FORM - B
Form for seeking prior approval under Section-2 of the proposals by the State Governments and other authorities, in respect of renewal of leases,
which have been earlier granted clearance under Forest (Conservation) Act,1980
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). Landmarks : Opposite Cada Hall   (viii). Email address : ee7-elec.goa@nic.in   (ix). Landline Telephone No. : 2650632   (x). Fax No. : NIL   (xi). Mobile No. : 8380015007   (xii). Website (if any) : NIL   (xiii). Details of Proposals seeking prior approval of Central Government under the Act for diversion of forest land submitted by the User Agency 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
  (xiv). 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). Landmarks: Opposite Cada Hall   (xiii). Email Address: ee7-elec.goa@nic.in   (xiv). Landline Telephone No.: 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:
A-7. Details of the forest land returned back to the State Forest Department or any other Authority from the forest land diverted in favour of the user agency
A-9. Details of Transfer of Lease
Serial No Name of person Address of person Date of transfer MMDR File Transfer Deed Conservation MoEF_file No Date of approval MoEF file
NIL
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
  (i). Whether any proposal seeking prior approval of Central Government under the Act for diversion of forest land required for the project has been submitted in the past?. : No
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
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).Shape of forest land proposed to be diverted : Linear   (b). No. of Segments : One
Segments wise details
Segmenst Segment Area(in ha.) Kml File of SegmentsTo 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 DGPS 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 ?: NIL   (iii) . Reason for not providing Non-Forest Land: For laying of transmission lines
Additional information Details
Documents
S.No Documents
Remarks
1Brief Note
2Certificate for non violation of FCA 1980
3Certificate stating proposal does not affects any monuments.
4Certificate for minimum use of forest land
5Co-ordinates Map
6Mangal Survey Plan 18 1 2
7Projects Details
8statement showing details of forest area
9statement showing details of non-forest area
10Survey Plan Mangal 13 1 2 6
11Survey Plan Mangal 20
12Survey Plan Nundem 29
13Toposheet Mangal Nundem
14Undertaking for payment of NPV
15Undertaking for payment of CA
16Village map Netravali
17Village map Verlem
18Order of EE S Dessai
19work order
20corrigendum to work order
21Administrative approval to the work
22Form III 18 1 Verlem
23Form III 19 1, 20 1 Verlem
24Form III 34 1 Verlem
25Form 1 and 14 13 1 Mangal
26Form 1 and 14 13 2 Mangal
27Form 1 and 14 13 6 Mangal
28Form 1 and 14 18 1 Mangal
29Form 1 and 14 18 2 Mangal
30Form 1 and 14 20 1 Mangal
31Form 1 and 14 29 1 Nundem
32Form 1 and 14 109 1 Netravali
33Form 1 and 14 139 1 Netravali
34SBWL recommendation