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/144700/2021   (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 Bare-idagundi, Chikmane-Belaimange, Yellapura-Hosahalli and Hosakoppa- Kurli in Yellapura Taluk, Uttara Kannada District, Yellapura Forest Division.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : JIO Digital Fiber Undergorund ofc cable in Yellapura Taluk of Uttara Kanndad District for better future in various sector like Educational, Social, Tourism like wise for better development.   (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.): 2.2085   (ix). Non-forest land required for this project(in ha.): 0.3075   (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.Yellapura2.20850.3075
Total2.20850.3075
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Uttara Kannada2.20850.3075
Total2.20850.3075
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Bare, Road, 1200.1520
2Mavinamane, Road, XX, 144, 132, 129, 132b2, 128, 10.2420.009
3Kalache, 33 A0.0540
4Honnagadde, Road0.0420
5Vajralli, 8 A1A, 34A1, 11A,Road0.0450.015
6Thelamagra, 77, 124, 11A, Road,1N 1A, 3, 4, 10, 9,0.1320.026
7Idagumbi, Road, 70, 14A, 14B10.130
8Arabylu, Road, 1, 118, 94, 640.380.019
9Chikkamane, Nala, 1, Road0.0550
10Gullapura, 130.01650.0225
11Garavasa, 60.0120
12Gopadhamane, Road0.0420
13Balagimane, 65 A10.0570
14Yellapura, Road00.001
15Belageri, XX0.0880
16Kannadagal, 41, 59, XX0.20
17Kolikeri, Road0.070
18Kiravathi, 24, 38, Road, Settlement, 1, 2, 5, 240.2390.029
19Hosahalli, Road, 32, 170.070.002
20Hossakoppa, 36 A, 36B, 35A, Settlement, 38A, 430.0070.032
21Balekoppa, 29, 26, 23, 25, 22, Settlement0.0220.064
22Bedsgaov, 16, 32, 42, 41, 31, 320.0840.039
23Thogaralli, 27, 7, 8, 9, Settlement, 33, 18, 190.0290.02
24Kurli, 52, 43, 450.040.029
Total 2.2085 0.3075
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Under Ground Optical Fiber Cable2.20850.3075
Total 2.2085 0.3075
C. Maps of forest land proposed to be diverted
Division 1. : Yellapura
  (i). Area of forest land proposed to be diverted(in ha.) : 2.2085   (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).
1.2.2085    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): 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?: 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? : 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
1Undertaking
2RTC
3GPS
4PErmissions
5Area Statement
6EDS Observation
7Act FC-11-165-2019-FC