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/RJ/OFC/50901/2020
(ii). Name of Project for which Forest Land is required :
Laying of Underground Optical Fiber Cable Along the NH-21(old NH11) Road Within the Existing Row from Mahuwa to Samleti GP, NTR –T Joint to Patoli , Hadiya to Teekri Jafran NH Crosing and Hadiya T-Joint to Pali T-Joint –District-Dausa (Rajasthan)
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Laying of Underground Optical Fiber Cable Along the NH-21(old NH11) Road Within the Existing Row from Mahuwa to Samleti GP, NTR –T Joint to Patoli , Hadiya to Teekri Jafran NH Crosing and Hadiya T-Joint to Pali T-Joint –District-Dausa (Rajasthan)” Total Length 4004 meter
(iv). State :
Rajasthan
(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) :
8.6867
(viii). Area of forest land proposed for diversion(in ha.):
0.1602
(ix). Non-forest land required for this project(in ha.):
0.02
(x). Total period for which the forest land is proposed to be diverted(in years):
99
A-2.
Details of User Agency
(i). Name :
BHARAT BROADBAND NETWORK LIMITED
(ii). Address1 :
GM PROJECT-VI, BBNL ,LALKOTHI, JAIPUR
(iii). Address2 :
NIL
(iv). State :
Rajasthan
(v). District :
Jaipur
(vi). Pin :
302015
(vii). Landmark :
JAIPUR NAGAR NIGAM OFFICE
(viii). Email address :
hariprakasheck2004@gmail.com
(ix). Landline Telephone No. :
141-2744777
(x). Fax No. :
141-
(xi). Mobile No. :
9414001442
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
Central PSU
A-3.
Details of Person Making Application
(i). First Name:
Hari
(ii). Middle Name:
Prakash
(iii). Last Name:
Meena
(iv). Gender:
Male
(v). Designation:
SDO
(vi). Address 1:
BSNL Telephone Exchange, Mahwa , District Dausa
(vii). Address 2:
NIL
(viii). State:
Rajasthan
(ix). District:
Dausa
(x). Tehsil:
Mahwa
(xi). Pin:
321608
(xii). Landmark:
NH-11
(xiii). Email Address:
hariprakasheck2004@gmail.com
(xiv). Landline Telephone No.:
0-
(xv). Fax No.:
NIL
(xvi). Mobile No.:
9414003250
(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.
Dausa Territorial
0.1602
0.02
Total
0.1602
0.02
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Dausa
0.1602
0.02
Total
0.1602
0.02
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Hariya
0.0783
0.0121
2
Tekra
0.0009
0.001
3
Samleti
0.0666
0.0041
4
Patoli
0.0144
0.0028
Total
0.1602
0.02
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Hadiya to Teekri Jafran NH Crosing
0.0018
0.0065
2
Hadiya T-Joint to Pali T-Joint
0.0765
0.0056
3
Mahuwa to Samleti GP
0.0675
0.0051
4
NTR –T Joint to Patoli
0.0144
0.0028
Total
0.1602
0.02
C.
Maps of forest land proposed to be diverted
Division 1. : Dausa Territorial
(i). Area of forest land proposed to be diverted(in ha.) :
0.1602
(ii). Nature of the Project:
Linear
(b). No. of Segments :
Seven
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.
0.0009
View File
2.
0.0009
View File
3.
0.0756
View File
4.
0.0009
View File
5.
0.0009
View File
6.
0.0666
View File
7.
0.0144
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:
Exiting NH Row Protected Forest
E.
Employment likely to be generated
(i). Whether the Project is likely to generate employment ?:
Yes
(ii). Permanent/Regular Employment(Number of persons):
4
(iii). Temporary Employment(Number of person-days):
50
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
1
ADMINISTRATIVE SANCTION
2
AUTHORIZATION LETTER
3
BARCHART
4
CERTIFICATE FOR MINIMUM USE OF FOREST LAND
5
Details of Permanent Employment to be Generated
6
JUSTIFICATION FOR LOCATING THE PROJECT IN FOREST AREA
7
PROJECT REPORT
8
SEGMENT WISE AREA CALCULATION SHEET
9
STATEMENT SHOWING DETAILS OF FORESTAREA PROPOSED FOR DIVERSION
10
UNDERTAKING FOR CONSERVATION OF FLORA-FAUNA AND WILDLIFE ANIMALS DURING LAYING OFC CALBLE
11
UNDERTAKING FOR MUCK DISPOSAL DURING LAYING
12
UNDERTAKING FOR NO CHANGE S IN STATUTORY POSITION OF DIVERTED FOREST LAND
13
UNDERTAKING FOR PAYMENT OF ANY OTHER COST AND CONDITION
14
UNDERTAKING FOR PAYMENT OF COST OF COMPENSATORY AFFORESTATION
15
UNDERTAKING FOR PAYMENT OF NET PRESENT VALUE OF FOREST AREA
16
UNDERTAKING FOR USE OF ANY MATERIAL FROM SURROUNDED FOREST LAND DURING DURING LAYING OFC CALBLE
17
UNDERTAKING FOR VARIOUS POINTS
18
UNDERTAKING FOR WASTE MANAGEMENT DURING CONSTRUCTION ACTIVITY
19
UNDERTAKING OF FRA CERTIFICATE
20
UNDERTAKING FOR USE OF FOREST LAND
21
Geo-Referenced Survey of India Toposheet With Proposed OFC Route Alignment Scale 1 : 50000
22
Geo-Referenced Digital Map Segment 1-2
23
Geo-Referenced Digital Map Segment 3-4
24
Geo-Referenced Digital Map Segment 5-6
25
Geo-Referenced Digital Map Segment -7
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