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/54851/2020   (ii). Name of Project for which Forest Land is required : Jio Digital Fiber Underground OFC Cable from Halsi - Londa to Karnataka/Goa Boarder trough Reserve Forest in various villages of Uttara Karnataka and Belgavi District.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Jio digital optical fiber cable will be laid underground from Halsi - Londa to Goa border along the road through reserve forest in Uttara Karnataka and Belgavi 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) : 5584292   (viii). Area of forest land proposed for diversion(in ha.): 1.3312   (ix). Non-forest land required for this project(in ha.): 0.3575   (x). Total period for which the forest land is proposed to be diverted(in years): 100
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.Belgaum0.49580.3036
2.Dandeli Wildlife0.34960
3.Haliyal0.48580.0539
Total1.33120.3575
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Belgaum0.49580.3036
1.Uttara Kannada0.83540.0539
Total1.33120.3575
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Watre Village0.13570
2Jetage Village0.01030
3Halasala Village0.02420
4Londa Village0.03720
5Mohisetha Village0.06060
6Kiravale Gunji Village0.05440
7Gunji Village0.0080
8Dhiggeghalli Village0.06980
9Land Jetage Village00.0144
10Dhiggedhali Village00.0156
11Ramanagara Village00.0353
12Halasala Bijagarni Halasai00.2178
13Atali Village0.09170
14Anamoda Village0.25790
15Akarali Village0.18160
16Devulli Village0.23930
17Payasawadi Village0.06490
18Akarali Village Non Forest00.0539
19Kamathage Village0.07470
20Kamathage Village Non Forest00.0205
21Jetage Village 10.02090
Total 1.3312 0.3575
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1OFC CABLE1.33120.3575
Total 1.3312 0.3575
C. Maps of forest land proposed to be diverted
Division 1. : Belgaum
  (i). Area of forest land proposed to be diverted(in ha.) : 0.4958   (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).
1.0.4958    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. : Dandeli Wildlife
  (i). Area of forest land proposed to be diverted(in ha.) : 0.3496   (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).
1.0.3496    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. : Haliyal
  (i). Area of forest land proposed to be diverted(in ha.) : 0.4858   (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).
1.0.4858    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): 4   (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 ?: No   (iii) . Reason for not providing Non-Forest Land: Laying of telephone/optical fibre lines
Additional information Details
Documents
S.No Documents
Remarks
1GPA Coordinates
2GPS Coordinates
3Area Details
4NH-Letter
5Lond Halsi Goa boder 01 RTC
6Village wise details
7undertaking
8NH letter londa to halasi
9NH letter lgoa to dorabandar
10Clarification regarding the EDS raised by DCF