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 Territorial
0.016
17.642
Total
0.016
17.642
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
chittorgarh
0.016
17.642
Total
0.016
17.642
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
chittorgarh
0
16.858
2
Killa
0.016
0.784
Total
0.016
17.642
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Utility Buildings & Pump Houses
0
0.2219
2
Pipe Line from 90 mm to 450 mm
0.016
16.1
3
Over Head Service Reservoir
0
0.5
4
Clear Water Resevoir
0
0.12
5
Power Line
0
0.7
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
1
Google Image of Forest Land to be Diverted
2
Copy of Minutes of A & F Sanction of Project
3
Project Report
4
Area Calculation Sheet
5
Check List no. 7
6
Check List no. 8
7
Check List no. 11
8
Check List no. 12
9
Check List no. 13
10
Consolidated Area Calculation Sheet of the Project
11
FRA certificate process letter
12
Khasara Map for forest area diversion
13
reply of EDS Dated 31.12.2018
14
Analysis report of various alternates
15
commitment for providing FRA Certificate
16
Muck Disposal Plan
17
Letter of District Collector for FRA Certificate
18
Bar Chart
19
Reply of EDS Dated 27.5.19
20
Analysis Report for alternatives
21
Lay out Plan of pipe line in Forest Area (Cross Section)
22
Reply of EDS 01.10.2019
23
FRA Certificate
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