FORM - A

Form for seeking prior approval of Central Government under section 2 of the Forest(Conservation) Act,1980 for Diversion of
fresh forest area

PART - I
(To be filled up by User Agency)

A. General Details

A-1. Project Details

 
(i). Proposal No. : FP/KA/MIN/45105/2020
 
(ii). Name of Project for which Forest Land is required : To acess approach road to ML no 2545,jaisingpur iron
ore mines , jaisingpur village,Ramghad forest Block,sandur north range,sandur taluk,ballari district . in Favour of
M/s Lakshmi minerals , Hospet
 
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required : As per the
recommendation of the Hon. monitoring committee we request for forest clearance for an area of 0.32ha falling
on the existing approach road moving from goshala hospet sandur main road to ML 2545( jaisinghpur iron ore
mines)
 
(iv). State : Karnataka
 
(v). Category of the Project : Mining
 
(vi). Shape of forest land proposed to be diverted : Linear
 
(vii). Estimated cost of the Project(Rupees in lacs) : 0
 
(viii). Total Area of Forest Land proposed for diversion(in ha.): 0.32
 
(ix). Non-Forest Land required for this project(in ha.): 0.95
 
(x). Total period for which the forest land is proposed to be diverted(in years): 37

A-2. Details of User Agency

 
(i). Name : MS LAKSHMI MINERALS
 
(ii). Address1 : M J Nagar, Hosapet
 
(iii). Address2 : NIL
 
(iv). State : Karnataka
 
(v). District : Bellary
 
(vi). Pin : 583201
 
/
 (vii). Landmark : NIL
 
(viii). Email address : laksmiseiaa123@yandex.com
 
(ix). Landline Telephone No. : 52-111515
 
(x). Fax No. : 52-
 
(xi). Mobile No. : 9632340620
 
(xii). Website (if any) : NIL
 
(xiii). Legal status of User Agency : Private

A-3. Details of Person Making Application

 
(i). First Name: Laksmi
 
(ii). Middle Name: NIL
 
(iii). Last Name: minerals
 
(iv). Gender: Male
 
(v). Designation: Properitor
 
(vi). Address 1: M J Nagar, Hosapet
 
(vii). Address 2: NIL
 
(viii). State: Karnataka
 
(ix). District: Bellary
 
(x). Tehsil: Hospet
 
(xi). Pin: 583201
 
(xii). Landmark: NIL
 
(xiii). Email Address: lakshmiseiaa123@yandex.com
 
(xiv). Landline Telephone No.: 52-515151
 
(xv). Fax No.: NIL
 
(xvi). Mobile No.: 9632340620
 
(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:
/
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

List of proposal submitted in Past

Moef Area Proposed Date of In- Date of

Proposal Proposal Area
S.no File for Principle Final
Status. No. Diverted(Ha.)
No. Diversion(Ha.) Approval Approval

NIL

B-2. Details of forest land proposed to be diverted

B-2.1 Details of Divisions involved

Details of Divisions involved

Non-Forest
S.no Division Name Forest Land(ha.)
Land(ha.)

1. Bellary 0.32 0.95

B-2.2 Details of Districts involved

District wise breakup

Non-Forest
S.no District Name Forest Land(ha.)
Land(ha.)

1. Bellary 0.32 0.95

B-2.3 Village wise breakup

Villages wise breakup

S.no Village Forest Land(ha.) Non-Forest Land(ha.)

NIL

B-2.4 Component wise breakup

Component wise breakup

Non-Forest
S.no Component Forest Land(ha.)
Land(ha.)

1 Carriageway 0.2262 0.70148

2 Shoulders 0.0624 0.1976

3 Drains 0.0312 0.050388

C. Maps of forest land proposed to be diverted

Division 1. : Bellary

 
(i). Area of forest land proposed to be diverted(in ha.) : 0.32
 
(ii). : Linear
 
(b). No. of Segments : One
/
  

Segment wise details

Segments Segment Area(in ha.) Kml File of Segments

1. 0.32
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 GPS 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 NA

E. Employment likely to be generated

 
(i). Whether the Project is likely to generate employment ?: Yes
 
(ii). Permanent/Regular Employment(Number of persons): 47
 
(iii). Temporary Employment(Number of person-days): 10

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?: Not Applicable
 
(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 ?: Not Applicable
 
(iii) . Reason for not providing Non-Forest Land: Not Applicable

M. Mining Details

M-
Details of Mineral Concessions
1.
 
(i). Whether the forest land is aquired under Coal Bearing Areas Act: No
 
(a). Reference number of Letter of Intent for grant of mining lease.(approval letter of the State Mines and
Geology Department): ML NO 2545
 
(b). Date of issue of the Letter of Intent(LOI) for grant of mining lease: 16 Apr 2007
 

(c). Copy the Letter of Intent(LOI):

 
(d). Total area of the mining lease(in ha.): 34.14
 
(e). Area of forest land located in the mining lease(in ha.): NIL

M-
Details of Mining Plan
2.
 
