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/Others/30234/2017
(ii). Name of Project for which Forest Land is required :
New Mandovi Bridge between Panaji & Porvorim
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
The project consists of cable stayed bridge over river Mandovi connecting the capital city of Panaji and Porvorim (Penha de Franca) intended to decongest the existing two bridges and the junctions. The at grade road proposed on the Northern side (Penha De Franca) is located in the private forest.
(iv). State :
Goa
(v). Category of the Proposal :
Others
(vi). Shape of forest land proposed to be diverted :
Linear
(vii). Estimated cost of the Project(Rupees in lacs) :
40300
(viii). Area of forest land proposed for diversion(in ha.):
0.6648
(ix). Non-forest land required for this project(in ha.):
0.722
(x). Total period for which the forest land is proposed to be diverted(in years):
100
A-2.
Details of User Agency
(i). Name :
GOA STATE INFRASTRUCTURE DEVELOPMENT CORPORATION LTD.
(ii). Address1 :
1st Floor, Spaces Building, EDC, Patto- Panaji
(iii). Address2 :
NIL
(iv). State :
Goa
(v). District :
North Goa
(vi). Pin :
403001
(vii). Landmark :
EDC
(viii). Email address :
henzil.cardoz@gsidcltd.com
(ix). Landline Telephone No. :
832-2493550
(x). Fax No. :
832-
(xi). Mobile No. :
9011025941
(xii). Website (if any) :
www.gsidcltd.com
(xiii). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
Sandip
(ii). Middle Name:
Prabhu
(iii). Last Name:
Chodnekar
(iv). Gender:
Male
(v). Designation:
Manager
(vi). Address 1:
1st Floor, Spaces Building, EDC, Patto- Panaji
(vii). Address 2:
NIL
(viii). State:
Goa
(ix). District:
North Goa
(x). Tehsil:
Tiswadi
(xi). Pin:
403001
(xii). Landmark:
NIL
(xiii). Email Address:
henzil.cardoz@gsidcltd.com
(xiv). Landline Telephone No.:
832-2493550
(xv). Fax No.:
NIL
(xvi). Mobile No.:
9822125660
(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
0.6648
0.722
Total
0.6648
0.722
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
North Goa
0.6648
0.722
Total
0.6648
0.722
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Penha De Franca
0.6648
0.722
Total
0.6648
0.722
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
SURVEY NO 90/1
0.3097
0
2
SURVEY NO 90 (PART)
0.0578
0
3
SURVEY NO 34(PART)
0.129
0
4
Survey No 35(PART)
0.052
0
5
Survey No 105/1
0.1114
0
6
Survey No 89(PART)
0.0048
0
Total
0.6647
0
C.
Maps of forest land proposed to be diverted
Division 1. : North
(i). Area of forest land proposed to be diverted(in ha.) :
0.6648
(ii). Nature of the Project:
Linear
(b). No. of Segments :
One
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.
0.6648
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:
No Alternative
E.
Employment likely to be generated
(i). Whether the Project is likely to generate employment ?:
No
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? :
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
Additional information Details
Documents
S.No
Documents
Remarks
1
Certificate-compensatory afforestation
2
Certificate-Minimum trees to be cut
3
certificate- no violation of Forest act
4
certificate- not affecting wildlife sanctuary
5
certificate- not affecting monuments
6
English language declaration
7
Net Present Value
8
Annexure A- Item wise breakup
9
certificate- forest conservation act
10
dy conservator forest reg private forest
11
FORM A
12
NON FOREST AREA DETAILS
13
areastatement
14
authorization letter
15
briefnote
16
costbenefitanalysis
17
financeapproval
18
SYNO34-1
19
SYNO35-1
20
SYNO89-1
21
SYNO90-1
22
SYNO90-1A
23
SYNO105-1
24
DYCOL-DCF RECEIPTS
25
min trees letter-33 nos
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