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/149527/2021   (ii). Name of Project for which Forest Land is required : Name of Project for which Forest Land is required : Jio Digital Fiber Underground OFC Cable from Karakala to Agumbe trough Reserve Forest in various villages of Udupi and Shivamogga District.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Name of Project for which Forest Land is required : Jio Digital Fiber Underground OFC Cable from Karakala to Agumbe R1 trough Reserve Forest in various villages of Udupi and Shivamogga District.   (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) : 200   (viii). Area of forest land proposed for diversion(in ha.): 0.633   (ix). Non-forest land required for this project(in ha.): 0.658   (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.Kundapur0.16610.658
2.Kudremukh0.38060
3.Shimoga0.08630
Total0.6330.658
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Udupi0.54670.658
1.Shimoga0.08630
Total0.6330.658
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Kukkendhuru NF00.06163
2Yirgana NF00.096906
3Yirgana 3030.03290
4Ajekaru NF00.2308
5Ajekaru 1380.032250
6Varanga00.2003
7Mudradi NF00.0682
8Mudradi 700.0185770
9Mudradi 770.0107850
10Mudradi 1970.046080
11Hebri 1810.025010
12Hebri 1800.020370
13Hebri 1790.0044630
14Hebri 1820.049240
15Hebri 1770.053190
16Nadusala 1230.045340
17Nadusala 1220.046070
18Nadusala 340.002990
19Nadusala 580.010770
20Nadusala 1260.023260
21Nadusala 1000.0095860
22Nadusala 1490.0023990
23Nadusala 1180.0965910
24Nadusala 142/10.016330
25Talluru 2510.0349040
26Talluru 70.002940
27Talluru 50.0154320
28Talluru 30.020340
29Talluru 2520.0071480
30Talluru 2590.0059860
Total 0.632951 0.657836
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Optical fiber cable0.6330.658
Total 0.633 0.658
C. Maps of forest land proposed to be diverted
Division 1. : Kudremukh
  (i). Area of forest land proposed to be diverted(in ha.) : 0.3806   (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).
1.0.3806    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:
Division 2. : Kundapur
  (i). Area of forest land proposed to be diverted(in ha.) : 0.1661   (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).
1.0.1661    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:
Division 3. : Shimoga
  (i). Area of forest land proposed to be diverted(in ha.) : 0.0863   (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).
1.0.0863    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): 5   (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? : Yes   (a). Whether Project or a part thereof is located within a Protected Area ? : Yes   (b). Status of approval of the Supreme Court : Application yet to b   (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?: Not Applicable   (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: Not Applicable
Additional information Details
Documents
S.No Documents
Remarks
1RTC
2Undertaking
3NH Letter
4NH permission
5PWDPERMISSIONLETTER
6Areatable
7WorksheetinKarkalatoAgumbe-Fina
8GPS READINGS
9Reply Letter to DCF Shivamogga