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/MIN/25382/2017   (ii). Name of Project for which Forest Land is required : advona Toleamati E Galiguro iron ore mine, T.C.No 87/53   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : 'Advona Toleamati E Galiguro Iron ore mine T.c.no. 87/53" of M/s Soceidade Timblo Irmaos limitada Represented By M/S Panduronga Timblo Industrias, The mine was originally granted as a mining concession un perpetuity but later on declared as mining lease. Mining lease is already processed & the lease   (iv). State : Goa   (v). Category of the Proposal : Mining   (vi). Shape of forest land proposed to be diverted : Non Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 53990   (viii). Area of forest land proposed for diversion(in ha.): 32.3315   (ix). Non-forest land required for this project(in ha.): 3.9686   (x). Total period for which the forest land is proposed to be diverted(in years): 10
A-2. Details of User Agency
  (i). Name : PANDURONGA TIMBLO INDUSTRIAS   (ii). Address1 : post box. 242,subhash timblo bhavan,margao - goa.   (iii). Address2 : NIL   (iv). State : Goa   (v). District : South Goa   (vi). Pin : 403601   (vii). Landmark : isidorio baptista road   (viii). Email address : homines@ptigroup.co.in   (ix). Landline Telephone No. : 832-6628000   (x). Fax No. : 832-2732587   (xi). Mobile No. : 9403686614   (xii). Website (if any) : http://www.ptigroup.co.in/   (xiii). Legal status of User Agency : Private
A-3. Details of Person Making Application
  (i). First Name: Sarvesh   (ii). Middle Name: Pramod   (iii). Last Name: Timblo   (iv). Gender: Male   (v). Designation: Partner   (vi). Address 1: Post Bos. 242,Panduronga timblo Industrias,Subhash Timblo Bhavan, Margao - Goa.   (vii). Address 2: NIL   (viii). State: Goa   (ix). District: South Goa   (x). Tehsil: Salcete   (xi). Pin: 403601   (xii). Landmark: Isidoria Baptista Road   (xiii). Email Address: rupesh@ptigroup.co.in   (xiv). Landline Telephone No.: 832-6628000   (xv). Fax No.: 08322732587   (xvi). Mobile No.: 9403686614   (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.North32.33153.9686
Total32.33153.9686
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.North Goa32.33153.9686
Total32.33153.9686
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Shigao32.33153.9686
Total 32.3315 3.9686
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1dharbandora32.33153.9686
Total 32.3315 3.9686
C. Maps of forest land proposed to be diverted
Division 1. : North
  (i). Area of forest land proposed to be diverted(in ha.) : 32.3315   (ii). Nature of the Project: Non Linear   (a). No. of patches : One
Patch wise details
Patch No. Area of Patch(in ha.) Kml File of PatchesTo view KML file on google the same may be downloaded and then open if in google earth install in your computer.
1.0    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:
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 100   (iii). Temporary Employment(Number of person-days): 50
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 ? : Yes   (a). Status of the Environmental Clearance to the Project: EC obtained   (b). Environmental Clearance File No.: I-11015/343/2005-IA.II(M)   (c). Copy of Environmental Clearance to the Project:   (d). Date of grant of Environmental Clearance to the Project: 13 Jul 2006
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 ?: No   (iii) . Reason for not providing Non-Forest Land: Certificate from Chief Secretary regarding non-availability of suitable non-forest/ revenue forest land
M. Mining Details
M-1. Details of Mineral Concessions
  (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): 96/446/88/IIR-mines/2986   (b). Date of issue of the Letter of Intent(LOI) for grant of mining lease: 06 Jan 2015   (c). Copy the Letter of Intent(LOI):   (d). Total area of the mining lease(in ha.): 48.2207   (e). Area of forest land located in the mining lease(in ha.): 45.0336
M-2. Details of Mining Plan
  (i). Date of approval of mining plan: 07 Dec 2015   (ii). Approval authority: Indian Bureau of Mines   (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-3. Details of prospecting undertaken to assess mineral reserves
  (i). Whether detailed prospecting to assess mineral reserve in the lease has been undertaken: No
M-4. Details of extension (if any) of original prospecting licence issued in the past
  (i). Whether detailed prospecting to assess mineral reserve in the lease has been undertaken: No
M-5. Brief details of prospecting activities undertaken in the mining lease :
  (i). Detail of prospecting activity under taken in the mining lease: The lease area was initially prospected by exploratory mining pits and subsequently by way of drilling. till date 116 nos. of boreholes have been drilled.
M-5.1 Details of bore holes drilled for prospecting :
Bore holes drilled for prospecting
S.no No. of Bore holes (in forest land) Diameters(in inch.) forest land No. of Bore holes (in non-forest land) Diameters(in inch.) non-forest land
11163.500
M-5.2 Estimated Reserve along with accuracy and confidence level
Estimated Reserve along with accuracy and confidence level
Minerals Estimated Reserve
(million tones)
% accuracy (+ -) % confidence level Estimated Reserve
(million tones)
% accuracy (+ -) % confidence level
Iron Ore2.490906.487070
M-6. Details of approval under the Forest (Consevation) Act,1980 obtained for undertaking prospecting 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
S.no MoEF File No Date of approval Area of forest land diverted(in ha.) From Date To Date
NIL
M-7. Mineral wise details
  (i). No. of minerals: One
Mineral wise details
Minerals Estimated reserve in
non forest land(million tons.)
Estimated reserve
in forest land(million tons.)
Estimated annual
extraction(million tons.)
Estimated life
of mine(Yrs.)
Total estimated extraction during
mining lease period(million tons.)
Estimated mineral reserve
at the end of mining lease(million tons.)
Iron Ore08.880.18491.87.08
M-7.1 Proposed use of the minerals proposed to be raised from the mining lease
  (i). Proposed use of the minerals proposed to be raised from the mining lease: Non captive   (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
1submitted covering letter
2Check list
3Brief details
4cost benefit
5statement showing area break up of mining lease
6statement showing survey number wise forest & non forest area
7information regarding number of beneficiaries of the project
8Earlier fc diversion copy
9bearing of Lease Boundary Pillars details
10FRA under the scheduled tribes and other traditional forest dwellers
11GSPCB consent to operated letter
12Justification of project
13location plan
14shigao concession copy in English translation
15shigao EC
16site plan
17undertaking that the company has never violated the provisios forect act
18undertaking bear cost of land for NPV compensatory afforesatation
19undertaking to bear the cost of raising and maintanance of compensatary afforestation
20undertaking to bear to carry on mining activities is the minimum area that is required
21form A
22form xiv