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/30152/2017
(ii). Name of Project for which Forest Land is required :
Reliance 4G Project for Laying of Optical Fibre Cable (OFC) along with road on left side of SH-75 (Bewa - Itawa - Domariyaganj Road) from Km. 0.00 to Km. 42.00 & NH - 233 (Basti - Bansi Road) from Km. 65.60 to Km. 46.00, Total Km. 61.60 & 0.6492 Ha. in Social Forestry Division Siddharthnagar – UP, District: Siddharthnagar - 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 left side of SH-75 (Bewa - Itawa - Domariyaganj Road) from Km. 0.00 to Km. 42.00 & NH - 233 (Basti - Bansi Road) from Km. 65.60 to Km. 46.00, Total Km. 61.60 & 0.6492 Ha. in Social Forestry Division Siddharthnagar, District: Siddharthnagar-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) :
154
(viii). Area of forest land proposed for diversion(in ha.):
0.6492
(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 :
Private
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
1
Inprinciple
FP/UP/Others/26031/2017
FP/UP/Others/26031/2017
0.8189
0.8189
27 Sep 2018
2
Inprinciple
FP/UP/Others/23197/2016
FP/UP/Others/23197/2016
0.689
0.689
02 Aug 2017
3
Inprinciple
FP/UP/Others/32529/2018
FP/UP/Others/32529/2018
0.8398
0.8398
26 Sep 2018
4
Inprinciple
FP/UP/Others/26800/2017
FP/UP/Others/26800/2017
0.9842
0.9842
12 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 Siddharth Nagar
0.6492
0
Total
0.6492
0
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Siddharthnagar
0.6492
0
Total
0.6492
0
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Dhebarua
0.0352
0
2
Parsa
0.0138
0
3
Akrahra
0.0167
0
4
Pathar Deia
0.0182
0
5
Ramnagar
0.0127
0
6
Barahi
0.0137
0
7
Semri Nankar
0.0226
0
8
Bhelauha
0.0183
0
9
Narayanpur
0.0164
0
10
Khankot
0.0238
0
11
Mahadev
0.0186
0
12
Chaukhariya
0.0164
0
13
Saini
0.0258
0
14
Itwa
0.0231
0
15
Sagrajot
0.0185
0
16
Itwa Baksi
0.0146
0
17
Pachmari
0.0158
0
18
Chaukhara
0.0169
0
19
Sirsia
0.0174
0
20
Domariyaganj
0.0218
0
21
Misrooliya
0.0146
0
22
Mahuwakhurd
0.0168
0
23
Hallaur
0.0174
0
24
Saadpur
0.0164
0
25
Arne
0.0178
0
26
Bewa
0.0187
0
27
Bansi
0.0164
0
28
Chhitauna
0.0178
0
29
Kazirudhauli
0.0192
0
30
Mahokhwa
0.0158
0
31
Belgari
0.0169
0
32
Tillauli
0.0174
0
33
Nachani
0.0149
0
34
Dindai
0.0146
0
35
Asnahara
0.0168
0
36
Lohrauli
0.0174
0
Total
0.6492
0
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Laying of OFC Cable
0.6492
0
Total
0.6492
0
C.
Maps of forest land proposed to be diverted
Division 1. : Social Forestry Division Siddharth Nagar
(i). Area of forest land proposed to be diverted(in ha.) :
0.6492
(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.
0.6492
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 application(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):
555
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
1
Standard condition
2
Undertaking for C.A.
3
IP Licence from Ministry of Telecommunications n Name Change
4
One time Plantation of 20 Km In Forest Division Agra of Rs 1 Cr.9Lac.
5
Undertaking for NPV
6
Methodology of Laying of OFC
7
Forest Land Notification gazette
8
NOC Primary authority (PWD) permissions of Siddharthnagar-UP
9
EDS letter
10
Project Details In DFO Siddharthnagar-UP
11
Area Calculation of Forest Land of DFO Siddharthnagar-UP
12
Undertaking for work not start
13
Undertaking for Primary authority permissions of Siddharthnagar-UP
14
Undertaking for Muck Disposal
15
Undertaking for DFO Siddharthnagar-UP - for FRA Certificate
16
GPS Coordinates - Siddharthnagar
17
EDS reply on 10 Dec 2019
18
Undertaking for C.A.
19
EDS Reply Letter 15.12.2020
20
EDS Reply Letter 16.01.2021
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