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/36899/2018
(ii). Name of Project for which Forest Land is required :
Bageshwar OFC (Bageshwar-Kameri Devi)
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Reliance Jio is Laying Optical Fiber Cable (OFC) To Provide Mobile Telecom and 4G Internet sevices. Jio will lay underground OFC cables along the hillside on state and national highways to connect to towers in the city / villages that will relay signals in Bageshwar-Kameri Devi in Bageshwar Distric
(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) :
230
(viii). Area of forest land proposed for diversion(in ha.):
0.265
(ix). Non-forest land required for this project(in ha.):
0.135
(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.
Bageshwar
0.265
0.135
Total
0.265
0.135
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Bageshwar
0.265
0.135
Total
0.265
0.135
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Dikra
0.004
0.003
2
Namtichetabagar
0.006
0.004
3
Mandalsera
0.004
0.002
4
Faltniya
0.006
0.002
5
Chhati
0.007
0.005
6
Basai
0.005
0.003
7
Baset
0.005
0.002
8
Mankot
0.004
0.003
9
Burghuna
0.004
0.004
10
siroli
0.005
0.006
11
Kunara
0.006
0.004
12
Dewali Gunth
0.007
0.004
13
Simyal
0.005
0.003
14
Kunera
0.004
0.002
15
Rajoli
0.006
0.004
16
Taknar
0.005
0.003
17
Bijepur
0.006
0.004
18
Thala
0.008
0.004
19
Deo Toli
0.05
0.02
20
simraru
0.029
0.028
21
julkiya
0.028
0.02
22
matiyoli
0.027
0.002
23
Kapalkhet
0.02
0.001
24
Dura
0.014
0.002
Total
0.265
0.135
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Laying Of Optical Fiber Cable
0.265
0.135
Total
0.265
0.135
C.
Maps of forest land proposed to be diverted
Division 1. : Bageshwar
(i). Area of forest land proposed to be diverted(in ha.) :
0.265
(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.
0.265
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:
no other alternative found after examined the loca
E.
Employment likely to be generated
(i). Whether the Project is likely to generate employment ?:
Yes
(ii). Permanent/Regular Employment(Number of persons):
30
(iii). Temporary Employment(Number of person-days):
20
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
NPV Guidelines By Law.
2
FRA GO From Govt. OF Telangana HOFF.
3
Power Of Attorney For Signing Authority.
4
IP Licence
5
Area Tabular Sheet/Land Schedule.
6
Indian Telegraph By Law.
7
Certificate Of Registration By RJIL.
8
Layout & Procedure For Laying Of OFC.
9
OFC Layout Sketch.
10
CG Forest Permission Dfo Letter.
11
Forest Sec Letter.
12
Nodal Letter Recv.
13
Noc Pwd Permission.
14
area calculation sheet
15
Land Schedule
16
NPV cetificate
17
brief detail aboy project -Prapatra 1
18
administrative & Financial acceptance- Prarup -5
19
BAR Chart Prarup -17
20
Non availability of other land - Prapatr -14
21
length & Breadth of project Prarup-16
22
Work not started certificate Prarup-18
23
No tree feeling certificate Prarup-19
24
Area not part of National Park certificate Prarup-25.1
25
Geologist report not required certificate Prarup-33
26
Geologist/ Task force order to be followed- certificate Prarup-34
27
Religious/historical place certificate Prarup-37
28
No harm to animals declaration certificate Prarup-38
29
No use of kerosene & gas declaration Prarup-39
30
value of forest land certificate Prarup-41
31
Lease period certificate Prarup-41.1
32
Disposal of debris Prarup-49
33
NPV calculation Prarup-50
34
Aerial Distance from National Park
35
EDS reply 31-72019
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