(i). Date of approval of mining plan: 13 Jun 2018
 
(ii). Approval authority: IBM
 

(iii). Copy of approval of mining plan:

 

(iv). Copy of approved mining plan:

 
(v). Nature of mining (underground/opencast): Opencast
 

(vi). Copy of the detailed land use plan in 1:4,000 scale prepared by using GPS or Total Station :
 

(vii). Copy of map of the outer boundary of mining lease area:      View file

M-
Details of prospecting undertaken to assess mineral reserves /
3.
 
(i). Whether detailed prospecting to assess mineral reserve in the lease has been undertaken: Yes

prospecting undertaken to assess mineral reserves

Designation of Period of Period of

authority Date of validity of validity of
responsible grant of extension extension Copy of prospecting
S.no
for grant of the prospecting prospecting prospecting licence
original propecting licence licence licence To
license From date date

1 Deputy Director DMG, - 16 Apr 2007 16 Apr 2007 17 Apr 2057

Hospet

M-
Details of extension (if any) of original prospecting licence issued in the past
4.
 
(i). Whether detailed prospecting to assess mineral reserve in the lease has been undertaken: Yes

Details of extension (if any) of original prospecting licence

Designation of Extension
Date of
authority of validity Extension of
extension
responsible for of validity of Copy of prospecting
S.no of
extension of the prospecting prospecting licence
prospecting
propecting licence licence To date
licence
license From date

1 Deputy Director 16 Apr 2007 16 Apr 2007 17 Apr 2057

DMG, -Hospet

M-
Brief details of prospecting activities undertaken in the mining lease :
5.
 
(i). Detail of prospecting activity under taken in the mining lease: iron ore mining

M-5.1 Details of bore holes drilled for prospecting :

Bore holes drilled for prospecting

No. of Bore Diameters(in

No. of Bore holes (in forest Diameters(in
S.no holes (in non- inch.) non-
land) inch.) forest land
forest land) forest land

1 0 0 0 0

M-5.2 Estimated Reserve along with accuracy and confidence level

Estimated Reserve along with accuracy and confidence level

Estimated Estimated
% % %
Reserve % accuracy Reserve
Minerals confidence accuracy confidence
(million (+ -) (million
level (+ -) level
tones) tones)

Iron Ore 3.120 45 57 0 0 0

M- Details of approval under the Forest (Consevation) Act,1980 obtained for undertaking prospecting
6. activities in the forest land located in the mining lease
 
(i).Whether approval under the Forest (Conservation) Act, 1980 for undertaking prospecting activities in the
forest land located in the mining lease have been obtained No

Details of approval under the Forest(Consevation) Act,1980

MoEF File Date of Area of forest land diverted(in From To
S.no
No approval ha.) Date Date
/
 NIL
M-
Mineral wise details
7.
 
(i). No. of minerals: One

Mineral wise details

Total Estimated
Estimated Estimated estimated mineral
Estimated
reserve in reserve Estimated annual extraction reserve
life
Minerals non forest in forest extraction(million during at the end of
of
land(million land(million tons.) mining lease mining
mine(Yrs.)
tons.) tons.) period(million lease(million
tons.) tons.)

NIL
M-
Proposed use of the minerals proposed to be raised from the mining lease
7.1
 
(i). Proposed use of the minerals proposed to be raised from the mining lease: Captive
 
(a).Copy note containing details of the linked end-use Project: No Data
 
(ii).Copy note containing details of the plan for the transportation of the minerals proposed to be raised
from the mining lease:

Additional information Details

Documents

S.No Documents
Remarks

1 Formal withdrawl request

against previous proposal
number
FP/KA/ROAD/39507/2019
Reason-Instead of "Mining"
we had applied as road then
later came to know that
approach road is an integral
part of mining and then we
applied a new proposal as
"Mining". Hence requesting
you to withdraw.

2 forest road conversion

details

3 Cross Section Of Road

4 GPS Coordinates of Corner

Points
5 Mine Lease number 2545 is
not working because The
Said M L No 2545 is a 'B'
Catogorised mine
Catogorised by Hon CEC,
Since 2011, we have
completed the required
formalities and paid the
penalties and also recieved
the resumption order of the
lease from monitoring
committee on 15/05/2020. in
whch the monitoring
committee mentioned the
/
 requirement of forest
clearence for the said 0.32
Ha which falls on the
approach road of the mining
lease

6 NPV, COMPENSATORY
AFFORESTATION

7 Undertaking with regards to

stone pillar marking on the
corner of the pillar

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