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/GA/TRANS/34462/2018
(ii). Name of Project for which Forest Land is required :
400 kV D/C Xeldem-Mapusa Transmission Line
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Diversion of Forest land for construction of 400 kV D/C Xeldem-Mapusa Transmission Line under North Goa Forest Division in Goa State
(iv). State :
Goa
(v). Category of the Proposal :
Transmission Line
(vi). Shape of forest land proposed to be diverted :
Linear
(vii). Estimated cost of the Project(Rupees in lacs) :
15726
(viii). Area of forest land proposed for diversion(in ha.):
69.41
(ix). Non-forest land required for this project(in ha.):
183.406
(x). Total period for which the forest land is proposed to be diverted(in years):
35
A-2.
Details of User Agency
(i). Name :
GOA TAMNAR TRANSMISSION PROJECT LIMITED
(ii). Address1 :
F1 Mira Corporate Suite, Main Mathura Road, Ishwar Nagar,New Delhi-110065
(iii). Address2 :
NIL
(iv). State :
Delhi
(v). District :
South
(vi). Pin :
110065
(vii). Landmark :
Okhla Raiway Station
(viii). Email address :
nitin.agrawal@sterlite.com
(ix). Landline Telephone No. :
11-49962227
(x). Fax No. :
11-
(xi). Mobile No. :
9717991096
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
Private
A-3.
Details of Person Making Application
(i). First Name:
Nitin
(ii). Middle Name:
NIL
(iii). Last Name:
Agrawal
(iv). Gender:
Male
(v). Designation:
Manager
(vi). Address 1:
F1 Mira Corporate Suites, Main Mathura Road, Ishwar Nagar, New Delhi-110065
(vii). Address 2:
NIL
(viii). State:
Delhi
(ix). District:
South
(x). Tehsil:
Kalkaji
(xi). Pin:
110065
(xii). Landmark:
Okhla Railway Station
(xiii). Email Address:
nitin.agrawal@sterlite.com
(xiv). Landline Telephone No.:
11-49962227
(xv). Fax No.:
NIL
(xvi). Mobile No.:
8208007975
(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
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
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.
North
69.41
183.406
Total
69.41
183.406
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
North Goa
27.508
178.926
1.
South Goa
41.902
4.48
Total
69.41
183.406
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Thivim,Ganjem,Usgaon,Conquerim,Melauli,Dharbandora
69.41
183.406
Total
69.41
183.406
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Transmission Corridor
69.41
183.406
Total
69.41
183.406
C.
Maps of forest land proposed to be diverted
Division 1. : North
(i). Area of forest land proposed to be diverted(in ha.) :
69.41
(ii). Nature of the Project:
Linear
(b). No. of Segments :
Eight
Segment wise details
Segments
Segment Area(in ha.)
Kml File of Segments
(To view KML file on google the same may be downloaded and then open if in google earth install in your computer).
1.
1.9
View File
2.
7.38
View File
3.
0.34
View File
4.
13.56
View File
5.
4.26
View File
6.
22.2
View File
7.
14.54
View File
8.
5.23
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:
Yes
(a). Copy of map indicating location of alternative examined:
E.
Employment likely to be generated
(i). Whether the Project is likely to generate employment ?:
Yes
(ii). Permanent/Regular Employment(Number of persons):
36
(iii). Temporary Employment(Number of person-days):
12600
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?:
Yes
(a). Copy of Cost-Benefit analysis:
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?:
No
(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:
For laying of transmission lines
Additional information Details
Documents
S.No
Documents
Remarks
1
Section 68 Approval from Ministry of Power
2
Undertaking of Compensatory Afforestation
3
Undertaking of DGPS Survey
4
Undertaking of Dwarf Plantation.
5
Undertaking for minimum forest land use
6
Undertaking for NPV
7
Line Layout Plan
8
Village Map showing proposed Diversion forest area under North goa forest division.
9
Itemwise breakup of the total forest land use for the project.
10
statement showing details of the non forest land use for the project
11
Certificate of non-violation of Forest(Conservation) Act,1980.
12
Cost Benefit Analysis
13
Brief note of the project and justification
14
Form I & XIV of Govt Forest.
15
Form I & XIV of Pvt Forest.
16
Certificate that the proposal does not affect any monuments of historical, religious, archaeological or recreational importance including wildlife sanctuary or national park.
17
Order of Work or Letter of Intent from PFC Consulting Limited.
18
Undertaking regarding Labour Camp
19
Acknowledgement of Hard copy of proposal submitted to concerned District Collector
20
Reply of EDS raised by DCF North Goa dated 08/11/2018
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