12m water pressure under Re-Organisation of UWSS Bundi in AMRUT programme.   (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) : 170   (viii). Area of forest land proposed for diversion(in ha.): 0.162   (ix). Non-forest land required for this project(in ha.): 0.1363   (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 : Project Division-Bundi,   (iii). Address2 : Nainwa Road,   (iv). State : Rajasthan   (v). District : Bundi   (vi). Pin : 323001   (vii). Landmark : ESR (Water Tank)   (viii). Email address : eephedprbnd@gmail.com   (ix). Landline Telephone No. : 747-2443905   (x). Fax No. : 747-2443905   (xi). Mobile No. : 9460056901   (xii). Website (if any) : www.rajwater.gov.in   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Ravi   (ii). Middle Name: Mohan   (iii). Last Name: Meena   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: Project Division-Bundi.   (vii). Address 2: Nainwa Road,   (viii). State: Rajasthan   (ix). District: Bundi   (x). Tehsil: NIL   (xi). Pin: 323001   (xii). Landmark: ESR (Water Tank)   (xiii). Email Address: eephedprbnd@gmail.com   (xiv). Landline Telephone No.: 747-2443905   (xv). Fax No.: 07472443905   (xvi). Mobile No.: 9414936244   (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
1InprincipleFP/RJ/WATER/18811/20168B/RAJ/08/41/2015/FC/10015.001515.001523 May 2016
Total 15.0015 15.0015
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.Kota Wildlife0.1620.1363
Total0.1620.1363
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Bundi0.1620.1363
Total0.1620.1363
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Bundi City0.1620.1363
Total 0.162 0.1363
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Laying of Pipeline0.0120.1363
2Approach Road0.060
3Proposed OHSR Navjeevan Colony Forest Block0.090
Total 0.162 0.1363
C. Maps of forest land proposed to be diverted
Division 1. : Kota Wildlife
  (i). Area of forest land proposed to be diverted(in ha.) : 0.162   (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).
1.0.162    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
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 1   (iii). Temporary Employment(Number of person-days): 255
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?: 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
1Administrative and Financial Sanction.
2Khasra Map and Jamabandi.
3CERTIFICATE FOR MINIMUM USE OF FOREST LAND.
4TWO TIME DEGRADED FOREST LAND UNDERTAKING.
5UNDERTAKING FOR CONSERVATION OF FLORA FAUNA DURING CONSTRUCTION.
6UNDERTAKING FOR FRA CERTIFICATE.
7Undertaking for Muck Disposal Plan.
8UNDERTAKING FOR NO CHANGES IN STATUTORY POSITION OF DIVERTED FOREST LAND.
9UNDERTAKING FOR NO OTHER FEASIBLE ALTERNATIVE.
10UNDERTAKING FOR PAYMENT OF ANY OTHER COST AND CONDITION.
11UNDERTAKING FOR PAYMENT OF COST OF COMPENSATORY AFFORESTATION.
12UNDERTAKING FOR PAYMENT OF NET PRESENT VALUE OF Forest Land.
13Undertaking for Use of Any Material From Forest Land.
14UNDERTAKING FOR USE OF FOREST LAND.
15Component Wise Area Calculation Sheet.
16EDS Reply of Navjeevan Colony.
17Undertaking to Pay the Cost of 100 trees Plantation.
18Area Calculation Sheet Navjeevan Colony.
19Bar Chart Status Navjeevan Colony.
20Digital Map Zoom view with Coordinates Navjeevan Colony.
21Geo Referenced Digital Map Navjeevan Colony.
22Geo Referenced Toposheet Map 50000 scale Navjeevan Colony.
23EDS Reply Letter 18_Feb_2019_34405 Navjeevan Colony.
24Reply letter of Navjeevan Colony EDS dated 03.12.2019