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/TN/Others/23908/2017   (ii). Name of Project for which Forest Land is required : Laying OFC along Theni Mallapuram route   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Laying OFC along Theni Mallapuram route involves forest area of Theni-Myladumparaiand Mallapuram of Tamilnadu   (iv). State : Tamil Nadu   (v). Category of the Proposal : Others   (vi). Shape of forest land proposed to be diverted : Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 15   (viii). Area of forest land proposed for diversion(in ha.): 0.19   (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): 20
A-2. Details of User Agency
  (i). Name : Jio Digital Fibre Private Limited   (ii). Address1 : No.89 Dr Radhakrishnan Salai Mylapore Chennai 4   (iii). Address2 : NIL   (iv). State : Tamil Nadu   (v). District : Chennai   (vi). Pin : 600004   (vii). Landmark : RK Salai   (viii). Email address : balsamy.thirunagalingam@ril.com   (ix). Landline Telephone No. : 44-40232575   (x). Fax No. : 44-43320725   (xi). Mobile No. : 9840419817   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Private
A-3. Details of Person Making Application
  (i). First Name: TT balsamy   (ii). Middle Name: NIL   (iii). Last Name: thirunagalingam   (iv). Gender: Male   (v). Designation: State_Coordinate_Officer   (vi). Address 1: No 89 Dr Radhakrishnan Salai Mylapore Chennai 4   (vii). Address 2: NIL   (viii). State: Tamil Nadu   (ix). District: Chennai   (x). Tehsil: Mylapore Triplicane   (xi). Pin: 600004   (xii). Landmark: RK Salai   (xiii). Email Address: balsamy.thirunagalingam@ril.com   (xiv). Landline Telephone No.: 44-40232575   (xv). Fax No.: 04443320725   (xvi). Mobile No.: 7010209251   (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.Megamalai WL0.040
2.Srivilliputhur WL0.150
Total0.190
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Theni0.040
1.Virudhunagar0.150
Total0.190
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Muthalamparai0.040
2Mallapuram0.150
Total 0.19 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Linear0.190
Total 0.19 0
C. Maps of forest land proposed to be diverted
Division 1. : Megamalai WL
  (i). Area of forest land proposed to be diverted(in ha.) : 0.04   (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).
1.0.04    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. : Srivilliputhur WL
  (i). Area of forest land proposed to be diverted(in ha.) : 0.15   (ii). Nature of the Project: Linear   (b). No. of Segments : Two
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).
1.0.021    View File
2.0.129    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: there is no feasible area other than this road, he
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 0   (iii). Temporary Employment(Number of person-days): 250
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 : Approval under cons   (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
1Area requirement to this project
2GPS coordinates of the area
3Area location in the Google map
4Form A of the project
5Undertakings related to this project
6Certificates related to this project
7SI sheet map
8GPS survey map
9Non availability of non-forest land District Collector certificate
10reply to pccf letter
11REVISED DGPS Map Megamalai
12REVISED DGPS Map Srivilliputhur
13REVISED Google Map Megamalai
14REVISED Google Map Srivilliputhur
15REVISED GPS readings
16REVISED Area statement
17Reply letter