Mining Project Land Use Assessment Form
Use this form to evaluate and document key aspects of a proposed mining project's land use, impacts, and mitigation needs.
Project Location (coordinates or description)
*
Land Ownership/Tenure Status
*
Private Ownership
Public/Government Land
Indigenous/Community Land
Leased Land
Other
Current Land Use
*
Agriculture
Forestry
Conservation/Natural Habitat
Residential/Urban
Unused/Other
Estimated Area to be Affected (hectares)
*
Environmental Impact Assessment
*
Rows
Negligible
Minor
Moderate
Major
Soil Quality
1
2
3
4
Water Resources
5
6
7
8
Air Quality
9
10
11
12
Biodiversity
13
14
15
16
Community Impact Assessment
*
No Impact
1
2
3
4
Severe Impact
5
1 is No Impact, 5 is Severe Impact
Access and Logistics Evaluation
*
Easily Accessible
Moderately Accessible
Difficult Access
No Existing Access
Key Mitigation Measures Required
*
Overall Suitability for Mining Project
*
1
2
3
4
5
Final Assessor Recommendation
*
Approve
Approve with Conditions
Request Further Study
Reject
Submit Assessment
Should be Empty: