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/CG/OFC/46941/2020   (ii). Name of Project for which Forest Land is required : JIO DIGITAL FIBRE PRIVATE LIMITED, Balod Forest Division, Laying of OFC along with RoW (Road Corridor) under Network strengthening and Providing Connectivity to Rural Areas in Balod District of Chhattisgarh   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : JIO DIGITAL FIBRE PRIVATE LIMITED, Balod Forest Division, Laying of OFC along with RoW (Road Corridor) under Network strengthening and Providing Connectivity to Rural Areas in Balod District of Chhattisgarh   (iv). State : Chhattisgarh   (v). Category of the Proposal : Optical Fibre Cable   (vi). Shape of forest land proposed to be diverted : Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 975   (viii). Area of forest land proposed for diversion(in ha.): 2.895   (ix). Non-forest land required for this project(in ha.): 6.983   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : JIO DIGITAL FIBRE PRIVATE LIMITED   (ii). Address1 : 4th Floor, Office Block, Office No. 401-405, Ambuja Mall, Vidhansabha Road, Mowa (Saddu), Raipur (C.G.)   (iii). Address2 : NIL   (iv). State : Chhattisgarh   (v). District : Raipur   (vi). Pin : 492014   (vii). Landmark : Ambuja Mall   (viii). Email address : amanksingh@rediffmail.com   (ix). Landline Telephone No. : 771-3557756   (x). Fax No. : 771-   (xi). Mobile No. : 9752446854   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Private
A-3. Details of Person Making Application
  (i). First Name: Aman   (ii). Middle Name: Kumar   (iii). Last Name: Singh   (iv). Gender: Male   (v). Designation: Astt. Vice President (Corp. Affairs)   (vi). Address 1: 4th Floor, Office Block, office No. 401-405, Ambuja Mall, Vidhansabha Road, Mowa saddu, Raipur, Chhattisgarh   (vii). Address 2: NIL   (viii). State: Chhattisgarh   (ix). District: Raipur   (x). Tehsil: Raipur   (xi). Pin: 492014   (xii). Landmark: Ambuja Mall   (xiii). Email Address: amanksingh@rediffmail.com   (xiv). Landline Telephone No.: 771-3557756   (xv). Fax No.: NIL   (xvi). Mobile No.: 9752446854   (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.Balod2.8956.983
Total2.8956.983
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Balod2.8956.983
Total2.8956.983
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Amabahara0.2460.009
2Amadula0.0440.226
3Angara0.0490.089
4Auratola0.0250.073
5Awari0.0070.118
6Achholi00.16
7Admudkasa00.11
8Arjuni00.059
9Asra00.058
10Balodgahan00.115
11Batera00.041
12Bendra Nawagaon00.013
13Bhanwarmara00.226
14Bheja00.023
15Bhimpuri Uparpara00.059
16Bakali tola0.0220.05
17Bangaon0.0350.021
18Bhejra Pathar0.1960
19Bital0.0550.023
20Borid0.0650
21Chikhalakasa00.134
22Chitaud00.091
23Daihan0.1380
24Dhorritema0.0820.063
25Dalli-Rajhara00.015
26Dalli-Rajhara (M)00.239
27Danitola00.042
28Daundi Lohara00.217
29Deori00.104
30Dhobedand00.075
31Doundi00.141
32Gainji00.07
33Ghurratola00.059
34Gudum00.19
35Gujra00.034
36Gidhali0.0110.104
37Gotulmunda0.0580.034
38Gurami0.0410.011
39Hitkasa0.0670.036
40Jagtara0.2920.009
41Jatadah0.0530.135
42Jhikatola0.0220.024
43Jamani00.042
44Jewartala00.109
45Khairwahi0.0130
46Kamta00.08
47Kapsi00.115
48KhairKatta00.051
49Khamur Tola00.07
50Kochwahi00.045
51Kondekasa00.007
52Kosmi00.095
53Kurubhat00.102
54Kusumkasa00.234
55Madwa Pathra0.0060.118
56Malgaon0.0520.107
57Malkunwar0.0030.08
58Matri0.0210.069
59Mujalgondi0.0330.081
60Marri00.019
61Miri Tola00.12
62Narratola0.0050.01
63Nahanda00.121
64Putarwahi0.4530.024
65Parsuli00.09
66Pasoud00.056
67Pathara Tola00.089
68Petechuwa Alias Kankalin00.036
69Pusawad00.033
70Pusewada00.035
71Rana Khujji00.154
72Ranitarai00.059
73Raigarh0.0670.022
74Rani Tarai0.1250.023
75Sanjali0.050
76Sherpar0.0350
77Singhola0.0810
78Siwani0.0130.077
79Sorli00.158
80Sursuli00.019
81Suvabor00.108
82Sahgaon00.113
83Sambalpur00.135
84Sanjari00.206
85Sikari Tola00.046
86Ureta00.138
87Urjhe00.054
88Chiharo0.1220.249
89Naikura0.060
90Karrajhar0.2480
91Balod00.084
Total 2.895 6.983
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Optical Fibre2.8956.983
Total 2.895 6.983
C. Maps of forest land proposed to be diverted
Division 1. : Balod
  (i). Area of forest land proposed to be diverted(in ha.) : 2.895   (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).
1.2.895    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: OFC Laying on Road Corridore (ROW Boundary)
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 45   (iii). Temporary Employment(Number of person-days): 110
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? : 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?: 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
1Acknowledged Copy of FRA and NOC Application
2Land Schdeule
3Registration & Processing Fee DD Scan copy
4DGPS_Survey_Report_Balod
5Collector Balod NOC Regarding Revenue Forest land