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/TRANS/36141/2018   (ii). Name of Project for which Forest Land is required : For laying of 240 volts insulated covered cable power line from Kabbinale to Mundani enclosure of Karkala Wild Life Division, Karkala Taluk, Udupi District in favour of the Executive Engineer, MESCOM   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Diversion of 0.070 ha of forest land in Sy.No.103/1 of Kabbinale Village, Andar RF & 0.0474 ha of non-forest / patta land in Sy No. 93 & 98 of Kabbinale, Karkala Taluk, Udupi (D) for laying of 240 volts insulated covered cable power line from Kabbinale Village to Mundani enclosure Karkala Wild Life   (iv). State : Karnataka   (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) : 0.025577   (viii). Area of forest land proposed for diversion(in ha.): 0.07   (ix). Non-forest land required for this project(in ha.): 0.0474   (x). Total period for which the forest land is proposed to be diverted(in years): 50
A-2. Details of User Agency
  (i). Name : EXECUTIVE ENGINEER MANGALORE ELECTRICITY SUPPLY COMPANY LIMITED   (ii). Address1 : EXECUTIVE ENGINEER, O & M DIVISION, MESCOM, MARUTHI VEETHIKA, UDUPI TALUK, UDUPI DISTRICT.   (iii). Address2 : NIL   (iv). State : Karnataka   (v). District : Udupi   (vi). Pin : 576101   (vii). Landmark : CHITTA RANJAN CIRCLE   (viii). Email address : eemescomudupi@gmail.com   (ix). Landline Telephone No. : 820-2521201   (x). Fax No. : 820-0   (xi). Mobile No. : 9448289438   (xii). Website (if any) : www.mescom.in   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Sharath   (ii). Middle Name: Chandra   (iii). Last Name: Pal   (iv). Gender: Male   (v). Designation: EE   (vi). Address 1: Executive Engineer, O and M Division, Maruthi Veethika, MESCOM, Udupi, Udupi Taluk, and District   (vii). Address 2: NIL   (viii). State: Karnataka   (ix). District: Udupi   (x). Tehsil: Udupi   (xi). Pin: 576101   (xii). Landmark: Chitta Ranjan Circle   (xiii). Email Address: eemescomudupi@gmail.com   (xiv). Landline Telephone No.: 820-2521201   (xv). Fax No.: NIL   (xvi). Mobile No.: 9448289438   (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.Kudremukha Wildlife Division0.070.0474
Total0.070.0474
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Udupi0.070.0474
Total0.070.0474
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Sy No.103/1 of Kabbinale Village0.070
2Sy No.93 of Kabbinale Village00.0164
3Sy No.98 of Kabbinale Village00.031
Total 0.07 0.0474
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Covered cable power line [L700xW1 Mtr]0.070.0474
Total 0.07 0.0474
C. Maps of forest land proposed to be diverted
Division 1. : Kudremukha Wildlife Division
  (i). Area of forest land proposed to be diverted(in ha.) : 0.07   (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).
1.0.07    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: There is no alternative and line connected naxal b
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 4   (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?: No
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? : 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
1Approval Copy
2Undertaking
3Undertaking for NPV & CA
4Work Order
5Geo Referenced Map
6Google Map
7GPS CO ordinates