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/UK/OFC/36847/2018   (ii). Name of Project for which Forest Land is required : Dehradun OFC (Raipur-Ranipokhari)   (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 Raipur-Ranipokhari in Dehradun District.   (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) : 250   (viii). Area of forest land proposed for diversion(in ha.): 0.205   (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). Landmarks : IT park   (viii). Email address : pankaj35.singh@ril.com   (ix). Landline Telephone No. : 6134219   (x). Fax No. : NIL   (xi). Mobile No. : 9781535435   (xii). Website (if any) : www.jio.com   (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: 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). Landmarks: Near Kamla Palace Hotel   (xiii). Email Address: pankaj35.singh@ril.com   (xiv). Landline Telephone No.: 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:
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.Dehradun0.2050.135
Total0.2050.135
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Dehradun0.2050.135
Total0.2050.135
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1bhopalpani0.020.015
2pavwala0.0450.004
3thano00.015
4ramnagar danda0.0180
5bidalna rapte0.0090
6gayatri shaktipeeth00.001
7rani pokhri00.073
8bhakot chowki0.0650
9thandi0.0380
10chandi mandir0.010.026
0.205 0.134
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Laying Of Optical Fiber Cable0.2050.134
Total 0.205 0.134
C. Maps of forest land proposed to be diverted
Division 1. : Dehradun
  (i). Area of forest land proposed to be diverted(in ha.) : 0.205   (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.
1.0.205    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: No alternate path available to take telecom coverg
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): 25
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?: NIL   (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 ?: NIL   (iii) . Reason for not providing Non-Forest Land: NIL
Additional information Details
Documents
S.No Documents
Remarks
1Certificate of Registration by Reliance Jio Infocomm Ltd.
2CG Forest Permission Dfo Letter
3Forest Sec Letter
4Guidelines for NVP on OFC linear projects
5Indian Telegraph license
6Operators license to Jio
7Telecom unified license to Relaince JIo
8GO circular for general exemptions to linear projects
9letter of competence and authority to sign and submit applications
10NOC from PWD
11brief detail about project
12prapatr 2
13land schedule van vibhag
14land schedule civil,van panchayat
15project length and breadth
16bar chart
17work not started certificate
18Reply to objection raised on 20th April
19no tree felling certificate
20Checklist
21aerial distance from National park certificate
22geologist certificate not required
23Joint Survey
24POA Deepak Pal Singh
25Aerial Distance Certificate by CF IT Cell
26project area not part of any place of historical importance
27EDS reply dated 15th June
28forest land value
29NPV
30NPV revised rate declaration
31area statement length breadth
32FRA certificate along with SDM committee
33Reply to Nodal query dated 3/5/19