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/150851/2022   (ii). Name of Project for which Forest Land is required : Renewal of Diversion of 3.846 Ha, of forest land in Block No. 10 of Navagadda F.Sy.No. 16A1A of Binaga Sy. No. 1376 of Baad village for construction of GLSR Filter and Tunnels under combined water supply scheme   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Renewal of Diversion of 3.846 Ha, of forest land in Block No. 10 of Navagadda F.Sy.No. 16A1A of Binaga Sy. No. 1376 of Baad village for construction of GLSR Filter and Tunnels under combined water supply scheme of Karwar- Ankola Town under ADB Assistance.   (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) : 3717   (viii). Area of forest land proposed for diversion(in ha.): 3.846   (ix). Non-forest land required for this project(in ha.): 0   (x). Total period for which the forest land is proposed to be diverted(in years): 30
A-2. Details of User Agency
  (i). Name : KARNATAKA URBAN WATER SUPPLY AND DRAINAGE BOARD   (ii). Address1 : Office of Assistant executive Engineer , KUWSD&B, Kajubag, Karwar   (iii). Address2 : NIL   (iv). State : Karnataka   (v). District : Uttara Kannada   (vi). Pin : 581301   (vii). Landmarks : NIL   (viii). Email address : aeekwbkarwar123@gmail.com   (ix). Landline Telephone No. : 225516   (x). Fax No. : NIL   (xi). Mobile No. : 9480813167   (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  
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
1InprincipleFP/KA/WATER/27276/2017F.NO. 4-KRC/1234/2020-BAN34.9834.9811 Dec 2020
Total 34.98 34.98
  (xiv). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Shivaram   (ii). Middle Name: S   (iii). Last Name: Naik   (iv). Gender: Male   (v). Designation: AEE   (vi). Address 1: Office of Assistant executive Engineer, KUWSDB, karwar   (vii). Address 2: NIL   (viii). State: Karnataka   (ix). District: Uttara Kannada   (x). Tehsil: NIL   (xi). Pin: 581301   (xii). Landmarks: NIL   (xiii). Email Address: aeekwbkarwar123@gmail.com   (xiv). Landline Telephone No.: 225516   (xv). Fax No.: NIL   (xvi). Mobile No.: 9480813167   (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: No Data
A-4. Details of approvals under the Forest (Conservation) Act , 1980 accorded in the past
Serial No Proposal No MoEF File No Date of approval Area of forest land diverted Period of diversion
1FP/KA/DEF/1255/20044-KRB037/2004-BAN18 Nov 20053.84615
A-5. Status of compliance to conditions stipulated in the previous approvals
Serial No Proposal No MoEF File No Conditions stipulated by the MoEF Details of the compliance
1FP/KA/DEF/1255/20044-KRB037/2004-BANThe legal status of the forest land shall remain unchanged.Remains unchanged
2FP/KA/DEF/1255/20044-KRB037/2004-BANThe compensatory afforestation shall be raised over 7.0 ha. of degraded forest land at the cost of user agencyComplied with. The details are furnished in the part II of the Monitoring proforma
3FP/KA/DEF/1255/20044-KRB037/2004-BANAdequate measures shall be undertaken to prevent soil erosionNo soil erosion seen to be taking place
4FP/KA/DEF/1255/20044-KRB037/2004-BANThe total forest area utillzed for the project shall not exceed 3.846 haComplied with. The project is fully executed
5FP/KA/DEF/1255/20044-KRB037/2004-BANThe State Government shall charge the Net Present Value (NPV) of the forest area measuring 3.846 ha. diverted under this proposal from the user agency as per eh orders of the Hon'ble Supreme Court dated: 30-10-2002 dated: 01-08-2003 in IA No. 566 in WP (C) No.202(C)/95 & the guidelines issued by the Ministry vide letter No. 5-1/1998-FC(Pt.II) dated 18-09-2003 & 22-09-2003 in this regardComplied with Rs. 4,17,340.00 towards CA and Rs. 34,05,180.00 towards NPV totaling Rs. 39,50,000.00 vide DD No.322376789 Dt 20.08.2005 has been deposited as per the letter of the PCCF to Government as shown during the monitoring
6FP/KA/DEF/1255/20044-KRB037/2004-BANAll the funds received from the user agency under the project shall be transferred to (CAMPA). Till such time an appropriate Head of account is communicated in this regard such funds shall be kept in the form of fixed deposits in the name of concerned Divisional Forest Officer or the Nodal Officer in any Nationalized Bank as per the guidelines issued by the Ministry of Environment and Forests dated 22-03-2004. The State Government shall utilize all the funds other than NPV till a direction is given by the central Government in respect of utilization of NPV of the diverted forest landNone
7FP/KA/DEF/1255/20044-KRB037/2004-BANAny other conditions to be stipulated by the State Government/PCCF, Karnataka in the interest of conservation of forestsNone
A-6. Details of payments made in respect of the approval under the Forest (Conservation) Act , 1980 accorded in the past
Serial No Proposal No MoEF File No Item/Nature Amount paid (in Rupees) Date of Payment
1FP/KA/DEF/1255/20044-KRB037/2004-BANCompensatory Afforestation417340.0020 Aug 2005
2FP/KA/DEF/1255/20044-KRB037/2004-BANNet present value340518020 Aug 2005
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?. : Yes   (ii). 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.
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
1InprincipleFP/KA/WATER/27276/2017F.NO. 4-KRC/1234/2020-BAN34.9834.9811 Dec 2020
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.Karwar3.8460
Total3.8460
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Uttara Kannada3.8460
Total3.8460
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Baad20
2Binaga0.1460
3Navagadde1.70
3.846 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Water Storage Tank Area1.93630
2Pipeline Area0.18340
3Approach Road0.02630
4Proposed Area Navagagadda1.70
Total 3.846 0
C. Maps of forest land proposed to be diverted
Division 1. : Karwar
  (i). Area of forest land proposed to be diverted(in ha.) : 3.846   (ii).Shape of forest land proposed to be diverted : Linear   (b). No. of Segments : Four
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.
1.1.9363    View File
2.0.1834    View File
3.0.0263    View File
4.1.7    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: No   (a). Reason for not providing such map: The Proposal is for renewal of 3.846 Ha. Forest la
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): 8
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? : No
L. Details of land identified for Compensatory Afforestation
  (i). Whether non-forest or Revenue forest land is required to be provided by User Agency?: No   (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) . Reason for not providing Non-Forest Land: Renewal of lease where compensatory afforestation had been stipulated and done in respect of the applied area at the time of grant/renewal of lease earlier.
Additional information Details
Documents
S.No Documents
Remarks
17.70 Ha. CA land identified in Nagekovi village of Karwar taluk, Uttara Kannada
2Authorization letter for AEE, KUWS&DB, Sub-Division, Karwar
3Order for shifting EE, KUWS&DB, Division, Dharwad to EE, KUWS&DB, Division, Karwar
4The compliance report for querry raised by DFO Karwar is submitted for further approval