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/141934/2021
(ii). Name of Project for which Forest Land is required :
Diversion of forest land for erection of CAT-I Approach Lighting System of Mopa Airport project
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
proposed Construction of Mopa Airport in Pernem Taluka
(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) :
261500
(viii). Area of forest land proposed for diversion(in ha.):
0.2517
(ix). Non-forest land required for this project(in ha.):
861.7483
(x). Total period for which the forest land is proposed to be diverted(in years):
NIL
A-2.
Details of User Agency
(i). Name :
GOVERNMENT OF GOA
(ii). Address1 :
Directorate of Civil Aviation, Room No. 19, Secretariat, Porvorim, Bardez, Goa
(iii). Address2 :
NIL
(iv). State :
Goa
(v). District :
North Goa
(vi). Pin :
403521
(vii). Landmark :
Secretariat, Administrative Block
(viii). Email address :
dir-civilavia.goa@nic.in
(ix). Landline Telephone No. :
832-2419542
(x). Fax No. :
832-2419869
(xi). Mobile No. :
9423059067
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
SURESH
(ii). Middle Name:
NIL
(iii). Last Name:
SHANBHOGUE
(iv). Gender:
Male
(v). Designation:
DIRECTOR
(vi). Address 1:
Directorate of Civil Aviation, Room No. 19
(vii). Address 2:
Secretariat, Porvorim Goa
(viii). State:
Goa
(ix). District:
North Goa
(x). Tehsil:
Pernem
(xi). Pin:
403521
(xii). Landmark:
Secretariat
(xiii). Email Address:
dir-civilavia.goa@nic.in
(xiv). Landline Telephone No.:
832-2419542
(xv). Fax No.:
08322419638
(xvi). Mobile No.:
9423059067
(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
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
1
Approved
FP/GA/OTHERS/17535/2016
4-GOB1100/2016-BAN
0.1133
0.1133
28 Nov 2016
20 Apr 2018
Total
0.1133
0.1133
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
0.2517
861.7483
Total
0.2517
861.7483
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
North Goa
0.2517
861.7483
Total
0.2517
861.7483
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Chandel
0.2517
861.7483
Total
0.2517
861.7483
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
CAT-I Lighting
0.2517
861.7483
Total
0.2517
861.7483
C.
Maps of forest land proposed to be diverted
Division 1. : North
(i). Area of forest land proposed to be diverted(in ha.) :
0.2517
(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.
0.2517
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:
identified is best suitable
E.
Employment likely to be generated
(i). Whether the Project is likely to generate employment ?:
Yes
(ii). Permanent/Regular Employment(Number of persons):
5
(iii). Temporary Employment(Number of person-days):
1000
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.:
File No. 10-29/2011-IA-III
(c). Copy of Environmental Clearance to the Project:
(d). Date of grant of Environmental Clearance to the Project:
2015-28-10
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
Brief Note of the Project
2
Certificate for payment of Compensatory Afforestation
3
Certificate of Cost Benefit Analysis
4
Certificate for demand for forest land minimum
5
Certificate of details of forest land
6
Copy of Environmental Clearance
7
Form A of the project
8
Copy of Geo-reference of the Project
9
Note of Justification of project locating in forest area
10
List of trees enumerated
11
Certificate for payment of Net Present Value of the project
12
NOC from CRZ Authority
13
Certificate of non-forest land required for the project
14
Certificate of non-violation
15
Certificate of proposal not effecting historical monuments
16
NOC from Panchayat
17
Survey plan of the project
18
Toposheet of the project
19
Form I & XIV
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