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/PB/OFC/156219/2022   (ii). Name of Project for which Forest Land is required : Diversion of 1.877 ha. Forest land for laying OFC along the route from (1) FF road Km. 85-86 = 500 Mtr. LHS (2) DHS road Km. 409-416 = 7000 Mtr. (LHS) (3) Noorshah Link Road Km. 4-5 = 500 Mtr. LHS (4)   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Diversion of 1.877 ha. Forest land for laying OFC along the route from (1) FF road Km. 85-86 = 500 Mtr. LHS (2) DHS road Km. 409-416 = 7000 Mtr. (LHS) (3) Noorshah Link Road Km. 4-5 = 500 Mtr. LHS (4) Fazilka Destroy RD 52-57 = 1650 Mtr. LHS (5) FF road Km. 74-75 = 500 Mtr.LHS (6) Alamshah Minor RD   (iv). State : Punjab   (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) : 412.5   (viii). Area of forest land proposed for diversion(in ha.): 1.877   (ix). Non-forest land required for this project(in ha.): 0   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : ITI LTD   (ii). Address1 : ITI Bhawan, Dorvaninagar,Bengaluru, Karnataka   (iii). Address2 : NIL   (iv). State : Karnataka   (v). District : Bangalore Urban   (vi). Pin : 560016   (vii). Landmark : NIL   (viii). Email address : asconitijalandhar@gmail.com   (ix). Landline Telephone No. : 0--   (x). Fax No. : 0-   (xi). Mobile No. : 9216257555   (xii). Website (if any) : www.itiltd-india.com   (xiii). Legal status of User Agency : Central PSU
A-3. Details of Person Making Application
  (i). First Name: Rama   (ii). Middle Name: Kant   (iii). Last Name: Yadav   (iv). Gender: NIL   (v). Designation: Assistant Manager   (vi). Address 1: #301, Jaswant Nagar, Garha road, Jalandhar   (vii). Address 2: NIL   (viii). State: Punjab   (ix). District: Jalandhar   (x). Tehsil: NIL   (xi). Pin: 144002   (xii). Landmark: NIL   (xiii). Email Address: asconitijalandhar@gmail.com   (xiv). Landline Telephone No.: 0-   (xv). Fax No.: NIL   (xvi). Mobile No.: 9216257555   (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.Faridkot1.8770
Total1.8770
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Fazilka1.8770
Total1.8770
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Bakanwala to Jandwala0.450
2Jandwala to Shatirwala0.330750
3Shatirwala to near Odian0.51750
4Ladhuke to Theh Kalandar0.10350
5Fazilka to Near Jhuge Gulab0.33750
6Fazilka Cantt to Vijay Colony0.1044450
7near canal Alam Shah to Alam Shah0.03150
Total 1.875195 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Bakanwala to Jandwala0.450
2Jandwala to Shatirwala0.330750
3Shatirwala to near Odian0.51750
4Ladhuke to Theh Kalandar0.10350
5Fazilka to Near Jhuge Gulab0.33750
6Fazilka Cantt to Vijay Colony0.1044450
7near canal Alam Shah to Alam Shah0.03150
Total 1.875195 0
C. Maps of forest land proposed to be diverted
Division 1. : Faridkot
  (i). Area of forest land proposed to be diverted(in ha.) : 1.877   (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).
1.1.877    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: No   (a). Reason for not providing such map: No alternate route available
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 6   (iii). Temporary Employment(Number of person-days): 15
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?: 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
1Checklist
2Checklist Serial No. 4
3Additional Undertakings
4Undertaking for forest loss
5Undertaking for length, Depth & width
6Undertaking for Maintenance
7Undertaking for NOC from irrigation
8Undertaking for reclamation of RoW
9Undertaking for tree damaged
10Undertaking for tree plantation
11Undertaking for wildlife
12Undertaking for annexure A
13Undertaking for annexure A
14Linear Approved Plan
15PWD NOC
16Linear Approved Plan
17Forest DN
18SLD
19Translation of PMB NOC
20Submission of FRA and NOC