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/40299/2019   (ii). Name of Project for which Forest Land is required : OFC Khunigad   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Reliance 4G project for laying OFC along with road at hill side from Lohari to Khunigad total distance 79 KM and total area .79Ha   (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) : 15000   (viii). Area of forest land proposed for diversion(in ha.): 0.79   (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): 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.Chakrata0.790
Total0.790
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Dehradun0.790
Total0.790
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Lohari0.1190
2Koti0.1180
3Kanasar0.1120
4Tyuna0.1170
5Rotakhad0.0180
6Sawra0.0190
7Bandroli0.0170
8Dharagad0.0280
9Kanda0.0290
10Tyuni0.0190
11Maindrat0.0180
12Darnigar0.0190
13Hanol0.0190
14Chatra0.1180
15Khoonighat0.020
Total 0.79 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Laying Of Optical Fiber Cable0.790
Total 0.79 0
C. Maps of forest land proposed to be diverted
Division 1. : Chakrata
  (i). Area of forest land proposed to be diverted(in ha.) : 0.79   (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).
1.0.79    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: OFC is proposed along existing road
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 10   (iii). Temporary Employment(Number of person-days): 40
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
1Brief detail about project
2Prapatr 2
3Prapatr 3 par1
4Prapatr 3 part 2
5Prapatr 5
6Prapatr 8,9,10
7Prapatr 14 Non Availability of other land
8Prapatr 14.1
9Prapatr 15- Land schedule
10Prapatr 15.1 - Land schedule
11Prapatr 16 - Length & Breadth of project
12Prapatr 17 - Bar Chart
13Prapatr 18 - Work not started certificate
14Prapatr 19 - Trees to be affected
15Prapatr 23 - Certificate from DFO regarding -No trees affected
16Prapatr 25 - Aerial distance certificate
17Prapatr 25.1 - National Park certificate
18Prapatr 25.2 Sthal Vishist
19Prapatr 34- Geologist & District task force orders to be followed
20Prapatr 33- Geologist
21Prapatr 35- task force part 1
22Prapatr 35- task force part 2
23Prapatr 36- Prescribed rules part 1
24Prapatr 36- Prescribed rules part 2
25Prapatra- 39 No use of cooking gas
26Prapatra- 41 Cost of forest land
27Prapatra- 41.1 Lease period certificate
28Prapatra- 49 Debris handling
29Prapatra- 51 NPV deposit certificate
30Prapatra- 51.1 Afforestation undertaking
31Prapatra- 56 EC undertaking
32Fact sheet part 1
33Fact sheet part 2
34Primary Permission of PWD
35IP license and name change
36Indian Telegraph
37OFC layout sketch
38Specification of OFC laying
39Registration Certificate
40Nodal Objection and reply dated 21.5.2019