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/36565/2018
(ii). Name of Project for which Forest Land is required :
Balance work of cluster scheme of 315 villages of Mandalgarh, Bijoliya and Jahajpur Tehsils along with Augmentation of UWSS of mandalgarh and Bijoliya Towns from Aroli Headworks under Chambal-Bhilwara
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Balance work of cluster scheme of 315 villages of Mandalgarh, Bijoliya and Jahajpur Tehsils along with Augmentation of UWSS of mandalgarh and Bijoliya Towns from Aroli Headworks under Chambal-Bhilwara Water Supply Project Phase-II, Package-VIII of District Bhilwara (Raj.)
(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) :
327.45
(viii). Area of forest land proposed for diversion(in ha.):
2.0467
(ix). Non-forest land required for this project(in ha.):
42.836
(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 :
office of the superintending engineer, PHED, Project circle-I Bhilwara
(iii). Address2 :
PHED Campus, Bapu Nagar, Bhilwara
(iv). State :
Rajasthan
(v). District :
Bhilwara
(vi). Pin :
311001
(vii). Landmark :
NIL
(viii). Email address :
phedmandalgarh18@gmail.com
(ix). Landline Telephone No. :
1482-240330
(x). Fax No. :
1482-
(xi). Mobile No. :
8890877722
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
Bhagwan
(ii). Middle Name:
Swaroop
(iii). Last Name:
Naklak
(iv). Gender:
Male
(v). Designation:
ExecutiveEngineer
(vi). Address 1:
office of the Executive Engineer PHED
(vii). Address 2:
Project Division Mandalgarh
(viii). State:
Rajasthan
(ix). District:
Bhilwara
(x). Tehsil:
Mandalgarh
(xi). Pin:
311604
(xii). Landmark:
NIL
(xiii). Email Address:
phedmandalgarh18@gmail.com
(xiv). Landline Telephone No.:
1482-240330
(xv). Fax No.:
NIL
(xvi). Mobile No.:
8890877722
(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.
Bhilwara Territorial
2.0467
42.836
Total
2.0467
42.836
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Bhilwara
2.0467
42.836
Total
2.0467
42.836
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Chandpura
0.047
1.105
2
Ummedpura
0.0082
2.85
3
Duda ji Ka Khera
0.0154
4.235
4
Takhatji ka Khera
0.048
0.905
5
Kham ka Khera
0.1149
1.102
6
Shyampura
0.0418
4.02
7
Hameeriya
0.0516
1.084
8
Banka
0.2236
1.5385
9
Lorda
0.12
1.485
10
Sunthi
0.161
1.205
11
Teekhi
0.3263
0.9075
12
Ramrada
0.0839
1.2055
13
Phoolan
0.0261
1.907
14
Mangarh
0.1254
1.002
15
Patiyal
0.068
1.105
16
Chhatrikhera khurd
0.0104
3.312
17
Brindavan
0.0641
0.8025
18
Kaner
0.0354
0.96
19
Karlao
0.0606
0.9905
20
Bhopalgarh
0.012
2.308
21
Fatehpura
0.0777
0.8044
22
Anando ka khera
0.0649
1.9375
23
Mohanpura
0.0728
1.104
24
Neem ka khera
0.0419
2.812
25
Bharji ka khera
0.0497
0.1596
26
Kekariya
0.0959
1.989
Total
2.0466
42.836
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Laying of Pipeline
2.0467
38.7835
2
Pump House
0
0.24
3
ESR
0
3.8125
Total
2.0467
42.836
C.
Maps of forest land proposed to be diverted
Division 1. : Bhilwara Territorial
(i). Area of forest land proposed to be diverted(in ha.) :
2.0467
(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.
2.0467
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:
Pipelines is Proposed along the road.
E.
Employment likely to be generated
(i). Whether the Project is likely to generate employment ?:
Yes
(ii). Permanent/Regular Employment(Number of persons):
3
(iii). Temporary Employment(Number of person-days):
350
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?:
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:
One
District 1. : Bhilwara
(a). Village:
Rajpura
(b). Area(in ha.):
2.0467
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
1185/874
(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
1
Proposed Pipeline Cross Section.
2
EDS Reply Letter.
3
CERTIFICATE FOR MINIMUM USE OF FOREST LAND.
4
UNDERTAKING FOR CONSERVATION OF FLORA FAUNA DURING Pipeline.
5
Undertaking for Muck Disposal Plan.
6
UNDERTAKING FOR NO CHANGE_S IN STATUTORY POSITION OF DIVERTED FOREST LAND.
7
UNDERTAKING FOR NO OTHER FEASIBLE ALTERNATIVE.
8
UNDERTAKING FOR PAYMENT OF ANY OTHER COST AND CONDITION.
9
UNDERTAKING FOR PAYMENT OF COST OF COMPENSATORY AFFORESTATION.
10
UNDERTAKING FOR PAYMENT OF NET PRESENT VALUE OF FOREST AREA.
11
Undertaking for Use of Any Material From Forest Land.
12
UNDERTAKING FOR USE OF FOREST LAND.
13
Component Wise Area Calculation Sheet.
14
Segment Wise Area Calculation Sheet.
15
Village Wise and segment wise Area Calculation Sheet with segment.
16
Khasra Map and jamabandi.
17
Bar Chart Status.
18
Georeferenced Zoom View Digital Map with Coordinates Segment 1 and 19.
19
Georeferenced Toposheet Map Total Alignment 50000 scale.
20
Georeferenced Digital Map Total Alignment 50000 scale.
21
Administrative and Financial Sanctions.
22
Project Report.
23
Khasra Map new Additional.
24
Equal Non Forest Land Allotment Consent Letter.
25
FRA Certificate.
26
EDS Reply of 14.08.2019 EDS.
27
Railway Crossing NOC.
28
NH Crossing NOC.
29
Undertaking for No Any Other Alternative.
30
EDS Reply Letter MoEF RO Lucknow Dated18_08_2020 with annexures.
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