FORM - B
Form for seeking prior approval under Section-2 of the proposals by the State Governments and other authorities, in respect of renewal of leases,
which have been earlier granted clearance under Forest (Conservation) Act,1980
PART - I
(To be filled up by User Agency)
A.
General Details
A-1.
Project Details
(i). Proposal No. :
FP/GJ/Canal/121289/2021
(ii). Name of Project for which Forest Land is required :
Construction of Karjan Right Bank High Level Recharge Canal, its Head Regulator & approach channel
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
In order to provide irrigation facilities to the deprived area towards south direction of Gora Distributory of Section – 2 of Karjan Right Bank Canal Distribution system, it is proposed to construct a Right Bank High Level Recharge canal to serve the above deprived area of about 1200 Ha. of 12 Villa
(iv). State :
Gujarat
(v). Category of the Proposal :
Canal
(vi). Shape of forest land proposed to be diverted :
Non Linear
(vii). Estimated cost of the Project(Rupees in lacs) :
559
(viii). Area of forest land proposed for diversion(in ha.):
3.2512
(ix). Non-forest land required for this project(in ha.):
60.9139
(x). Total period for which the forest land is proposed to be diverted(in years):
99
A-2.
Details of User Agency
(i). Name :
EXECUTIVE ENGINEER, IRRIGATION PROJECT DIVISION NO. 4
(ii). Address1 :
Karjan Administrative Block, Rajpipla
(iii). Address2 :
NIL
(iv). State :
Gujarat
(v). District :
Narmada
(vi). Pin :
393145
(vii). Landmarks :
NIL
(viii). Email address :
ipsd27rajpipla@gmail.com
(ix). Landline Telephone No. :
NIL
(x). Fax No. :
NIL
(xi). Mobile No. :
9998870240
(xii). Website (if any) :
NIL
(xiii). Details of Proposals seeking prior approval of Central Government under the Act for diversion of forest land submitted by the User Agency 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
(xiv). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
Pratik
(ii). Middle Name:
NIL
(iii). Last Name:
Sane
(iv). Gender:
Male
(v). Designation:
Assistant Engineer
(vi). Address 1:
Office of DEE, IPSD 27, 2nd floor Karjan Administrative Block, Rajpipla
(vii). Address 2:
NIL
(viii). State:
Gujarat
(ix). District:
Narmada
(x). Tehsil:
Nandod
(xi). Pin:
393145
(xii). Landmarks:
NIL
(xiii). Email Address:
ipsd27rajpipla@gmail.com
(xiv). Landline Telephone No.:
NIL
(xv). Fax No.:
NIL
(xvi). Mobile No.:
9998870240
(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:
A-7.
Details of the forest land returned back to the State Forest Department or any other Authority from the forest land diverted in favour of the user agency
A-9.
Details of Transfer of Lease
Serial No
Name of person
Address of person
Date of transfer
MMDR File
Transfer Deed
Conservation
MoEF_file No
Date of approval
MoEF file
NIL
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
(i). Whether any proposal seeking prior approval of Central Government under the Act for diversion of forest land required for the project has been submitted in the past?. :
No
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.
Narmada
3.2512
60.9139
Total
3.2512
60.9139
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Narmada
3.2512
60.9139
Total
3.2512
60.9139
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Jitgadh
3.2512
12.59
2
Vavdi
0
2.91
3
Velchhandi
0
6.64
4
Junvad
0
10.08
5
MotaRaipura
0
15.73
6
Samaria
0
2.503
7
Mota Amba
0
2.3619
8
Savkva
0
2.3362
9
Bhilvashi
0
0.8195
10
Boria
0
2.621
11
Umarava
0
1.3842
12
Gora
0
0.9381
3.2512
60.9139
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
High Level HR & Canal
3.2512
60.9139
Total
3.2512
60.9139
C.
Maps of forest land proposed to be diverted
Division 1. : Narmada
(i). Area of forest land proposed to be diverted(in ha.) :
3.2512
(ii).Shape of forest land proposed to be diverted :
Non Linear
(a). No. of patches :
One
Patch wise details
Patch No.
Area of Patch(in ha.)
Kml File of Patches
To view KML file on google the same may be downloaded and then open if in google earth install in your computer.
1.
3.2512
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 DGPS 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:
E.
Employment likely to be generated
(i). Whether the Project is likely to generate employment ?:
Yes
(ii). Permanent/Regular Employment(Number of persons):
4
(iii). Temporary Employment(Number of person-days):
400
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?:
Yes
(a). Copy of Cost-Benefit analysis:
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 ? :
No
(ii). Status of approval of the Standing Committee of National Board for the Wildlife(NBWL) to the Project :
Approval obtained
(a). MoEF File No :
6-159/2016 WL
(b). Copy of approval of Standing of the NBWL:
(c). Date of Approval :
13 Feb 2017
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:
One
District 1. : Narmada
(a). Village:
kalimakwana
(b). Area(in ha.):
3.26
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
530 & 533
(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 DGPS 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
Request for approval.
2
Diverted land and Non forest CA land toposheet uploded