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/46172/2020
(ii). Name of Project for which Forest Land is required :
Laying of water pipeline & ancillary works, in forest land, in Bidoli, Amboli, Vadkal & Ulavi villages in Joida taluka of Uttarkannada District, for Irrigation, drinking water & ground water recharge in favour of "Executive Engineer KNNL, Kalasa Project Division Khanapur Belagavi".
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Diversion of 0.555 ha (Revised from 0.6710 ha). forest land under “Lift Irrigation System (Head Works consisting of construction of Jack well cum pump house, Power supply, rising main, delivery chamber & Gravity mains) in joida taluka of uttar kannada district.
(iv). State :
Karnataka
(v). Category of the Proposal :
Drinking Water
(vi). Shape of forest land proposed to be diverted :
Hybrid
(vii). Estimated cost of the Project(Rupees in lacs) :
1501
(viii). Area of forest land proposed for diversion(in ha.):
0.671
(ix). Non-forest land required for this project(in ha.):
0.0218
(x). Total period for which the forest land is proposed to be diverted(in years):
30
A-2.
Details of User Agency
(i). Name :
EXECUTIVE ENGINEER KNNL KALASA PROJECT DIVISON BELAGAVI
(ii). Address1 :
Shivaji nagar Khanapur Belagavi
(iii). Address2 :
NIL
(iv). State :
Karnataka
(v). District :
Belgaum
(vi). Pin :
591302
(vii). Landmarks :
NIL
(viii). Email address :
eekpdkhanapurf@gmail.com
(ix). Landline Telephone No. :
222163
(x). Fax No. :
NIL
(xi). Mobile No. :
9741901116
(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:
Nagesh
(ii). Middle Name:
NIL
(iii). Last Name:
C H
(iv). Gender:
Male
(v). Designation:
Executive Engineer
(vi). Address 1:
Shivaji Nagar Khanapur Belagavi
(vii). Address 2:
NIL
(viii). State:
Karnataka
(ix). District:
Belgaum
(x). Tehsil:
Khanapur
(xi). Pin:
591302
(xii). Landmarks:
NIL
(xiii). Email Address:
eekpdkhanapurf@gmail.com
(xiv). Landline Telephone No.:
222163
(xv). Fax No.:
NIL
(xvi). Mobile No.:
9741901116
(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.
Dandeli Wildlife
0.555
0.0206
Total
0.555
0.0206
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Uttara Kannada
0.555
0.0206
Total
0.555
0.0206
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Ulavi
0.0495
0.0206
2
Amboli
0.3368
0
3
Vadkal
0.089
0
4
Bidoli
0.0799
0
0.5552
0.0206
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Approach channel
0.007
0
2
Risining main
0.2755
0
3
Gravity main
0.1713
0.0086
4
Gravity sub main-1/1
0.0344
0
5
Gravity sub main-1/2
0.0163
0.012
6
Jckwell cum Pumphouse
0.04
0
7
Foot Bridge
0.0045
0
8
Delivery Chamber
0.0016
0
9
Electrical line
0.0045
0
Total
0.5551
0.0206
C.
Maps of forest land proposed to be diverted
Division 1. : Dandeli Wildlife
(i). Area of forest land proposed to be diverted(in ha.) :
0.555
(ii).Shape of forest land proposed to be diverted :
Hybrid
(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.
0.053
View File
(b). No. of Segments :
One
Segments wise details
Segmenst
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.
0.502
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):
1
(iii). Temporary Employment(Number of person-days):
300
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? :
Yes
(a). Whether Project or a part thereof is located within a Protected Area ? :
Yes
(b). Status of approval of the Supreme Court :
Approval under cons
(ii). Status of approval of the Standing Committee of National Board for the Wildlife(NBWL) to the Project :
Application under process
(a). Date of submission of proposals :
04 Jan 2021
(b). Current status :
NIL
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?:
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:
Diversion of forest land up to one hectare
Additional information Details
Documents
S.No
Documents
Remarks
1
Administrative approval of the project
2
copy of Undertaking to that, all corners of forest area will be marked with temporary stone piller for verification by the forest officers.
3
Copy of Clarification note : This Project is not related to any other projects, submitting consolidated FC proposal.
4
Copy of Undertaking to bear the NPV and CA charges by UA
5
Copy of Undertaking to the Submitting of FRA certificate from Jurisdictional DC.
6
Copy of RTC's of Forest land to be diverted.
7
Layout of plan showing jackwell and approach channel
8
This file contains Component wise break-up and Details of Patches & segments of forest & non forest area of the project.
9
Structural GAD and plan showing jakwell and approach channel
10
Copy of Geo referenced map (Zoomed) SC 1: 3690)break-up
11
This file contains, Clarification note on the Purpose, Diameter and Depth of pipeline to be laid.
12
GPS readings of the project
13
Copy of village wise & Sy.No wise forest & non forest area break-up
14
This file contains Component wise break-up and Details of Patches & segments of forest & non forest area of the project.
15
Detailed project report.
16
compliance to EDS Raised by the DCF Dandeli