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/UK/OFC/36800/2018   (ii). Name of Project for which Forest Land is required : Mussoorie OFC (Yamuna Pul-Mussoorie-Dhanaulti)   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Reliance Jio is Laying Optical Fiber Cable (OFC) To Provide Mobile Telecom and 4G Internet sevices. Jio will lay underground OFC cables along the hillside on state and national highways to connect to towers in the city / villages that will relay signals in Mussoorie-Dhanaulti in Dehradun & Tehri.   (iv). State : Uttarakhand   (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) : 450   (viii). Area of forest land proposed for diversion(in ha.): 0.552   (ix). Non-forest land required for this project(in ha.): 0.21   (x). Total period for which the forest land is proposed to be diverted(in years): 30
A-2. Details of User Agency
  (i). Name : RELIANCE JIO   (ii). Address1 : Plot no 32, IT Park   (iii). Address2 : sahastradhara road dehradun   (iv). State : Uttarakhand   (v). District : Dehradun   (vi). Pin : 248001   (vii). Landmark : IT park   (viii). Email address : tarit.mohan@ril.com   (ix). Landline Telephone No. : 135-6134219   (x). Fax No. : 135-   (xi). Mobile No. : 9149361424   (xii). Website (if any) : www.jio.com   (xiii). Legal status of User Agency : Private
A-3. Details of Person Making Application
  (i). First Name: Deepak   (ii). Middle Name: Pal   (iii). Last Name: Singh   (iv). Gender: Male   (v). Designation: SCO   (vi). Address 1: Reliance Megamart, GMS Road, Dehradun   (vii). Address 2: uttrakhand   (viii). State: Uttarakhand   (ix). District: Dehradun   (x). Tehsil: NIL   (xi). Pin: 248001   (xii). Landmark: Near Kamla Palace Hotel   (xiii). Email Address: pankaj35.singh@ril.com   (xiv). Landline Telephone No.: 941-2056330   (xv). Fax No.: NIL   (xvi). Mobile No.: 9781535435   (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.Mussoorie0.5520.21
Total0.5520.21
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Dehradun0.2710.107
1.Tehri Garhwal0.2810.103
Total0.5520.21
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Bahadur Garh0.0040.003
2Dumet0.0020.003
3Kyari0.0020.004
4Dhalin0.0050.003
5Bhediyana0.0010.003
6Childichak0.0040.003
7Pataghat0.0030.003
8Sunakholi0.0010.003
9Landour0.0020.004
10Dhanaulti0.0020.003
11Tundhar0.0020.001
12Dhobighat0.0040.003
13Bhatta Gaon0.0020.003
14Doom Gaon0.0020.001
15Kolukhet0.0050.003
16Khala Gaon0.0050.006
17Kuthal Gaon0.0080.006
18Kirsali Gaon0.0080.004
19Kairwaan Gaon0.0040.004
20Khuranwa0.0060.009
21Marautha0.0050.003
22Bandawali0.0060.002
23Seraki0.0050.006
24Kheri Mansingh0.0030.004
25Lwarkha0.0040.006
26Tachhila0.0050.006
27Ghena0.0050.007
28Jamthiyal Gaon0.0030.007
29Simiyari0.0040.008
30Mahasasa0.0680.013
31Tarla Nagal0.0840.01
32Thewa0.0970.015
33Sarkhet0.0690.014
34Goth0.0880.03
35Rawali0.0340.007
Total 0.552 0.21
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Laying of Optical Fibre Cable0.5520.21
Total 0.552 0.21
C. Maps of forest land proposed to be diverted
Division 1. : Mussoorie
  (i). Area of forest land proposed to be diverted(in ha.) : 0.552   (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).
1.0.552    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 other alternative found after examined the loca
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 30   (iii). Temporary Employment(Number of person-days): 20
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
1NPV Guidelines By Law.
2FRA GO From Govt. Of Telangana HOFF.
3Power Of Attorney.
4Company IP License.
5Indian Telegraph By Law.
6Registration Certificate By RJIL.
7Layout & Procedure For Laying Of OFC.
8Ofc Layout Sketch.
9CG Forest Permission Dfo Letter.
10Forest Sec Letter.
11Nodal Letter Recv.
12NOC Pwd Permission
13NOC Pwd Permission
14NOC Pwd Permission Copy
15NOC Pwd Permission
16Area Tabular Sheet/Land Schedule.
17Brief description about project
18Financial and administrative approval
19No other land except forest land available for porject
20Land schedule
21Length & Breadth of project
22Bar Chart
23work not started certificate
24no tree felling certificate
25Aerial distance certificate
26Project area not part of any National Park
27Project area not part of any place of religious and historical importance
28EDS and reply by UA
29Gram pradhan certificate
30Prarup 37 having signature of revenue officials
31Signature of competent authority of UA on prarup 2
32EDS Reply dated 27-2-2020
33FRA Cerificate