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/31511/2018   (ii). Name of Project for which Forest Land is required : shifting of 33KV Sanvordem & opa feeder as per the request of PWD NH Ponda   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The 33Kv Opa feeder is passing through ROW of NH & 33KV sanvordem feeder already passing through forest will be realigned for safety clearance between both the lines. Tree cutting is required for safety.   (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) : 8.22   (viii). Area of forest land proposed for diversion(in ha.): 0.147   (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): NIL
A-2. Details of User Agency
  (i). Name : EXECUTIVE ENGINEER PHASE DIVISION III   (ii). Address1 : O/o of The Executive Engineer ,Electricity department colony curti POnda Goa   (iii). Address2 : NIL   (iv). State : Goa   (v). District : North Goa   (vi). Pin : 403401   (vii). Landmark : NIL   (viii). Email address : eediv3@yahoo.co.in   (ix). Landline Telephone No. : 832-2312194   (x). Fax No. : 832-2317810   (xi). Mobile No. : 8380015003   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Stephan   (ii). Middle Name: NIL   (iii). Last Name: Fernandes   (iv). Gender: Male   (v). Designation: EE   (vi). Address 1: Electricity department colony curti Ponda Goa   (vii). Address 2: NIL   (viii). State: Goa   (ix). District: North Goa   (x). Tehsil: Ponda   (xi). Pin: 403401   (xii). Landmark: NIL   (xiii). Email Address: eediv3@yahoo.co.in   (xiv). Landline Telephone No.: 832-2312194   (xv). Fax No.: 08322317810   (xvi). Mobile No.: 8380015003   (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.North0.1470
Total0.1470
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.North Goa0.1470
Total0.1470
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Curti Khandepar0.1470
Total 0.147 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1area0.1470
Total 0.147 0
C. Maps of forest land proposed to be diverted
Division 1. : North
  (i). Area of forest land proposed to be diverted(in ha.) : 0.147   (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).
1.0.147    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: since the 33KV Sanvordem feeder is already passing
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
1Project report for shifting.
2jurstifiction for locating project in forest land
3undertaking for minimum use of forest land
4cost benefit analysis of project
5undertaking for statement for non forest area
6non violation of forest act
7undertaking for payment of NPV
8undertaking for not affecting monuments
9work will be carried out departmentally after payment of charges by PWD
10undertaking for afforestation for the project land taken
11form I & XIV of rea
12undertaking taking exploitation of trees
13covering letter of the reply to the query raised by DCF office dated 20/02/2018
14statement showing the forest area
15scanned copy of the toposheet of the forest area where treees are to be felled.