Physical Environment

Zone
District
Municipality
Ward No
Place Name
Coordinate points of 4 corners

Total Area of Plot

Landuse Type (Cultivable/ forest/ buildup)
Nearby River and distance of plot from nearby river?

Nearby Quarry Site

Nearby Market and Distance from project plot?
Distance of Plot from main highway and feeder road or municipal road
Does the plot contain drainage drain nearby?

Biological Environment
Nearby Forest
Name of trees available in or nearby the project area
Name of animals available in or nearby the project area
Name of birds available in or nearby the project area
Name of reptiles available in or nearby the project area

Social Environment
Is there any houses to be replaced by the project?
If Yes quantify the number of houses and name of the owner with their details like family size,
language, culture etc.
If No, how many houses area there within 50m (DIZ) periphery?
Religion of people living nearby of the project area
Culture of people living nearby of the project area
Occupation done by the peoples nearby?
Tentative household size of the houses nearby of project area and number of houses nearby?
Distance from nearby big projects if any?