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/Others/30076/2017   (ii). Name of Project for which Forest Land is required : RELIANCE JIO 4G PROJECT   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Reliance Jio Infocomm Limited Raipur laying 4G OFC Cable Line between Nelasnar to bhopalpatnam within Bijapur District under Chhattisgarh Sanchar Kranti Yojna (SKY Yojna) of Chhattisgarh Govt.   (iv). State : Chhattisgarh   (v). Category of the Proposal : Others   (vi). Shape of forest land proposed to be diverted : Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 242   (viii). Area of forest land proposed for diversion(in ha.): 4.287   (ix). Non-forest land required for this project(in ha.): 1.761   (x). Total period for which the forest land is proposed to be diverted(in years): 20
A-2. Details of User Agency
  (i). Name : Jio Digital Fibre Private Limited   (ii). Address1 : 4th Floor, ACE Global, Opp. Minocha Petrol Pump, NH-53, Telibandha VIP Chowk, Raipur (CG) 492006   (iii). Address2 : NIL   (iv). State : Chhattisgarh   (v). District : Raipur   (vi). Pin : 492006   (vii). Landmark : ACE Global   (viii). Email address : mirza.anwar@ril.com   (ix). Landline Telephone No. : 771-4214356   (x). Fax No. : 771-   (xi). Mobile No. : 7415478692   (xii). Website (if any) : ril.com   (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: General Manager (Corp. Affairs   (vi). Address 1: Jio Digital Fibre Private Limited 4th Floor, Ambuja Mall,   (vii). Address 2: Vidhan Sabha Road Mowa (Saddu),   (viii). State: Chhattisgarh   (ix). District: Raipur   (x). Tehsil: Raipur   (xi). Pin: 492014   (xii). Landmark: Ambuja City Centre   (xiii). Email Address: mirza.anwar@ril.com   (xiv). Landline Telephone No.: 771-3557701   (xv). Fax No.: NIL   (xvi). Mobile No.: 7828900018   (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.Bijapur4.2871.761
Total4.2871.761
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Bijapur4.2871.761
Total4.2871.761
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Kodoli00.026
2Faraspal Alias Bodali0.0340.079
3Fundari0.1260.098
4Pusnar0.0930.06
5Bhairamgarh0.5430.134
6Matwada0.0540.173
7Dhusaad0.2540
8Kotrapal0.0350.009
9Jangla0.1620.065
10Mingachal00.011
11Naimed0.3270.056
12Dogoli0.0740.049
13Dhanora0.1690.028
14Nukanpal00.003
15Kottapal0.0780.011
16Manjhiguda0.0070.018
17Jaitaloor0.0490.025
18Bijapur0.1870.158
19Chintanpalli0.0690.003
20Modakpal0.1480.038
21Gilgicha0.2360.04
22Uskaled0.0840.023
23Sangampali0.1360.031
24Maded0.0440.123
25Basaguda0.0810.039
26Kesaiguda0.0070.064
27Jajalguda0.1180.024
28Sandrapalli0.0090.011
29Cherpalli0.0360.058
30Rudraram0.2010.126
31Dudheda0.1030
32Kanhaiguda0.3610
33Chinnakodepal0.2380
34Nelasnar0.0090.178
Total 4.072 1.761
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1bijapur4.2871.761
Total 4.287 1.761
C. Maps of forest land proposed to be diverted
Division 1. : Bijapur
  (i). Area of forest land proposed to be diverted(in ha.) : 4.287   (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).
1.4.287    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: NIL
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?: 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: Laying of telephone/optical fibre lines
Additional information Details
Documents
S.No Documents
Remarks
1DGPS survey report authenticated by DFO Bijapur.
2Forest area classification
3DD amount of 29000 and 6000 in favor of DFO Bijapur against processing and registration fees.