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    Form I (Rule 5)

    Uploaded by

    Mukand Pathak
    This document is an application form for permission to undertake repair, renovation, construction, or reconstruction activities in protected or regulated areas near archaeological sites or monuments. It requests information such as the applicant and property owner's details, location and distance of the proposed work from protected sites, nature and details of the proposed work, timeframe, and a declaration that the applicant will observe relevant preservation laws. The applicant must provide documents establishing ownership, drawings of the existing and proposed structures, and photographs of the area.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Form I (Rule 5)

    Uploaded by

    Mukand Pathak
    49 views3 pages
    This document is an application form for permission to undertake repair, renovation, construction, or reconstruction activities in protected or regulated areas near archaeological sites or monuments. It requests information such as the applicant and property owner's details, location and distance of the proposed work from protected sites, nature and details of the proposed work, timeframe, and a declaration that the applicant will observe relevant preservation laws. The applicant must provide documents establishing ownership, drawings of the existing and proposed structures, and photographs of the area.

    Original Description:

    Form I (Rule 5)

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    © © All Rights Reserved

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    This document is an application form for permission to undertake repair, renovation, construction, or reconstruction activities in protected or regulated areas near archaeological sites or monuments. It requests information such as the applicant and property owner's details, location and distance of the proposed work from protected sites, nature and details of the proposed work, timeframe, and a declaration that the applicant will observe relevant preservation laws. The applicant must provide documents establishing ownership, drawings of the existing and proposed structures, and photographs of the area.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    49 views3 pages

    Form I (Rule 5)

    Uploaded by

    Mukand Pathak
    This document is an application form for permission to undertake repair, renovation, construction, or reconstruction activities in protected or regulated areas near archaeological sites or monuments. It requests information such as the applicant and property owner's details, location and distance of the proposed work from protected sites, nature and details of the proposed work, timeframe, and a declaration that the applicant will observe relevant preservation laws. The applicant must provide documents establishing ownership, drawings of the existing and proposed structures, and photographs of the area.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    Form I

    (See rule 5)
    Application for grant of permission for undertaking repair/renovation in the prohibited area and
    construction/ reconstruction/ repair/ renovation in the regulated area of protected monument or
    archaeological site and remains declared as of national importance under the Ancient Monuments
    and Archaeological Sites and Remains Act, 1958.
    1. Name of the applicant:

    2. Address of the applicant:

    (a) Present
    (b) Permanent
    3. Name of the owner(s):
    (If the applicant is other than the owner)

    4. Address of the owner(s):


    (a) Present
    (b) Permanent
    5. Whether the property is owned by individual or jointly
    (furnish documents)

    6. Whether the property is owned by Government/Public Sector


    Undertaking/Private Sector Undertaking/Firm (if so, details
    to furnished with complete address and phone numbers):

    7. Locality of the proposed construction:


    (with full details plot number, etc.,)

    8. Name of the nearest monument or site:


    (a) Locality:
    (b) Taluk:
    (c) District:
    (d) State:
    (Enclose area map showing the monument and the site of repair/ renovation/ construction/
    reconstruction)

    9. Distance of the site of construction related activities from the protected boundary of the
    monument:

    (a) Distance from the main monument:

    (b) Distance from the protected wall of the monument:

    Page 1 of 3
    10. Nature of the Work proposed:
    (Repair/renovation/construction etc.)

    11. Details of work proposed


    (furnish complete details with drawings of building/structure)

    (i) Number of storeys


    (ii) Floor area (storey-wise)
    (iii) Height (excluding mumty, parapet,
    water-storage tank, etc.)
    (iv) Height (including mumty, parapet,
    water-storage tank, etc.)
    (v) Basement, if any proposed with details

    (Enclose plan, section and elevation drawings of the existing building duly approved by the Building
    Plan Sanctioning Authority and proposed building plan with section and elevation in case of
    reconstruction. Enclose building plan, section and elevation of the proposed building in case of
    construction/reconstruction.

    12. Purpose of the proposed work:


    (residential/commercial/institutional/public/community)

    13. Approximate date of the commencement


    of the proposed works:

    14. Approximate duration for completion of the proposed work:

    15. Maximum height of the existing modern buildings in


    the close vicinity of-
    (a) Near the Monument:
    (b) Near the site of construction related activity:

    16. Whether the monument is located within the limits of Municipal Corporation/ Municipalities/
    Nagar Panchayat/ Village Panchayat

    17. Does any Master Plan/zonal development plan/layout plan approved by concerned local
    authorities

    18. Status of modern constructions in the vicinity of the monument and the proposed site of
    construction/ reconstruction:

    19. Open space/park/green area close to protected monument/protected area:

    20. Whether any road(s) exists between the monument and the site of construction/reconstruction:

    21. Remarks/additional information, if any:

    Page 2 of 3
    I ……………………………………………………………………….. declare that the above
    information is correct. I also undertake to observe the provisions of the Ancient Monuments and
    Archaeological Sites and Remains Act, 1958 as amended by the, the Ancient Monuments and
    Archaeological Sites and Remains (Amendment and Validation) Act, 2010 and the rules made
    there under.

    Place:

    Seal of firm (if any)

    Date: Signatur of applicant

    Note:
    1. If the application is on the behalf of the organisation/firm, the signature should be of the
    head of that organisation/firm.
    2. Enclose photographs showing the monument and the existing modern constructions.
    3. Google Earth Images of the area under reference showing the monument and the site of
    construction related activities.
    4. Enclose ownership documents duly attested by an authorized officer of the Government.
    5. In case of repairs/renovation a report from a duly authorized/licensed architect to be
    submitted by the applicant.

    Page 3 of 3

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