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/GJ/OFC/43628/2019   (ii). Name of Project for which Forest Land is required : Proposal for grant of Permission for laying Optical Fiber Cable in Reserved Forest in Valsad District   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Proposal for grant of Permission for laying Optical Fiber Cable in Reserved Forest in Valsad District.   (iv). State : Gujarat   (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) : 1800   (viii). Area of forest land proposed for diversion(in ha.): 2.345   (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): 0
A-2. Details of User Agency
  (i). Name : GFGNL   (ii). Address1 : Block No – 1, 8th Floor , Udyog Bhavan, Sector – 11, Gandhinagar   (iii). Address2 : NIL   (iv). State : Gujarat   (v). District : Gandhinagar   (vi). Pin : 382010   (vii). Landmark : Udyog Bhavan   (viii). Email address : dgm-proj1@bharatnet.gujarat.gov.in   (ix). Landline Telephone No. : 79-23259222   (x). Fax No. : 79-   (xi). Mobile No. : 6359601024   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State PSU
A-3. Details of Person Making Application
  (i). First Name: Edwin   (ii). Middle Name: NIL   (iii). Last Name: Christian   (iv). Gender: Male   (v). Designation: DGM   (vi). Address 1: 3rd Floor,B Block, Zilla Seva Sadan-2   (vii). Address 2: District collector Office,Nr.Chowpati Garden,Athwalines,Surat   (viii). State: Gujarat   (ix). District: Surat   (x). Tehsil: Surat City   (xi). Pin: 395001   (xii). Landmark: Near Chowpati Garden   (xiii). Email Address: dgm-proj3@bharatnet.gujarat.gov.in   (xiv). Landline Telephone No.: 79-23259222   (xv). Fax No.: NIL   (xvi). Mobile No.: 6359601027   (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.Valsad-North2.3450
Total2.3450
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Valsad2.3450
Total2.3450
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Makadban0.1340
2Dhamni0.1640
3Titukhadak0.0020
4Panva0.0270
5Ugata0.020
6Kelavani0.0150
7Avdha0.1890
8Amba0.010
9Karanjveri0.0030
10Kangvi0.0150
11Luheri0.0080
12Moti Dholdungari0.0070
13Bhavthan Anboshi0.0480
14Pindval0.040
15Piprol0.1660
16Pangarbari0.0140
17Upalpada0.0340
18Moti Kosbadi0.1450
19Tutarkhed0.0290
20Paikhed0.1530
21Ulaspendhi0.0930
22Gundiya0.0740
23Sadadveri0.1430
24Samarsingi0.0460
25Bopi0.0570
26Chasmandva0.0690
27Nadgadhari0.0270
28Khanda0.0340
29Bhavada0.0240
30Pipalpada0.00290
31Kosimpada0.0960
32Chospada0.0090
33Hanmatmal0.0260
34Hathanbari0.02470
35Mamabhacha0.0270
36Rajpuri Jangal0.0130
37Murdad0.0250
38Sondar0.0730
39Jamliya0.0580
40Pandavkhadak0.1660
Total 2.3106 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1TRENCH2.34450
Total 2.3445 0
C. Maps of forest land proposed to be diverted
Division 1. : Valsad-North
  (i). Area of forest land proposed to be diverted(in ha.) : 2.345   (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).
1.2.3445    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: No alternative
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 10   (iii). Temporary Employment(Number of person-days): 5
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?: 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
1Order Regarding Exemption of Processing fee and Registration fee, ROW for the implementation of BharatNet Phase-II Project.