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/RJ/WATER/10622/2015
(ii). Name of Project for which Forest Land is required :
water supply and sewerage project in Tonk town under RUIDP Phase III
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Work of Water Supply Distribution Network Improvement with house service connections for Non Revenue Water reduction and continuous water supply and providing Sewer Network with house connections, construction of Sewage Treatment Plant & allied works and Operation Services of the entire system for 1
(iv). State :
Rajasthan
(v). Category of the Proposal :
Drinking Water
(vi). Shape of forest land proposed to be diverted :
Non Linear
(vii). Estimated cost of the Project(Rupees in lacs) :
41500
(viii). Area of forest land proposed for diversion(in ha.):
0.1435
(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):
100
A-2.
Details of User Agency
(i). Name :
PHED
(ii). Address1 :
PHED Campus, Civil Lines, Tonk
(iii). Address2 :
NIL
(iv). State :
Rajasthan
(v). District :
Tonk
(vi). Pin :
304001
(vii). Landmarks :
Civil Lines
(viii). Email address :
phedtonk@rediffmail.com
(ix). Landline Telephone No. :
248009
(x). Fax No. :
248009
(xi). Mobile No. :
9414038978
(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:
Rajesh
(ii). Middle Name:
Kumar
(iii). Last Name:
Goyal
(iv). Gender:
Male
(v). Designation:
Executive Engineer
(vi). Address 1:
PHED Campus, Civil Lines, Tonk
(vii). Address 2:
NIL
(viii). State:
Rajasthan
(ix). District:
Tonk
(x). Tehsil:
Tonk
(xi). Pin:
304001
(xii). Landmarks:
Civil Lines
(xiii). Email Address:
phedtonk@rediffmail.com
(xiv). Landline Telephone No.:
248009
(xv). Fax No.:
01432248009
(xvi). Mobile No.:
9414038978
(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.
Tonk Territorial
0.1435
0
Total
0.1435
0
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Tonk
0.1435
0
Total
0.1435
0
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Tonk Sharki
0.1435
0
0.1435
0
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
OHSR, Rising Main & Distribution main
0.1435
0
Total
0.1435
0
C.
Maps of forest land proposed to be diverted
Division 1. : Tonk Territorial
(i). Area of forest land proposed to be diverted(in ha.) :
0.1435
(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.
0.1435
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):
100
(iii). Temporary Employment(Number of person-days):
100000
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
1
NPV Certificate
2
Purpose wise (for OHSR, pipe line) detail of forest land required
3
Undertaking on stamp paper
4
Signed Map prepared using Total Station showing the latitude & longitude of the proposed land along with Forest Boundary
5
Topo Sheet (GT Sheet on scale 1:50000) showing OHSR location, proposed pipeline detail, forest boundary etc.
6
Reply dated 10.09.2015 for observations of 26.08.2015.
7
detail of water supply related works sanctioned for city Tonk under project
8
Approval letter for diversion of forest land to PHED issued earlier for other projects in Tonk
9
Detail of Forest and Non Forest land required for various works under project
10
Brief Summary of the sanctioned Project for Tonk
11
Administrative & Financial Sanction order of the Project for Tonk
12
Technical Sanction order of the Project for Tonk
13
Jamabandi and khasra map of forest land as per revenue record
14
reply of observation sent earlier on dated 23.06.2015 in reference to Essential details sought by forest department on dated 16.03.2015
15
A map showing the source of water (Bisalpur dam)to Tonk system in reference to EDS point no. 10
16
Map showing the detail of sewerage works sanction for Tonk
17
Map showing the detail of sewerage works sanction for Tonk
18
Map showing the detail of water supply works sanction for Tonk
19
Schedule of execution of sanctioned works under project
20
Minimum Need Certificate