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/40442/2019   (ii). Name of Project for which Forest Land is required : Reliance 4G Project for Laying of Optical Fibre Cable (OFC) along with road on NH-25 (Orai - Ait Road) from Km. 250.00 to Km. 178.00 & MDR-27 B (Konch - Nadigaon Road) from Km. 0.00 to Km. 21.00, Total 93.00 Km & 0.9802 Ha. in Orai Forest Division, District Jalaun -UP   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Reliance 4G Project for Laying of Optical Fibre Cable (OFC) along with road on NH-25 (Orai - Ait Road) from Km. 250.00 to Km. 178.00 & MDR-27 B (Konch - Nadigaon Road) from Km. 0.00 to Km. 21.00, Total 93.00 Km & 0.9802 Ha. in Orai Forest Division, District Jalaun -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) : 233   (viii). Area of forest land proposed for diversion(in ha.): 0.9802   (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
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.Forest Division Orai0.98020
Total0.98020
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Jalaun0.98020
Total0.98020
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Daulatpur0.04760
2Kalpi0.03870
3Lohamandi0.03690
4Harkhupur0.03860
5Usargaon0.04890
6Aata0.04960
7Bandha0.03760
8Rahiya0.03970
9Orai0.07940
10Shahpura0.03790
11Naktela0.04850
12Nunsai0.04680
13Somai0.03870
14Ait0.04780
15Jakhauli0.03850
16Pirona0.04820
17Konch0.04670
18Toomra0.04860
19Sadupura0.03690
20Adlispura0.03620
21Rajipura0.04270
22Nadigaon0.04570
Total 0.9802 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Laying of OFC Cable0.98020
Total 0.9802 0
C. Maps of forest land proposed to be diverted
Division 1. : Forest Division Orai
  (i). Area of forest land proposed to be diverted(in ha.) : 0.9802   (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).
1.0.9802    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): 837
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
1Area Calculation of Forest Land of DFO Orai-UP
2GPS Coordinates - Orai
3Project Details In DFO Orai-UP
4One time Plantation of 20 Km In Forest Division Agra of Rs 1 Cr.9Lac.
5Methodology of Laying of OFC
6Standard condition
7Undertaking for C.A.
8Undertaking for NPV
9Undertaking for work not start
10Undertaking for DFO Orai - UP for FRA Certificate
11Undertaking for Muck Disposal
12Marked Gazette notification
13IP Licence from Ministry of Telecommunications n Name Change
14Dy CF letter
15Undertaking for Muck Disposal
16EDS Letter for Joint Inspection
17EDS Reply Letter 29.09.2020
18EDS Reply dated 19.12.2020
19EDS Reply Letter 16.01.2021
20NOC/Primary authority permissions of Orai-UP.