Environmental Impact Survey Form (Telecom Towers)
1. Site Information
Site Name
Location / Address
Latitude
Longitude
Date of Installation
2. Tower Specifications
Type of Tower
Lattice
Monopole
Guyed
Other
Approximate Height (meters)
Primary Power Source
Grid Electricity
Diesel Generator
Solar
Hybrid
Other
3. Environmental Impact
Impact on Local Flora and Fauna
Waste Management Practices
Noise Levels Generated
Emission Control Measures
Other Environmental Concerns
4. Contact Details
Contact Person
Email
Phone