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/OFC/143805/2021   (ii). Name of Project for which Forest Land is required : laying JIO Optical Fiber Cable along the Right of Way in NH-PWD road from Theerthahalli-Shivamogga and Agumbe-Kattekoppa in Theerthahalli and Shivamogga Taluk, Shivamogga District, Shivamogga Division.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : JIO Digital Fiber Underground OFC cable from Thirthahalli to Shivamogga and Agumbe-Kattekoppa for better Telecommunication in Educational, Tourism etc like many sector.   (iv). State : Karnataka   (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) : 250   (viii). Area of forest land proposed for diversion(in ha.): 1.49097   (ix). Non-forest land required for this project(in ha.): 0.97178   (x). Total period for which the forest land is proposed to be diverted(in years): 30
A-2. Details of User Agency
  (i). Name : JIO DIGITAL FIBER PRIVATE LIMITED   (ii). Address1 : No.51, RMZ Icon, Palace Cross Road, Vasanth Nagar, Bangaluru   (iii). Address2 : NIL   (iv). State : Karnataka   (v). District : Bangalore Urban   (vi). Pin : 560052   (vii). Landmark : Shangralli Hotel   (viii). Email address : babu.veerabhadre@ril.com   (ix). Landline Telephone No. : 80-35485012   (x). Fax No. : 80-   (xi). Mobile No. : 9845117017   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Private
A-3. Details of Person Making Application
  (i). First Name: BABU   (ii). Middle Name: NIL   (iii). Last Name: VV   (iv). Gender: Male   (v). Designation: DGM SEO   (vi). Address 1: No.51, RMZ Icon,Palace Cross Road, Vasanth Nagar, Bangaluru   (vii). Address 2: NIL   (viii). State: Karnataka   (ix). District: Bangalore Urban   (x). Tehsil: Bangalore North   (xi). Pin: 560052   (xii). Landmark: NIL   (xiii). Email Address: babu.veerabhadre@ril.com   (xiv). Landline Telephone No.: 0-   (xv). Fax No.: NIL   (xvi). Mobile No.: 9845117017   (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.Shimoga1.490970.97178
Total1.490970.97178
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Shivamogga1.490970.97178
Total1.490970.97178
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Thirthahalli 35,360.033150.02659
2Bharathipura 78, Road,154, 1110.0600970.034205
3Odhalumane 130.012730.00599
4Belavi 100,101, 88,82,550.0315240.03274
5Chikkakanchigadde Road00.00898
6Kudumallige 120,119, 79, 85,112, 860.099530.009412
7Kasagara00.00449
8Bejavalli 13, 140.029490
9Malluru 330.0282410.027341
10Nandhagadde 40, 41, 42, 430.0442520
11Kudige 78,940.0335520.027064
12Thooduru00.06751
13Beguhavalli 105,117, 118, 1260.0913670.045179
14Jambuvalli 17, 530.0431440.013151
15Lingapura 58, 57, 58,61, 62, 68, 740.0720880.09992
16Kanakalakoppa 40, 41, 26, 550.13410.005
17Bommanalli Road0.067510
18Thimkapura 19, 21, 23, 250.011990.03
19Sakkerebyle00.06899
20Gajanuru Agrahara00.051
21Gajanuru00.05549
22Honnapura00.0165
23Hosahalli00.08551
24Harakere00.04799
25S.I.Mandli00.04048
26Milighatta00.00533
27Talluru 8, 18,540.09950.0355
28Hosuru 7, 8, 189, 258, 259,0.104990.00405
29Kolagi 98, 126,136,21,01, Road0.1547760.02848
30Megaravalli 105, 298, Road0.090760.03548
31Lakkanda 3,7,9,94, Road0.042420.01127
32Shettigalakoppa 37, Road0.028570
33Kattekoppa 94, 93, 92, 90, 87, 840.072420
Total 1.386201 0.923642
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Optical Fibre Cable1.490970.97178
Total 1.49097 0.97178
C. Maps of forest land proposed to be diverted
Division 1. : Shimoga
  (i). Area of forest land proposed to be diverted(in ha.) : 1.49097   (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).
1.1.49097    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: Yes   (a). Copy of map indicating location of alternative examined:
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): 10
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 ? : No   (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? : 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
1RTC
2GPS
3Permissions
4Undertaking
5DPR Shiivamogga
6Area Statement
7Combined Sketch of Thallur Kattekoppa
8Combined Sketch of Thithahalli Shimooga Combined Map
9Rectified Area Statement
10EDS Repled