Wildlife Habitat Impact Assessment

Project Information

Project Name Location Assessment Date Assessor(s) Name

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Project Description

Description

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Site Characteristics

Habitat Type(s) Total Area (hectares) Key Flora and Fauna Observed

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Potential Impacts

Type of Impact(s) Species Most Likely to be Affected Extent and Duration of Impact

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Mitigation Measures

Proposed Mitigation Monitoring Plan

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Additional Observations

Details