FORM - B
Form for seeking prior approval under Section-2 of the proposals by the State Governments and other authorities, in respect of renewal of leases,
which have been earlier granted clearance under Forest (Conservation) Act,1980
PART - I
(To be filled up by User Agency)
A. General Details
A-1. Project Details
  (i). Proposal No. : FP/CG/OFC/139634/2021   (ii). Name of Project for which Forest Land is required : JIO DIGITAL FIBRE PRIVATE LIMITED, Gomarda Wild Life Sanctuary (Raigarh Forest Division) Laying of OFC along with RoW (Road Corridor) under Network strengthening in Raigarh District of Chhattisgarh St   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Jio Digital Private Ltd., Raipur, Laying Optical Fiber Cable (OFC) along with Row (Road Corridor) under Gomarda Wild Life Sanctuary (Raigarh Forest Division) under Network strengthening in Raigarh District of Chhattisgarh State Regarding   (iv). State : Chhattisgarh   (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) : 75   (viii). Area of forest land proposed for diversion(in ha.): 0.785   (ix). Non-forest land required for this project(in ha.): 0.497   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : JIO DIGITAL FIBRE PRIVATE LIMITED   (ii). Address1 : 4th Floor, Office Block, Office No. 401-405, Ambuja Mall, Vidhansabha Road, Mowa (Saddu), Raipur (C.G.)   (iii). Address2 : NIL   (iv). State : Chhattisgarh   (v). District : Raipur   (vi). Pin : 492014   (vii). Landmarks : Ambuja Mall   (viii). Email address : amanksingh@rediffmail.com   (ix). Landline Telephone No. : 3557756   (x). Fax No. : NIL   (xi). Mobile No. : 9752446854   (xii). Website (if any) : NIL   (xiii). Details of Proposals seeking prior approval of Central Government under the Act for diversion of forest land submitted by the User Agency 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
  (xiv). Legal status of User Agency : Private
A-3. Details of Person Making Application
  (i). First Name: Aman   (ii). Middle Name: Kumar   (iii). Last Name: Singh   (iv). Gender: Male   (v). Designation: Astt. Vice President (Corp. Affairs)   (vi). Address 1: 4th Floor, Office Block, office No. 401-405, Ambuja Mall, Vidhansabha Road, Mowa saddu, Raipur, Chhattisgarh   (vii). Address 2: NIL   (viii). State: Chhattisgarh   (ix). District: Raipur   (x). Tehsil: Raipur   (xi). Pin: 492014   (xii). Landmarks: Ambuja Mall   (xiii). Email Address: amanksingh@rediffmail.com   (xiv). Landline Telephone No.: 3557756   (xv). Fax No.: NIL   (xvi). Mobile No.: 9752446854   (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:
A-7. Details of the forest land returned back to the State Forest Department or any other Authority from the forest land diverted in favour of the user agency
A-9. Details of Transfer of Lease
Serial No Name of person Address of person Date of transfer MMDR File Transfer Deed Conservation MoEF_file No Date of approval MoEF file
NIL
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
  (i). Whether any proposal seeking prior approval of Central Government under the Act for diversion of forest land required for the project has been submitted in the past?. : No
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.Raigarh0.7850.497
Total0.7850.497
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Raigarh0.7850.497
Total0.7850.497
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Baigindih00.069
2Bataupali0.0250.067
3Chantipali0.1160
4Damdarha0.050.072
5Dansara00.025
6Ghora Ghati0.1330
7Kanakbira0.0420.068
8Kargipali0.0120.033
9Khairjhiti0.0610.003
10Malda0.2230
11Manikpur0.0250.087
12Nareshnagar00.022
13Salar0.0270.01
14Saraipali0.0710
15Tamtora00.041
0.785 0.497
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Optical Fibre Cable0.7850.497
Total 0.785 0.497
C. Maps of forest land proposed to be diverted
Division 1. : Raigarh
  (i). Area of forest land proposed to be diverted(in ha.) : 0.785   (ii).Shape of forest land proposed to be diverted : Linear   (b). No. of Segments : One
Segments wise details
Segmenst Segment Area(in ha.) Kml File of SegmentsTo view KML file on google the same may be downloaded and then open if in google earth install in your computer.
1.0.785    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 DGPS 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: Laying of OFC in RoW Road Corridor
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 5   (iii). Temporary Employment(Number of person-days): 30
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? : Yes   (a). Whether Project or a part thereof is located within a Protected Area ? : Yes   (b). Status of approval of the Supreme Court : Approval under cons   (ii). Status of approval of the Standing Committee of National Board for the Wildlife(NBWL) to the Project : Approval obtained   (a). MoEF File No : Nil   (b). Copy of approval of Standing of the NBWL: No Data   (c). Date of Approval : 19 Dec 2022
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?: No   (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 ?: No   (iii) . Reason for not providing Non-Forest Land: Diversion of forest land up to one hectare
Additional information Details
Documents
S.No Documents
Remarks
1DGPS Report_Gomarda WLS_Raigarh
2Land Schedule_GWLS_Raigarh
3JDFPL Registration Certificate
4Google Map_Gomarda Wild Life Sanctuary
5Gomard WLS_PCCF Wild Life Tip
6Raigarh DD Registration and Processing (GWLS)
7Acknowledged Copy Proposal Submission
8State Wild Life Board approval copy
9The Hard copy of proposal in five Set has been submitted vide letter dated 31.01.2022 , The acknowledge copy is annexed