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/SCH/45260/2020   (ii). Name of Project for which Forest Land is required : Construction of the School Building & playgrounds for the existing high school, Abhinav Vidyamandir established 1978   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The revenue land which is shown as Reserve Forest/Wild Life forest and is under working plan. The land is close to National Reserve Forest at Mollem . The land is required for the construction of the School building & the playgrounds for the existing Govt. aided school, Abhinav Vidyamandir, Mollem-G   (iv). State : Goa   (v). Category of the Proposal : School   (vi). Shape of forest land proposed to be diverted : Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 150   (viii). Area of forest land proposed for diversion(in ha.): 0.906   (ix). Non-forest land required for this project(in ha.): 0   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : BHAUSAHEB BANDODKAR SHIKSHAN SAUNSTHA   (ii). Address1 : C/o V.S.LAAD HIGHER SECONDARY SCHOOL   (iii). Address2 : PILIEM, DHARBANDODA-GOA   (iv). State : Goa   (v). District : South Goa   (vi). Pin : 403406   (vii). Landmark : Behind Forest Depot,Tiska-Goa   (viii). Email address : prnadkarni@gmail.com   (ix). Landline Telephone No. : 832-2344022   (x). Fax No. : 832-   (xi). Mobile No. : 9326139252   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Others
A-3. Details of Person Making Application
  (i). First Name: PANDURANG   (ii). Middle Name: RAUJI   (iii). Last Name: NADKARNI   (iv). Gender: Male   (v). Designation: Authorized Representative   (vi). Address 1: C/o V.S.Laad Higher Secondary School   (vii). Address 2: Piliem, Dharbandoda-Goa,403 406   (viii). State: Goa   (ix). District: South Goa   (x). Tehsil: Sanguem   (xi). Pin: 403406   (xii). Landmark: Behind Forest Depot, Tiska-Goa   (xiii). Email Address: prnadkarni@gmail.com   (xiv). Landline Telephone No.: 832-2344022   (xv). Fax No.: NIL   (xvi). Mobile No.: 9326139252   (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.Working Plans0.9060
Total0.9060
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.South Goa0.9060
Total0.9060
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Mollem-Goa0.9060
Total 0.906 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1School Building & Playgrounds0.90440
Total 0.9044 0
C. Maps of forest land proposed to be diverted
Division 1. : Working Plans
  (i). Area of forest land proposed to be diverted(in ha.) : 0.906   (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).
1.0.906    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: No Data   (ii). Whether a copy of map indicating location of alternative examine is required to be provided: No   (a). Reason for not providing such map: There is no alternative land in the locality since
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?: No
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
1The village of Mollem in South Goa is adjacent to the Bhagwan Mahavir Wild Life Sanctuary, Mollem. The school is in need of the land admeasuring 9060.00 Sq. mts for the construction of the Buildibngs and the Playgrounds. No separate revenue land is available in the vicinity of the school.
2Reply to your letter no. 6-847-2020-21FD/0172 dated 08th Sept, 2020
3Certificate for Minimum use of land
4Statement showing the details of Forest Area
5Statement showing the details of Non-Forest Area
6Under taking for payment of cost of Compensatory Afforstation
7Under taking for payment of cost of Net Present Value of the Project
8Certificate of non-violation of Forest (Conservation Act),1980
9Cost Benefit Analysis
10Brief Note of the Project
11Form I & XIV of the proposed site
12Certificate in respect of any monuments of historical, religious, archaeological or recreational importance
13Copy of the letter dated 30th August, 2012 from Directorate of Education , Govt. of Goa regarding the requirement of the land
14Certificate regarding the cost of the project to be bourn by the management.
15Site plan of the plot
16Topo Sheet of the plot
17Geo-Reference Plan of the plot
18Survey Plan of the plot
19Project Details
20Justification of the Project locating in the Forest Area
21Additional information in continuation to our reply dated 20th Oct., 2020