Purpose
This questionnaire is designed to gather preliminary information
about your project to help determine the appropriate
environmental assessment category and scope of study. Accurate
completion of this form will expedite the assessment process and
ensure compliance with all regulatory requirements.
SECTION 1: PROJECT IDENTIFICATION
Instructions: Provide complete information about your proposed
project
- Project Name and Description
- Project Location (District, Tehsil, GPS Coordinates)
-
Project Type (Residential, Industrial, Infrastructure, etc.)
- Land Area (in kanal/acres)
- Estimated Project Cost (in PKR)
- Project Timeline (Start and Completion Date)
- Number of Phases (if applicable)
- Project Proponent/Owner Details
SECTION 2: PROJECT CHARACTERISTICS
A. Land Use and Zoning
- Current land use (Agricultural, Barren, Urban, etc.)
- Zoning classification from local authority
- Land ownership details
- Any existing structures or utilities on site
- Distance from residential areas (in kilometers)
-
Distance from sensitive areas (water bodies, forests, etc.)
B. Project Design and Layout
- Site design and layout description
- Building specifications (number, height, footprint)
- Infrastructure requirements (roads, utilities, etc.)
- Green space allocation (in percentage)
- Parking and transportation provisions
- Whether design is finalized or preliminary
C. Expected Population/Operations
- Expected number of residents/workers
- Daily visitor numbers (if applicable)
- Operational workforce size
- Employment generation during construction
- Employment generation during operation
SECTION 3: RESOURCE REQUIREMENTS
A. Water Requirements
- Estimated daily water requirement (liters)
- Water source (groundwater, surface water, supply)
- Availability and reliability of source
- Water storage capacity planned
- Water treatment and quality measures
- Whether groundwater table survey completed
B. Energy Requirements
- Estimated daily energy consumption (kWh)
- Primary energy source (grid, solar, generator, etc.)
- Backup/emergency power arrangements
- Energy efficiency measures planned
- Renewable energy incorporation
C. Raw Materials (if applicable)
- Main raw materials used
- Quantity required annually
- Source of materials
- Transportation method
- On-site storage requirements
SECTION 4: WASTE GENERATION & MANAGEMENT
A. Solid Waste
-
Types of solid waste generated (domestic, industrial,
hazardous, etc.)
- Estimated daily waste generation (tons)
- Waste segregation plan (recyclable, organic, inert)
- On-site storage/treatment planned
- Final disposal arrangement
- Waste minimization and recycling measures
B. Liquid Waste/Wastewater
-
Types of wastewater (domestic, industrial, contaminated, etc.)
- Estimated daily wastewater quantity (liters)
- Wastewater treatment plan
- Whether treatment plant on-site or off-site
- Discharge point and final destination
- Wastewater quality requirements
- Whether treated water reuse planned
C. Hazardous Waste (if applicable)
- Types of hazardous waste generated
- Quantity and characteristics
- Storage and handling procedures
- Disposal method and licensed facility
- Safety measures and contingency plans
SECTION 5: ENVIRONMENTAL IMPACTS
A. Potential Air Quality Impacts
- Will the project generate air emissions?
- Sources of potential air pollution (if any)
- Measures to control air emissions
- During construction: Dust, vehicle emissions, noise
- During operation: Point sources of emissions
B. Potential Noise Impacts
- Sources of noise generation
- Construction noise levels and duration
- Operational noise levels
-
Sensitive receptors nearby (schools, hospitals, residences)
- Noise mitigation measures planned
C. Potential Water Impacts
- Impact on surface water bodies
- Impact on groundwater resources
- Flood risk assessment
- Wastewater discharge impact
- Water conservation measures
D. Potential Biodiversity Impacts
- Presence of vegetation/forests on site
- Presence of protected species
- Proximity to protected areas or sensitive habitats
- Wildlife corridors or migration routes
- Biodiversity conservation measures
E. Socioeconomic Impacts
- Land acquisition and resettlement needs
- Impact on livelihoods of local communities
- Access and resettlement issues
- Impact on local economy and employment
- Cumulative impact with other projects
SECTION 6: SENSITIVE AREAS & CONSTRAINTS
- Proximity to drinking water sources?
- Proximity to agriculture land?
- In or near protected areas/national parks?
- In flood-prone area?
- In coastal zone?
- In earthquake-prone area?
- Any archaeological/cultural heritage sites?
- Presence of water bodies on or near site?
- Forest land or wildlife habitat?
- Any existing contamination on site?
SECTION 7: ENVIRONMENTAL MANAGEMENT PLANNING
A. Construction Phase
- Dust control measures during construction
- Waste management plan for construction waste
- Worker safety and welfare arrangements
- Traffic management during construction
- Rehabilitation and restoration plan
B. Operational Phase
- Green space maintenance plan
- Waste management and recycling program
- Water conservation measures
- Energy efficiency measures
- Environmental monitoring plan
- Community awareness programs
C. Environmental Budget
-
Estimated cost for Environmental Management Plan
implementation
- Allocation for monitoring and audits
- Contingency budget for unexpected issues
SECTION 8: EXISTING CONDITIONS
Environmental Baseline Studies Completed
-
Air quality
monitoring
-
Water
quality testing
-
Soil quality
analysis
-
Noise level
measurement
-
Biodiversity
survey
-
Hydrogeological study
-
Socioeconomic survey
SECTION 9: REGULATORY & COMPLIANCE
- Has PEPD approval/NOC been obtained?
- Has District Administration approval been obtained?
- Has Municipal Authority approval been obtained?
- Are all required NOCs in place?
- Any previous environmental issues or violations?
- Is consultant registered with PEPD?
- Has public consultation been conducted?
SECTION 10: ADDITIONAL INFORMATION
-
Project proponent's commitment to environmental compliance
- Any special circumstances or constraints
- Previous experience with similar projects
- Environmental performance of past projects
- Any additional information relevant to assessment
SECTION 11: DECLARATION
I hereby declare that the information provided in this
questionnaire is true and accurate to the best of my knowledge
and belief. I understand that false or misleading information
may result in rejection of the application or legal
consequences.
-
Project Proponent Signature: _________________ Date: _________
- Consultant Signature: _________________ Date: _________
- PEPD Registration No.: _________________
SUBMISSION INSTRUCTIONS
- Complete all sections accurately and thoroughly
- Attach supporting documents where indicated
- Provide maps, plans, and photographs where relevant
- Submit to PEPD with required fee
- Keep one copy for your records
- For clarifications or assistance, contact EcoVision
Expert Assistance Available
EcoVision provides comprehensive support in completing this
questionnaire accurately and thoroughly. Our experts can help
with baseline studies, impact assessment, and preparation of the
complete EIA/IEE report based on information from this
questionnaire.
Contact us
for professional guidance.