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/146162/2021   (ii). Name of Project for which Forest Land is required : Netravali UG Cabling   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : This project involves the work of conversion of existing 11KV overhead Netravali feeder to 11KV U/G cabling network emanating from 33/11KV Vaddem substation in Sanguem constituency under the jurisdiction of Elect. Sub Division-III, Sanguem. The underground system would give better service to the con   (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) : 4526.74579   (viii). Area of forest land proposed for diversion(in ha.): 0.85632   (ix). Non-forest land required for this project(in ha.): 4.18897   (x). Total period for which the forest land is proposed to be diverted(in years): NIL
A-2. Details of User Agency
  (i). Name : GOA ELECTRICITY DEPARTMENT   (ii). Address1 : O/o Executive Engineer, Electricity Department Opp cada Hall   (iii). Address2 : NIL   (iv). State : Goa   (v). District : South Goa   (vi). Pin : 403706   (vii). Landmark : Opposite Cada Hall   (viii). Email address : ee7-elec.goa@nic.in   (ix). Landline Telephone No. : 832-2650632   (x). Fax No. : 832-   (xi). Mobile No. : 8380015007   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Vinayak   (ii). Middle Name: NIL   (iii). Last Name: Mhalsekar   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: O/o Executive Engineer, Electricity Department Opp cada Hall   (vii). Address 2: NIL   (viii). State: Goa   (ix). District: South Goa   (x). Tehsil: Quepem   (xi). Pin: 403706   (xii). Landmark: Opposite Cada Hall   (xiii). Email Address: ee7-elec.goa@nic.in   (xiv). Landline Telephone No.: 832-2650632   (xv). Fax No.: NIL   (xvi). Mobile No.: 8380015007   (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.Wildlife - South0.856324.18897
Total0.856324.18897
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.South Goa0.856324.18897
Total0.856324.18897
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Netorli0.33681.78393
2Verlem0.458440.14587
3Mangal0.043080.40373
4Nundem0.0180.1757
5Curpem00.80388
6Vichundrem00.33772
7Colomba00.32122
8Rivona00.21692
Total 0.85632 4.18897
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
110.855964.0431
2200.14305
330.000350.00282
Total 0.85631 4.18897
C. Maps of forest land proposed to be diverted
Division 1. : Wildlife - South
  (i). Area of forest land proposed to be diverted(in ha.) : 0.85632   (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).
1.0.85632    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: The villages like verlem, Netravali etc. are fall
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? : Yes   (a). Whether Project or a part thereof is located within a Protected Area ? : Yes   (b). Status of approval of the Supreme Court : Application yet to b   (ii). Status of approval of the Standing Committee of National Board for the Wildlife(NBWL) to the Project : Application yet to be submitted
J. Applicability of special provisions governing Scheduled Areas
  (i).Whether the Project or a part thereof is located in a Scheduled Area? : Yes
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: For laying of transmission lines
Additional information Details
Documents
S.No Documents
Remarks
1work order
2corrigendum to work order
3Administrative approval to the work
4Form III 18 1 Verlem
5Form III 19 1, 20 1 Verlem
6Form III 34 1 Verlem
7Form 1 and 14 13 1 Mangal
8Form 1 and 14 13 2 Mangal
9Form 1 and 14 13 6 Mangal
10Form 1 and 14 18 1 Mangal
11Form 1 and 14 18 2 Mangal
12Form 1 and 14 20 1 Mangal
13Form 1 and 14 29 1 Nundem
14Form 1 and 14 109 1 Netravali
15Form 1 and 14 139 1 Netravali
16Brief Note
17Certificate for non violation of FCA 1980
18Certificate stating proposal does not affects any monuments.
19Certificate for minimum use of forest land
20Co-ordinates Map
21Mangal Survey Plan 18 1 2
22Projects Details
23statement showing details of forest area
24statement showing details of non-forest area
25Survey Plan Mangal 13 1 2 6
26Survey Plan Mangal 20
27Survey Plan Nundem 29
28Toposheet Mangal Nundem
29Undertaking for payment of NPV
30Undertaking for payment of CA
31Village map Netravali
32Village map Verlem
33Order of EE S Dessai
34SBWL recommendation