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/36847/2018   (ii). Name of Project for which Forest Land is required : Dehradun OFC (Raipur-Ranipokhari)   (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 Raipur-Ranipokhari in Dehradun District.   (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) : 250   (viii). Area of forest land proposed for diversion(in ha.): 0.205   (ix). Non-forest land required for this project(in ha.): 0.135   (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.Dehradun0.2050.135
Total0.2050.135
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Dehradun0.2050.135
Total0.2050.135
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1bhopalpani0.020.015
2pavwala0.0450.004
3thano00.015
4ramnagar danda0.0180
5bidalna rapte0.0090
6gayatri shaktipeeth00.001
7rani pokhri00.073
8bhakot chowki0.0650
9thandi0.0380
10chandi mandir0.010.026
Total 0.205 0.134
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Laying Of Optical Fiber Cable0.2050.134
Total 0.205 0.134
C. Maps of forest land proposed to be diverted
Division 1. : Dehradun
  (i). Area of forest land proposed to be diverted(in ha.) : 0.205   (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).
1.0.205    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 path available to take telecom coverg
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 5   (iii). Temporary Employment(Number of person-days): 25
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
1Guidelines for NVP on OFC linear projects
2Indian Telegraph license
3Operators license to Jio
4Telecom unified license to Relaince JIo
5GO circular for general exemptions to linear projects
6letter of competence and authority to sign and submit applications
7NOC from PWD
8Certificate of Registration by Reliance Jio Infocomm Ltd.
9CG Forest Permission Dfo Letter
10Forest Sec Letter
11Joint Survey
12POA Deepak Pal Singh
13Checklist
14Reply to objection raised on 20th April
15area statement length breadth
16FRA certificate along with SDM committee
17Reply to Nodal query dated 3/5/19
18brief detail about project
19prapatr 2
20land schedule van vibhag
21land schedule civil,van panchayat
22project length and breadth
23bar chart
24work not started certificate
25no tree felling certificate
26aerial distance from National park certificate
27geologist certificate not required
28project area not part of any place of historical importance
29forest land value
30NPV
31NPV revised rate declaration
32Aerial Distance Certificate by CF IT Cell
33EDS reply dated 15th June