QUESTIONNAIRE FOR
SITE ASSESSMENT OF
1.
General
Information
A. Site Information
B. Geographical Location
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Village/s |
District/s |
Tehsil/s |
State/s |
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C. Latitude
D. Longitude
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E. Elevation
above
F.
Total
Area proposed for the
Project (in ha.), if any
G.
Nature
of Terrain
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H. Technical Classification of
Soil (loam, sandy etc./aerial
extent (ha.)
II. Existing land usage of the proposed project site area (in hectares)
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Total
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i)Agriculture a) Irrigated b) Unirrigated |
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ii) |
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iii) |
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iv)Grazing |
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v)Fallow |
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vi)Water bodies |
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vii)Marshes |
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viii)Others(Pl. Specify) |
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Total |
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III.
Alternate
sites considered from the environment angle.
A. _______________________________________________________________
B. _______________________________________________________________
C. _______________________________________________________________
D. _______________________________________________________________
IV.
Reason
for selecting the proposed site from the environment angle.
V.
Details
of site
A. Seismicity
1. Whether the proposed dam site fall in seismically active area
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Yes No
2. What is the seismic zone?
3. Whether any major landslide occurred in the past?
If yes,
(a) Frequency of occurrence/decade
(b)
Area
affected (ha)
(c) Population affected (nos.)
B. Sites likely to be submerged
1. Mineral bearing
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S. No. |
Name of the Mineral |
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2. Archaeological sites/monuments
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S. No. |
Sites/Monuments |
Antiquity |
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3. Place of worship
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S. No. |
Place |
Period of construction |
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A. Irrigation(ha)
B.
Power
generation (MW)
C. Drinking water supply (cumecs)
D. Industrial water supply (cu.m. /day)
E. Flood control (area to be protected, in
ha)
F.
Others
(pl. specify)
1. Existing Cropping pattern
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S. No. |
Crop |
Existing Area (ha) |
Productivity (tonnes/ha) |
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2. Water logging (ha)
3. Infiltration rate (cms /hour)
(at least for two locations in each of the major soil groups identified)
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Major soil group |
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Infiltration rate |
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4. Saturated hydraulic conductivity for major soil groups (m/day) using in-situ auger hole/inverse auger hole method depending on depth of water table from the ground level within 2 meter or above 2 meters
VIII.
1. Sedimentation (hectare meter/sq.km/year)
Present rate
2.
Length
of river course which is likely
to dry up due to impoundment (km)
3. In case of project where flow of water will be reduced due to withdrawal of water in between head race tunnel and tail race tunnel
i) Length (metre)
ii)
Flow
rate in river (m/sec)
IX.
Whether
any of the following exist within 7 km. of the project site. If so please indicate aerial distance from
the periphery of submergence of the site and the name of the site.
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S.No. |
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Name |
Aerial Distance (in Km) |
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1. |
National Park |
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2. |
Sanctuary/Tiger Reserve/Elephant Reserve |
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3. |
Core Zone & Buffer Zone of Biosphere Reserve |
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4. |
Habitat for migratory birds |
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5. |
Lakes/Reservoir/dams |
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6. |
Stream/Rivers |
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7. |
Estuary/Sea |
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8. |
Mountains/Hills |
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9. |
Archaeological sites |
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10. |
Archaeological sites listed in notification |
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11. |
Defence Installation |
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12. |
Industries/Thermal Power Plants |
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13. |
Municipal Corporation/Municipal Council/Nagarpanchayat (by whatever name it is known in the state) |
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14 |
Mangroves |
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15 |
Airports |
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16 |
Railway lines |
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17 |
National Highways |
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X. Description of the vegetation (a) within project site (b) within 7m Km from the periphery of project site under following headings
A. Agricultural crops_____________________________________________
B. Commercial crops_____________________________________________
C. Plantation___________________________________________________
D. Natural Vegetation/Forest Type (provide details)______________________________________________________
E. Grass lands__________________________________________________
F. Endangered species____________________________________________
G. Endemic species______________________________________________
H. Others (Please specify)_________________________________________
XI. Description of fauna within 7 Km under following headings.
A. Rare and endangered species
B. Species which require management
C. Species of economic significance
D. Species of special interest to local population or tourists
E. Aquatic fauna of commercial/recreational value and migratory fish species along with their spawning ground
F. Migratory route of terrestrial, aquatic as well as avi -fauna.
A. Length of roads to be built
B. Temporary sheds & Quarters
C. Temporary office & residential buildings
D. No. of people to be engaged
XIII. Annual average rain fall (in mm) ___________________________________
XV. Water Balance (cumecs)
1. Minimum flow observed over a period of time, and
2. Maximum flow observed over a period of time
XVI. Present Water use downstream. (cubic meter/sec)
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S. No. |
Usage |
Present Consumption |
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Surface Ground |
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1 |
Irrigation |
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2. |
Industry |
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3. |
Drinking |
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4. |
Other (Please specify) |
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Total |
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XVII.
Physico chemical analysis of Raw Water
XVIII. Pollution sources.
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S.No. |
Source |
Around the
periphery of submergence |
At a distance of 7
Km from the pepriphery of submergence zone |
In the catchment area |
Within 7 Km in the
stretch in which the river is likely to dry up |
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1. |
Industry |
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2. |
Municipal
waste/sewage |
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3. |
Mining |
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4. |
Beneficiation
plants |
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5. |
Tail pond dams |
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6. |
Run off from ash
ponds |
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7. |
Others (Pl.
specify) |
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XIX.
Human
settlement
` Aerial
distance from the periphery of the reservoir
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Upto 2000m from periphery of the reservoir |
2000m to 5000m from
periphery of the reservoir |
5000m to 10000m
from the periphery of the reservoir |
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Population |
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Number of houses |
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Present occupational pattern |
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XX.
Expenditure
on Environmental Measures proposed at the time of survey and investigation
LIST OF DOCUMENTS TO BE ATTACHED WITH
THE QUESTIONNAIRE IN RESPECT OF
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1. |
Topographic map of the
main project site indicating contours (1:2500 scale) |
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2. |
Topographic map
covering 7 Kms Radius indicating main features,
ecologically sensitive areas, area to be submerged, main canal net work (in
case of irrigation projects only), archeological sites, migratory route of
wild animals |
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3. |
Contour map of
location of dam indicating submerged areas |
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