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/KA/SubStation/36164/2018   (ii). Name of Project for which Forest Land is required : Establishing 1x10MVA 110/11kV Sub Station at Kansur, Siddapur Taluk, Uttar Kannada District   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Establishing 1x10MVA, 110/11kV Sub Station at Kansur in Siddapur Taluk, Uttar Kannada District along with construction of 110kV LILO line from Jog-Sirsi DC line using Lynx cndcutor for a distance of 0.3km   (iv). State : Karnataka   (v). Category of the Proposal : Sub Station   (vi). Shape of forest land proposed to be diverted : Hybrid   (vii). Estimated cost of the Project(Rupees in lacs) : 462.01   (viii). Area of forest land proposed for diversion(in ha.): 1.33   (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): 100
A-2. Details of User Agency
  (i). Name : KARNATAKA POWER TRANSMISSION CORPORATION LIMITED   (ii). Address1 : Executive Engineer(Ele) Major Works Division, UK Dist, Karwar road, Vidyut nagar, Hubballi   (iii). Address2 : NIL   (iv). State : Karnataka   (v). District : Uttara Kannada   (vi). Pin : 580024   (vii). Landmark : Near Siddarud Math   (viii). Email address : eeemwduk@gmail.com   (ix). Landline Telephone No. : 836-2204474   (x). Fax No. : 836-   (xi). Mobile No. : 9448271530   (xii). Website (if any) : www.kptcl.com   (xiii). Legal status of User Agency : State PSU
A-3. Details of Person Making Application
  (i). First Name: H   (ii). Middle Name: Harish   (iii). Last Name: Kumar   (iv). Gender: Male   (v). Designation: Executive Engineer Ele   (vi). Address 1: Office of the, Executive Engineer Ele, Major Works Division (UK District), KPTCL, Hubballi-580024   (vii). Address 2: NIL   (viii). State: Karnataka   (ix). District: Dharwad   (x). Tehsil: NIL   (xi). Pin: 580024   (xii). Landmark: Near Siddarud Math   (xiii). Email Address: eeemwduk@gmail.com   (xiv). Landline Telephone No.: 836-2204474   (xv). Fax No.: NIL   (xvi). Mobile No.: 9448271530   (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
1ReturnedKWR/01A5(2)/GFL/CR-11/12-13300
2InprincipleFP/KA/TRANS/22761/20164-KRC1130/2018-BAN135428.286128.286130 Jan 2018
Total 58.2861 28.2861
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.Sirsi1.330
Total1.330
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Uttara Kannada1.330
Total1.330
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Kansur1.330
Total 1.33 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Line0.3190
2Road0.0194850
3Sub Station0.990
Total 1.328485 0
C. Maps of forest land proposed to be diverted
Division 1. : Sirsi
  (i). Area of forest land proposed to be diverted(in ha.) : 1.33   (ii). Nature of the Project: Hybrid   (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.
1.0.99    View File
  (b). No. of Segments : Two
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).
1.0.319    View File
2.0.019485    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: Yes   (a). Copy of map indicating location of alternative examined:
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 9   (iii). Temporary Employment(Number of person-days): 2190
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? : Yes   (a). Copy of documentry evidence in support of settlement of rights under the Forest Rights Act,2006 on the forest land proposed to be diverted:
L. Details of land identified for Compensatory Afforestation
  (i). Whether non-forest or Revenue forest land is required to be provided by User Agency?: Yes   (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 ?: No   (iii). No. of districts involved for raising Compensatory Afforestation: 1   (iv). No. of patches: One
District 1. : Uttara Kannada
  (a). Village: Keregadde   (b). Area(in ha.): 1.33   (c). Copy of KML file of the patch:     View File   (d). Khasra details: Government Land   (e). Present owner: Others   (f). Copy of ownership proof:   (g). Copy of Mou/agreement executed between the Present owner and the User Agency:   (h). Copy of non encumberence certificate for the forest land:
  (v). Scanned copy of the map of the land identified for creation of Compensatory Afforestation prepared by using GPS ot Total Station:   (vi). Copy of Survey of India Toposheet in 1:50,000 scale indicating location of the land identified for creation of Compensatory Afforestation:
Additional information Details
Documents
S.No Documents
Remarks
1Deputy Commisioner, Karwar regarding availability of forest land.
2NOC by Forest Right Committee.
3Approval of project by KPTCL Sheet-1
4Approval of project by KPTCL Sheet-2
5Approval of project by KPTCL Sheet-3
6Approval of project by KPTCL Sheet-4
7Undertaking for CA & NPV value
8Google Map of Sub Station
9Google Map of CA Land
10Letter regarding withdrawal of forest land
11Clarification letter
12Compliance letter
13Project approved in 74th TCCM
14PDO, Tarehalli-Kansur Grama Panchyat, Siddapur taluk, Letter
15Reply to observation dated 05.01.19
16Reply to observation dated 16.02.19
17Certificate from Deputy Commissioner Karwar regarding non availability of non forest land
18Reply to letter on CA land and under taking
19Under taking for payment of CA amount
20Under Taking for payment of CA amount in English