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APPENDIX (See Rule 6) FORM – 'A' Form for Seeking Prior Approval

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APPENDIX (See Rule 6) FORM – 'A' Form for Seeking Prior Approval APPENDIX (SeeFORM Rule– ‘A’ 6) Form for seeking prior approval under section 2 of the proposal by the State GovernmentPART and– I other authorities. (to be filled up user agency) (i) 1. Project details. – Diversion of fragmented zudpi Jungle for publicShort narrative purpose. of the proposal and Project and Project/Scheme for which the forest land is required. - YES (ii) Map showing the requiredNIL forest land, boundary of adjoining forest on a (iv) 1:50,000 scale map. - Diversion of Zudpi (iii) JungleTotal cost ( Simplified of the project Procedure)- Justification for locating the project in theNIL forest area- NIL (v) Cost benefit analysis (to be enclosed)Public- purpose (vi) Employment likely to be generated - 2. Purpose-wise break-up of theNIL total land .- 3. Details of displacement of people due to the project, if any: NIL (i) Number of families. - NIL (ii) Number of scheduled Castes/Scheduled Tribe families. - (No) (iii) Rehabilitation plan. (to be enclosed) - 5. 4. Whether clearance under Environment (Protection) Act, 1986 required? - Undertaking to bear the cost of raising and maintenance of compensatory a forestation and/or penal compensatory a forestationNO as Well as cost for protection 6. and regeneration of Safety Zone, etc. as per the scheme prepared by the State YESGovernment (undertaking to be enclosed). - Details of Certificate/ Documents enclosed as per required under the instruction.- (AVINASH KATADE) SUB DIVISIONAL OFFICER, KATOL DIST-NAGPUR Katol MAHARASHTRA – 441302 Date : 15/01/2015 Place : State serial No. of proposal__________________ (To be filled up by the Nodal Officer with date of receipt) Annexure II Check list for preparing proposal for diversion of Zudpi Jungle in Vidarbha region of Maharashtra State under Forest (Conservation) Act, 1980 Sr. Compliance Details of Check list No (Yes/No) 1 Information of proposal in Part I of Form A Yes 2 Map of the Zudpi Jungle required indicating clearly forest boundary and Yes adjoining land use in suitable scale, in different color, to be duly counter signed by the Deputy Conservator of Forest concerned after joint inspection of the area by the Circle Officer and Forester. 3 The Geo digital map in any suitable scale with geo-reference boundary in shape No file prepared by using total stations or differential GPS and also indicate forest land, non-forest land & adjoining land to the proposed for diversion, in different color must be duly signed by the Deputy Conservator of Forest concerned and Project Authority, as per the GOI letter No. F.no.11-9-/98-FC, Dt. 8/7/2011 4 Village wise, Sr. No./Gut No. wise girth class wise list of trees in Taluka from Yes Sub-Divisional Office (User Agency) 5 Joint Site Inspection certificate from Circle Officer and Forester. (in prescribed Yes format – JISR-I) 6 Map on a suitable scale showing the 10 km distance line from the boundary of the Yes “Protected Area” and location of the proposed Zudpi Jungle forest areas under diversion. By SDO/Deputy Conservator of Forest. 7 Certificate of Collector under the FRA-2006 with resolution of Gram Sabha/Gram Yes Panchayat as per GOI letter dated 3/8/2009 to be enclosed. 8 Joint site Inspection certificates from Tahsildar and Range Forest Officer for at Yes least 5% Zudpi Jungle area in the specific category in the Taluka. (in prescribed format – JSIR-II) 9 Certificate from Sub Divisional Officer (user Agency) regarding category of Yes Zudpi Jungle lands proposed for diversion ( in prescribed format ) 10 Certificate about distance of Project from Protected Area by Deputy Conservator of Forests. ( in prescribed format ) 11 Relevant Notification/7/12 Extract/ restoration order/Rights of record etc. of the proposed forest land to be enclosed. 12 Documents Verification Certificate by Deputy Conservator of Forests. AVINASH KATADE Sub Divisional Officer Deputy Conservator of Forest Katol Division Dist - Nagpur JSIR – II Joint Site Inspection Report (for each Category and Taluka by Tahsildar and Range Forest Officer) 1. Name of the proposal :- Diversion of Fragmented Zudpi Jungle according to Simplified Procedure for public purpose 2. Location :- Taluka - Katol Range – Katol/Kondhali Distrist –Nagpur Division - Nagpur 3. Details of Sr. No./Gut. No inspected : Village Range Sr. no/Gut No Area (in ha) 1 2 3 4 Chandanpardi Kondhali 221 0.29 356 3.38 Chikhli(Malode) Kondhali 218 1.87 Khutamba Katol 13 0.48 Sawli(Khurd) Kondhali 95 1.76 Sonmoh Kondhali 1 0.13 4 0.16 87 0.44 88 1.17 89 3.72 96 1.44 98 0.4 99 1.21 Gondimohgaon Katol 145 12.04 182 0.56 187 0.79 188 4.21 240 1.15 246 2.36 Bidjatamzari Katol 57 12.91 Isapur(Khurd) Katol 26 18.54 122 2.13 156 1.5 Isapur(Buzruk) Katol 142 13.36 143 0.98 Chikhli(Maina) Katol 106 1.18 Zilpa Katol 5 1.51 281 0.39 396 0.4 419 1.12 Dongargaon Katol 214 6.36 6 0.42 137 2.6 57 0.42 Gondikhapa Katol 35 3.6 96 1.7 129 0.42 145 1.14 Pethbudhwar Katol 105 2.38 71/B 0.16 17/2 0.1 Katol Katol 213 4.5 1033 0.52 875 0.46 Kedarpur Kondhali 9 0.24 166 2.86 133 0.36 Bordoh Katol 128 1.07 93 1.22 66 1.44 62 4.65 77 5.82 64 0.72 Total 134.74 4. Zudpi Jungle area involved in the proposal :- 134.74 Ha In the Taluka (ha) 5. Date of Joint Site Inspection :- 13.01.2015 6. Whether agree with joint Site Inspection Report of Circle Officer & Forester. - YES Give Reasons : 7. Remark Regarding verification of category :- Baron Land And present land use Sachin Gosavi Tahsildar Katol Range Forest Officer,Katol Range Forest Officer,Kondhali. CERTIFICATE REGARDING CATEGORY OF PROPOSAL ( To be given by SDO) It is understood that the proposals for diversion of Zudpi Jungle is to be submitted to Government of India under following six categories – Category Details of Proposal I Diversion of 32,229 ha fragmented Zudpi Jungle for public purpose/public infrastructure in consolidated from using simplified procedure II Encroachment (excluding commercial purpose) prior to 12/12/1996 using simplified procedure III Encroachment (excluding commercial purpose) post to 12/12/1996 using simplified procedure IV Non-forest use (excluding commercial purpose) prior to 12/12/1996 using simplified procedure V Non-forest use (excluding commercial purpose) post to 12/12/1996 using simplified procedure VI Commercial purpose using regular procedure prescribed by Government of India It is hereby certified that this proposal for diversion of Zudpi Jungle land is under the Category I-Diversion of 134.74 hectare fragmented Zudpi Jungle for public purpose/public infrastructure in consolidated from using simplified procedure. The total Zudpi Jungle land proposed for diversion under this category in Katol taluka of Nagpur district is 134.74 ha. in a total of 53 Survey Number/Gut Numbers in 17 number of villages. Avinash Katade Date : 15/01/2015 Sub Divisional Officer Place : Katol Katol Sub Division Nagpur District.
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