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/KA/WATER/117274/2020   (ii). Name of Project for which Forest Land is required : Laying of MS Pipes of 2101mm Dia and 1901 mm Dia to Facilitate the Drinking Water Supply to Bangalore Uraban Areas (City Trunk Main Along Western Route of CP10) in 0.341 hectare of forest land in Sy. No 5 Uttarahalli Manavarthe kaval Village, Ullal Hobli, Sy No 170 of Badamanavarthe kaval Village, Kengeri Hobli, Bangalore South Taluk, Bangalore Dis   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The Project Aims to Facilitate the Drinking Water Supply to the Drinking Water Supply to Bangalore Urban Areas.   (iv). State : Karnataka   (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) : 52200   (viii). Area of forest land proposed for diversion(in ha.): 0.341   (ix). Non-forest land required for this project(in ha.): 3.991   (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 K4 BWSSB   (ii). Address1 : 1st floor, Suvarana Bhavana Margosa Road, 18th Cross, Malleshwaram Bangalore   (iii). Address2 : NIL   (iv). State : Karnataka   (v). District : Bangalore Urban   (vi). Pin : 560012   (vii). Landmarks : Suvarana Bhavana   (viii). Email address : eekaveri4@gmail.com   (ix). Landline Telephone No. : 22945216   (x). Fax No. : NIL   (xi). Mobile No. : 9845444012   (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: Srinivasa   (ii). Middle Name: NIL   (iii). Last Name: R   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: 1st Floor, Suvarana Bhavana, Margosa Road, 18th Cross, Malleshwaram, Bangalore   (vii). Address 2: NIL   (viii). State: Karnataka   (ix). District: Bangalore Urban   (x). Tehsil: Bangalore North   (xi). Pin: 560012   (xii). Landmarks: Suvarana Bhavana   (xiii). Email Address: eekaveri4@gmail.com   (xiv). Landline Telephone No.: 22945216   (xv). Fax No.: NIL   (xvi). Mobile No.: 9845444012   (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.Bangalore Urban0.3413.991
Total0.3413.991
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Bangalore Urban0.3413.991
Total0.3413.991
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1K.G.VAJARAHALLI-BANGALORE URBAN(Dist)00.042
2HOSAHALLI-BANGALORE URBAN(Dist)00.256
3UTTARAHALLI MANAVARTHEKAVAL Sy No 5-BANGALORE URBA0.3010
4LINGADEERANAHALLI-BANGALORE URBAN(Dist)00.166
5HEMMIGEPURA 1-BANGALORE URBAN(Dist)00.147
6SOMPURA-BANGALORE URBAN(Dist)00.298
7BADAMANAVARTHEKAVAL Sy No 170-BANGALORE URBAN(Dist0.040
8HEMMIGEPURA-BANGALORE URBAN(Dist)00.375
9CHUDENAPURA-BANGALORE URBAN(Dist)00.219
10KENGERI-1-BANGALORE URBAN(Dist)00.83
11RAMASANDRA-BANGALORE URBAN(Dist)00.337
12SONNEHALLI-BANGALORE URBAN(Dist)00.284
13K.G ULLAL-BANGALORE URBAN(Dist)00.614
14HORAHALLI-BANGALORE URBAN(Dist)00.226
15GIDADHAKONENAHALLI-BANGALORE URBAN(Dist)00.197
0.341 3.991
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Laying of MS Pipes of 2101mm Dia0.3010
2Laying of MS Pipes of 1901mm Dia0.040
3Balance Area of Project Components03.991
Total 0.341 3.991
C. Maps of forest land proposed to be diverted
Division 1. : Bangalore Urban
  (i). Area of forest land proposed to be diverted(in ha.) : 0.341   (ii).Shape of forest land proposed to be diverted : Linear   (b). No. of Segments : One
Segments wise details
Segmenst Segment Area(in ha.) Kml File of SegmentsTo view KML file on google the same may be downloaded and then open if in google earth install in your computer.
1.0.341    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:   (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 ?: No
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?: NIL   (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 ?: NIL   (iii) . Reason for not providing Non-Forest Land: NIL
Additional information Details
Documents
S.No Documents
Remarks
1letter of Acceptance
2NPV Undertaking
3Village Wise Area Statement
4Survey No Wise Area Statement
5Compliance Letter
6Undertaking on CA
7Clarification on Project Scope
8Calrification note on Non Forest Area
9Detail Project Report
10RTC copies of Sy No
11Key Plan of Project
12Administrative Approval
13Undertaking for Stone Pillars
14Clarification note of Cross Section of pipe laying
15GPS Readings
16Reply Letter to DFO