Initial Environmental Examination (IEE) Form for Tourism Projects
1. General Information
a) Name of the project:
b) Type of proposal:
c) Name of the project proponent with following details
i) Name of the applicant
ii) Address
iii) Phone/Fax
iv) Email
2. Location of the project (Dzongkhags/ Geogs/Thromde/s)
3. Geographical details
a) Latitude
b) Longitude
c) Elevation above Mean Sea Level
4. Cost of the project:
5. Current land use pattern of the proposed project site Area (in ha.)
a) Agriculture
b) Government
c) Forest
d) Private
e) Others
Total
6. Nature or extent of tourist activity
7. Alternate site considered
i) ______
ii) ______
iii) ______
iv) ______
State the reasons for selecting the proposed site:
8. Land requirement and land use
a) Describe the nature of terrain of the study area and local area hydrology
b) Does the project conform to the approved land use? If applicable (To be certified by the concerned Department)
Yes No
If not, clearly indicate which of the stretches are not as per approved land use.
c) Does it conform to the Five Year Development Plan?
Yes No
d) Area required for the project (in ha):
e) Land use pattern of acquired land:
f) Land ownership of acquired land:
9. Total number of tourist influx (expected)
10. Describe with the help of layout map the following details on the proposed site, if applicable
i) Location of tourism project (hotel/motel/other)
ii) Commercial Area, if any
iii) Road network
iv) Other infrastructures
11. A study area map specifying the forest cover as well as details on Dzongkhag and geographical boundaries, if applicable, and marking the presence of migratory corridors, waterbody, occurrence of any endangered/threatened flora and fauna species and/or plants and animals of economic importance.
12. Presence of sensitive area (if) such as archaeological, historical, cultural site or site of religious importance.
13. Drainage map of the study area, if applicable.
14. Inventory of water bodies such as lakes, ponds, wetlands, natural drains, rivers etc. in the project area
15. Does the site preparation require cutting of trees?
Yes No
i) How many trees are proposed to be cut?
ii) Species of the above trees
iii) Are there any protected/endangered species?
Yes No
If yes, provide details
16. Construction of new hotel, motel, resort with details of room, resource requirement and waste generation as a part of project?
17. Expected quantity of construction material to be required, its sourcing and mode of transportation, and its potential impact
18. Other infrastructure required such as, roads, educational facility, health centre etc. at the project site and description of road connectivity to project site:
19. Estimated consumption of ground/surface water, electricity and other natural resources.
20. Expected numbers of vehicles likely to be increased during tourism project’s construction/operation, if applicable:
21. Expected quantity of solid waste to be generated, its disposal and utilization, including hazardous waste handling.
22. Expected quantity of sewage to be generated and detailed plan of treatment disposal, reuse and utilization/management
23. Expected numbers of quarries to be opened for supply of construction materials and its impact on environment.
24. Expected pressure on local infrastructures due to increase in construction
25. Demolition works, if any, quantity of demolition waste produced
26. Identification of risk prone areas, wherever applicable.
27. List of documents to be attached with the IEE form for tourism projects:
1 / A map specifying the location of project2 / Summary of the project proposal
3 / No objection certificate from various departments and others relevant stakeholders (applicable if EA is not required)
4 / Environment Management Plan (applicable if EA is not required)
28. Declaration certificate stating with name & signature of project proponent
Seal: Signature of the project proponent
Name:
Address:
Phone:
Date: