FORM 1B
AFFIDAVIT
[See sub-rule (2) or rule 5A]
I / We do hereby solemnly affirm and declare as follows:-
(1) That I / We undertake to create compensatory water body of equal or larger size of the water body which is sought to be changed, converted or altered.
(2) That I / We undertake to create such compensatory water body on the land details of which are furnished below:-
(a) Name of the District :
(b) Name of the police station :
(c) Name of the mouza :
(d) Jurisdiction List No. :
(e) Khatian No. (R.S & L.R) :
(f) Plot No. (R.S & L.R) :
(g) Area of the Plot (R.S & L.R) :
[If part plot, specify the area and portion]
(h) Existing Classification of the plot :
(3) That I / we undertake to create such compensatory water body on the land, in question within a period of 90 days from the date of issue of the order granting change, conversion or alteration of the water body as sought for.
(4) That I / we undertake to maintain the water body as so created in proper and appropriate manner.
(5) That I / we undertake to submit before the District Land and Land Reforms Officer the documents showing creation of compensatory water body within a period of 15 days after expiry of the stipulated period of 90 days for creation of such compensatory water body.
(6) That I / we undertake that in case of failure to create such compensatory water body within the stipulated period of 90 days I / we shall not raise any objection for cancellation of the order granting change, conversion or alteration of the water body for which permission is sought for.
(7) That I / we also undertake to restore the said water body at my / our own cost if already changed, converted or altered within a period of 90 days from the date of issue of direction by the District Land and Land Reforms Officer for such restoration.
(8) That I / we further undertake to pay restoration cost as and when the same may be asked for to pay by the District Land and Land Reforms Officer.
Date:
(Full signature of the applicant(s) with seal, if any)
Identified by me.
(Advocate)