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/35465/2018   (ii). Name of Project for which Forest Land is required : Amrut Yojana ( Water Supply Project for Urban Chittorgarh)   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Providing safe & potable (drinking ) water to habitants of Urban Chittorgarh   (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) : 5500.17   (viii). Area of forest land proposed for diversion(in ha.): 0.016   (ix). Non-forest land required for this project(in ha.): 17.642   (x). Total period for which the forest land is proposed to be diverted(in years): 100
A-2. Details of User Agency
  (i). Name : PUBLIC HEALTH ENGINEERING DEPARTMENT CHITTORGARH   (ii). Address1 : EXECUTIVE ENGINEER PHED DIVISION CHITTORGARH   (iii). Address2 : NIL   (iv). State : Rajasthan   (v). District : chittorgarh   (vi). Pin : 312001   (vii). Landmark : shastri nagar   (viii). Email address : ee_phed1chi@yahoo.com   (ix). Landline Telephone No. : 1472-241135   (x). Fax No. : 1472-   (xi). Mobile No. : 9414354380   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: somesh   (ii). Middle Name: NIL   (iii). Last Name: mehra   (iv). Gender: Male   (v). Designation: XEN   (vi). Address 1: executive engineer PHED division chittorgarh   (vii). Address 2: NIL   (viii). State: Rajasthan   (ix). District: chittorgarh   (x). Tehsil: Chittaurgarh   (xi). Pin: 312001   (xii). Landmark: shastri nagar   (xiii). Email Address: ee_phed1chi@yahoo.com   (xiv). Landline Telephone No.: 1472-241135   (xv). Fax No.: NIL   (xvi). Mobile No.: 9414354380   (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.Chittorgarh Territorial0.01617.642
Total0.01617.642
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.chittorgarh0.01617.642
Total0.01617.642
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1chittorgarh016.858
2Killa0.0160.784
Total 0.016 17.642
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Utility Buildings & Pump Houses00.2219
2Pipe Line from 90 mm to 450 mm0.01616.1
3Over Head Service Reservoir00.5
4Clear Water Resevoir00.12
5Power Line00.7
Total 0.016 17.6419
C. Maps of forest land proposed to be diverted
Division 1. : Chittorgarh Territorial
  (i). Area of forest land proposed to be diverted(in ha.) : 0.016   (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).
1.0.016    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): 35   (iii). Temporary Employment(Number of person-days): 18250
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
1Google Image of Forest Land to be Diverted
2Copy of Minutes of A & F Sanction of Project
3Project Report
4Area Calculation Sheet
5Check List no. 7
6Check List no. 8
7Check List no. 11
8Check List no. 12
9Check List no. 13
10Consolidated Area Calculation Sheet of the Project
11FRA certificate process letter
12Khasara Map for forest area diversion
13reply of EDS Dated 31.12.2018
14Analysis report of various alternates
15commitment for providing FRA Certificate
16Muck Disposal Plan
17Letter of District Collector for FRA Certificate
18Bar Chart
19Reply of EDS Dated 27.5.19
20Analysis Report for alternatives
21Lay out Plan of pipe line in Forest Area (Cross Section)
22Reply of EDS 01.10.2019
23FRA Certificate