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/152519/2022   (ii). Name of Project for which Forest Land is required : PROPOSAL OF JIO DIGITAL FIBER UNDERGROUND OFC CABLE LAYING in FOREST AREA ALONG THE ROAD SIDE IN SUPA- ANASHI & DANDELI-ANASHIi IN Dandeli Wild Life Division KALI TIGER RESERVE OF UTTAR KANNADA   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : This Project is mainly consists of communication and net work of Telecommunication industry   (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) : 1500   (viii). Area of forest land proposed for diversion(in ha.): 1.9858   (ix). Non-forest land required for this project(in ha.): 0.1527   (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.Dandeli Wildlife1.98580.1527
Total1.98580.1527
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Uttara Kannada1.98580.1527
Total1.98580.1527
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Avurli Sy. No. 770.03150
2Gundha Sy. No.23,28,26,25,77,29,7,8,9 River0.1770.0165
3Chepra Sy. No.10, 14, 17, 190.14850
4Ambolli Sy. No.137, 202, 122, 119, 158, 15a, 23, 20.21150.012
5Bidoli Sy. No.130.07650
6KTR Sy. No.xxx0.06450
7Nigundi Sy. No. 20, 18, 55, 56, 210.12950.0034
8Anashi Sy. No. 17, 168, 197, 27, 29, 30, 95, 92, 80.21310.0996
9Katheli Sy. No. 170.11850
10Godashitha Sy. No. 830.08250
11Nujji Sy. No. Nala, 76, 81, 97, 101, 106, 119, 2370.33250.0038
12Badapholi Sy. No. 210.06120
13Gangoda Sy. No. 820.0270
14Kalasyi Sy. No. 1450.0330
15Kumbarakoppa Sy. No. 10.040
16Kalabhavi Sy. No. 40.0520
17Gutthi & Kegadala, Sy No, 2, 12, 14, 21, Settlemen0.1870.0174
Total 1.9858 0.1527
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Under Ground Optical Fiber Cable1.98580.1527
Total 1.9858 0.1527
C. Maps of forest land proposed to be diverted
Division 1. : Dandeli Wildlife
  (i). Area of forest land proposed to be diverted(in ha.) : 1.9858   (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).
1.1.9858    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): 20   (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: No Data
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 ?: No   (iii) . Reason for not providing Non-Forest Land: Laying of telephone/optical fibre lines
Additional information Details
Documents
S.No Documents
Remarks
1undertaking
2Permission obtained
3RTC
4GPS Readings with Chainage
5EDS Query Reply