Provincial Enviromental Statute No.12 of 1990
Questionnaire for Identification of Environmental Impacts Construction / Erection of Telecommunication Antenna Tower
Fields marked with
*
are required.
Proponent Details
1.i Name of the project proponent
ii. Address of the project proponent
2.i Address of the location
Sketch of the location
ii Name
Address
Telephone
3. Pradeshiya Sabha/Urban council
Select pradeshiya sabha
Alawwa Pradeshiya Sabha
Anamaduwa Pradeshiya Sabha
Arachchikattuwa Pradeshiya Sabha
Bingiriya Pradeshiya Sabha
Chilaw Pradeshiya Sabha
Chilaw Urban Council
Galgamuwa Pradeshiya Sabha
Giribawa Pradeshiya Sabha
Ibbagamuwa Pradeshiya Sabha
Kalpitiya Pradeshiya Sabha
Karuwalagaswewa Pradeshiya Sabha
Kobeigane Pradeshiya Sabha
Kuliyapitiya Pradeshiya Sabha
Kuliyapitiya Urban Council
Kurunegala Municipal Council
Kurunegala Pradeshiya Sabha
Maho Pradeshiya Sabha
Mawathagama Pradeshiya Sabha
Narammala Pradeshiya Sabha
Nattandiya Pradeshiya Sabha
Nawagattegama Pradeshiya Sabha
Nikaweratiya Pradeshiya Sabha
Paduwasnuwara Pradeshiya Sabha
Pannala Pradeshiya Sabha
Polgahawela Pradeshiya Sabha
Polpithigama Pradeshiya Sabha
Puttalam Pradeshiya Sabha
Puttalam Urban Council
Rideegama Pradeshiya Sabha
Udubaddawa Pradeshiya Sabha
Wanathawilluwa Pradeshiya Sabha
Wariyapola Pradeshiya Sabha
Wennappuwa Pradeshiya Sabha
4.i Land Owner Name
ii. Land Owner Address
iii. Land Owner Telephone No
5.i Extent of land
II. Investment capital (Rs)
III. Particulars of the proposed tower
a) Tower height (m)
b) Length of the base of the tower
Width of the base of the tower
c) power (electricity) requirements
d) Describe measures adopted to avoid minimize lightening effects
e) Monitoring programme to assess the efficiency of above
6.i.a) Number of houses within 50m from the proposed location of the tower
b) Distance to the nearest residence (m)
ii. Distance and name of the nearest religious places/school/office complex or any other public places
iii. Proposed method of compensation on a catastrophic event
iv. Number and the owned company of other telecommunication towers situated within 500m from the proposed tower
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