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/153183/2022   (ii). Name of Project for which Forest Land is required : Zamblidadga Dongor Iron and Manganese Ore Mine M.L. No. 3 FeMn 79   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The project is proposed for the production of 0.5 MTPA of Iron Ore from the Mining Lease having an area of 70.20 Ha. and approach road (existing) to Mining Lease area admeasuring 1.88 Ha. is required for the project. Total forest land proposed for diversion for the project is 72.08 Ha., situated at   (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) : 5190   (viii). Area of forest land proposed for diversion(in ha.): 72.08   (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 : NARAINA S QUIRTONIM MINES   (ii). Address1 : Mathura, H. No.1153, Near St. Joseph High School, Aquem Alto, Margao, Goa - 403601   (iii). Address2 : NIL   (iv). State : Goa   (v). District : South Goa   (vi). Pin : 403601   (vii). Landmark : NIL   (viii). Email address : zmbdmine@gmail.com   (ix). Landline Telephone No. : 91-0832-2750725   (x). Fax No. : 91-   (xi). Mobile No. : 9822210465   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Others
A-3. Details of Person Making Application
  (i). First Name: Pradnya   (ii). Middle Name: Zoivant   (iii). Last Name: Poi Cano alias Pai Cano   (iv). Gender: NIL   (v). Designation: Duly Constituted Attorney for   (vi). Address 1: Mathura, H. No.1153, Near St. Joseph High School, Aquem Alto, Margao, Goa - 403601   (vii). Address 2: NIL   (viii). State: Goa   (ix). District: South Goa   (x). Tehsil: NIL   (xi). Pin: 403601   (xii). Landmark: NIL   (xiii). Email Address: zmbdmine@gmail.com   (xiv). Landline Telephone No.: 0-   (xv). Fax No.: NIL   (xvi). Mobile No.: 9850534080   (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.South72.080
Total72.080
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.South Goa72.080
Total72.080
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Caurem72.080
Total 72.08 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Mining lease along with approach road72.080
Total 72.08 0
C. Maps of forest land proposed to be diverted
Division 1. : South
  (i). Area of forest land proposed to be diverted(in ha.) : 72.08   (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.
1.72.08    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): 52   (iii). Temporary Employment(Number of person-days): 200
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 application yet to be submitted
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?: 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: 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): No.96/51/99-Mines/1840   (b). Date of issue of the Letter of Intent(LOI) for grant of mining lease: 04 Jan 2022   (c). Copy the Letter of Intent(LOI):   (d). Total area of the mining lease(in ha.): 70.2   (e). Area of forest land located in the mining lease(in ha.): 70.2
M-2. Details of Mining Plan
  (i). Date of approval of mining plan: 14 Mar 2022   (ii). Approval authority: Indian Bureau of Mine   (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 was initially prospected by exploratory mining pits and subsequently by way of drilling. 14 boreholes were drilled with a total meterage of 431m.
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
114400
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 Ore4.336100100000
Manganese Ore0.032100100000
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: Two
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 Ore04.3360.593.50.836
Manganese Ore00.0320900.032
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
1Statement showing details of Non-forest area proposed for diversion
2Undertaking from project authority to bear the cost of exploitation of trees and the cost of compensatory afforestation
3Undertaking to bear the cost of compensatory afforestation and fencing the safety zone area over one and a half times of degraded forest area
4Affidavit from Project Authority stating the Survey Nos. covered by the lease
5Undertaking to bear the cost of raising and maintenance of compensatory afforestation and/or penal compensatory afforestation
6Document in support of the competence/authority (Power of Attorney)
7Justification Note for locating the project in forest land
8DGPS plan
9Supplementary Lease Deed
10Undertaking for payment of Compensatory Afforestation
11Undertaking for payment of Net Present Value
12Certificate- No violation of provision of FCA, 1980
13Certificate - Project does not affect monuments, wildlife sanctuary and national park
14Lease extension order from Directorate of Mines and Geology, Goa
15Copy of Form I & XIV of survey no. 19/0 from Directorate of Settlement and Land Records
16Approval of Review and Uptation of Mining Plan
17Note on transportation of minerals
18Checklist
19Approved Review and Updation of Mining Plan
20Reply to Query dated 05/04/2022 - Legal Opinion
21Certificate of minimum use of forest land
22Copy of index plan
23Copy of Key plan
24Copy of Contour plan
25Cost Benefit Analysis
26Copy of toposheet
27Georeferenced plan
28Copy of landuse plan
29Copy of DGPS plan indicating forest area in mining lease and approach road
30Form A
31Brief note of the project
32Statement showing details of forest area
33Reply to DCF query letter dated 17/10/2022 referring to MoEFCC letter dated 30/09/2022