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/UP/Others/143253/2021   (ii). Name of Project for which Forest Land is required : Reliance 4G Project for Laying of OFC along with road on NH-731(Old NH-56) (Lucknow-Sultanpur Road) from Km. 64.00 to Km. 112.80 & NH-96(330) (Ayodhya-Sultanpur-Prayagraj Road) from Km.69.00 to Km 79.80. Total Km. 59.60 & 0.6281 Ha. in Social Forestry Division Amethi, District - Amethi -UP.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Reliance 4G Project for Laying of OFC along with road on NH-731(Old NH-56) (Lucknow-Sultanpur Road) from Km. 64.00 to Km. 112.80 & NH-96(330) (Ayodhya-Sultanpur-Prayagraj Road) from Km.69.00 to Km 79.80. Total Km. 59.60 & 0.6281 Ha. in Social Forestry Division Amethi, District - Amethi -UP.   (iv). State : Uttar Pradesh   (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) : 149   (viii). Area of forest land proposed for diversion(in ha.): 0.6281   (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 Jeo Infocomm Ltd   (ii). Address1 : 3rd Floor, Maker Chamber IV, 222, Nariman point Mumbai   (iii). Address2 : NIL   (iv). State : Maharashtra   (v). District : Mumbai City   (vi). Pin : 400021   (vii). Landmark : Maker Chamber   (viii). Email address : pankaj.khare@ril.com   (ix). Landline Telephone No. : 22-22785500   (x). Fax No. : 22-22785560   (xi). Mobile No. : 9307663270   (xii). Website (if any) : ril.com   (xiii). Legal status of User Agency : Others
A-3. Details of Person Making Application
  (i). First Name: Pankaj Khare   (ii). Middle Name: NIL   (iii). Last Name: Khare   (iv). Gender: Male   (v). Designation: Manager   (vi). Address 1: IInd Floor,Rohtas”Ks”Trid Building,Rana Pratap Marg,Near Sikandarbag Chouraha,Lucknow   (vii). Address 2: NIL   (viii). State: Uttar Pradesh   (ix). District: Lucknow   (x). Tehsil: NIL   (xi). Pin: 226001   (xii). Landmark: Behind Doordarshan Building   (xiii). Email Address: pankaj.khare@ril.com   (xiv). Landline Telephone No.: 522-4939062   (xv). Fax No.: NIL   (xvi). Mobile No.: 9307663270   (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
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
1InprincipleFP/UP/Others/26031/2017FP/UP/Others/26031/20170.81890.818927 Sep 2018
2InprincipleFP/UP/Others/23197/2016FP/UP/Others/23197/20160.6890.68902 Aug 2017
3InprincipleFP/UP/Others/32529/2018FP/UP/Others/32529/20180.83980.839826 Sep 2018
4InprincipleFP/UP/Others/26800/2017FP/UP/Others/26800/20170.98420.984212 Feb 2018
Total 3.3319 3.3319
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.Social Forestry Division Amethi0.62810
Total0.62810
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Amethi0.62810
Total0.62810
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Naukhera0.01810
2Chilauli0.01360
3Inhauna0.02690
4Kathaura0.02140
5Kamrauli0.01620
6Madupur0.01510
7Utelwa0.01840
8Jagdishpur0.03980
9Husainganj Kalan0.02690
10Namdarpur0.02890
11Warisganj0.02570
12Salpur0.02750
13Adhanpur0.02640
14Kanjas0.02730
15Chak Baher0.01850
16Rampur urf Lokari0.02630
17Pure Prem Shah0.02720
18Musafirkhana0.04730
19Sarai Sulemani0.02740
20Kashtuni Paschim0.01650
21Kashtuni Purab0.01890
22Ghanapur0.01260
23Durgapur0.01240
24Narbahanpur0.01270
25Kurang0.01350
26Rampur0.01240
27Rajpur (Ramganj)0.01390
28Sansaripur0.01180
29Trisundi0.01130
30Chheera0.01320
Total 0.6281 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Laying of OFC cable0.62810
Total 0.6281 0
C. Maps of forest land proposed to be diverted
Division 1. : Social Forestry Division Amethi
  (i). Area of forest land proposed to be diverted(in ha.) : 0.6281   (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).
1.0.6281    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: Not applicable(Along with road)
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 9   (iii). Temporary Employment(Number of person-days): 536
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? : No
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
1IP Licence from Ministry of Telecommunications n Name Change
2One time Plantation of 20 Km In Forest Division Agra of Rs 1 Cr.9Lac.
3Methodology of Laying of OFC
4Standard condition
5Undertaking for C.A.
6Undertaking for NPV
7NOC/Primary authority permissions of DFO Amethi-UP
8GPS Coordinates DFO Amethi-UP
9Marked Gazette notification
10Project Details In Amethi-UP
11Undertaking for work not start
12Undertaking for DFO Amethi-UP for FRA Certificate
13Undertaking for Muck Disposal
14Area Calculation of Forest Land of DFO Amethi-UP
15Undertaking for DFO Amethi-UP for Primary Permission
16Undertaking for Entire Tree Transplantation for DFO Amethi