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This IEE Checklist Report shall be used for proposed BATCHING AND CRUSHING
PLANT PROJECTs to be located within Environmentally Critical Area (ECA).
For ECC applications, this IEE Checklist Report shall be submitted with:
Proof of Compatibility with the existing Land Use Plan
Proof of Authority over the Project Site
Accountability Statements of Proponent (see attached form) and the Preparer (if any,
following Annexes 2-22 of Revised Procedural Manual for DAO 2003-30)
Photographs or plates/vicinity map of the project site showing impact areas and affected areas
and communities
Duly Accomplished Project Environmental Monitoring & Audit Prioritization Scheme (PEMAPS)
Questionnaire (see Annex 2-7d of Revised Procedural Manual for DAO 2003-30)
(No other documents shall be required as pre-requisite to ECC applications per DENR MC 2010-14)
Read the questions carefully and write the required information on the spaces provided or
otherwise check () the appropriate boxes or parenthesis ( ). Use additional sheets if
necessary and indicate this in the appropriate space.
Misleading or erroneous answers are basis for legal actions and/or denial of ECC issuance.
Total Project/Building
Footprint Area ______________________________________________________
(Area actually utilized)
Project Proponent: ______________________________________________________
Office Address: ______________________________________________________
Contact Person: ______________________________________________________
Designation: ______________________________________________________
Contact Information
Telephone Number: _________________________________________
Fax Number: _________________________________________
Mobile Number: _________________________________________
E-mail Address: _________________________________________
I. PROJECT DESCRIPTION
1.1 PROJECT LOCATION AND AREA: Street Name, Barangay, and Municipality/City, Province
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
See attached vicinity map/s and photographs of the project site and site development/layout plan.
Geographic coordinates of the project area (Preferably use WGS 84 datum, otherwise specify
datum used).
Perimeter/Boundary points
Longitude Latitude
(based on OCT/TCT/etc)
9. Drainage system
Water Source
[ ] ground water [ ] well [ ] spring [ ] others: ____________________________
Energy/Water Efficiency
Water m3/day
1.4 MANPOWER
a. Construction Phase
Manpower Expertise/Skills Total
Requirement
b. Operation Phase
Manpower Expertise/Skills Total
Requirement
Possible Environmental/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Social Impacts Implementation and frequency
LAND
Consistency with land Current land use w/in 1km radius See attached proof of compatibility with
use (as per zoning ordinance): land use
Residential
Commercial/ Institutional
Industrial
Agricultural/ Recreational
Protected Areas
Others, specify
______________
Disturbance to wildlife Existing vegetation in the area: Compliance with conditions of DENR/LGU Annual inspection of area Cost integrated in the
due to vegetation Forestland SLUP, Tree Cutting Permit, ROW, PCA replanted/ re-vegetated construction /operation cost
clearing Permit
Marshland
Limit land clearing as much as possible
Grassland
Provide temporary fencing for vegetation
Mangrove that will be retained
Wetland Promote restoration of damaged or
Possible Environmental/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Social Impacts Implementation and frequency
Others, specify destroyed vegetation where possible (e.g.,
____________ tree planting);
Change in surface Slope: Provide erosion control and slope Regular inspection of slope Slope/ Erosion Control
landform/ topography/ flat (0-3%) protection measures protection measures in Cost: ___________
terrain/slope Designate a Spoils Storage Area, with erosion-prone areas Others, specify
gently sloping to rolling (3-18%)
topsoil set aside for later use and allow Regular inspection for new __________________
Soil Erosion steep (>18%) maximum re-use of spoils eroded areas near the site
Construction during dry season Others, specify
Stabilization of embankment with grasses _________________
or other soil cover
Others, specify
____________
Is the project site located in an area Compliance with the DENR Administrative
identified by MGB/PAG-ASA/ Order No. 2003-30 and DENR
PHIVOLCS as hazard prone? Administrative Order No. 2000-28,
Implementing Guidelines on Engineering
Yes
Geological and Geo-hazard Assessment
No (EGGA).
Soil/Land contamination Existing soil type in the area: Implementation of the Ecological Solid Daily inspection of Cost integrated in the
due to improper solid sandy Waste Management Plan (ESWMP) waste/recycling bins for construction /operation cost
waste disposal clay Set-up temporary fence around the segregation
construction area Daily inspection for presence
sandy-loam Implement re-use and recycling of waste of mixed garbage in the
Others, specify materials facility
____________________ Implement proper segregation, collection Weekly inspection of waste
and disposal of domestic wastes in accumulated
designated areas Others, specify
Implement proper collection, labeling and _________________
storage of hazardous waste
Possible Environmental/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Social Impacts Implementation and frequency
Provide receptacles / bins for solid wastes
Coordinate with the municipal / city waste
collectors
Engage third party company for waste
collection
Others, specify
________________
Impairment of Presence of visually significant Implement landscaping and other Regular inspection of Cost integrated in the
visual aesthetics landforms/landscape/structures? beautification measures landscaping and other construction/ operation cost
Devaluation of land Yes Provide adequate buffer beautification activities
values No Compensate adjacent property owners Regular monitoring of buffer
zones
Others, specify
Regularly monitor for
________________
presence/absence of
complaints from adjacent
property owners
WATER
Specify nearest/receiving water Provide ring canals around fuelling tanks/ Regular (ocular) inspection of Cost integrated in the
body: motor pool/ maintenance areas water body for: construction/ operation cost
____________________________ Set-up proper and adequate sanitary Turbidity and/or silted
condition
Increased siltation due Distance to nearest/receiving water
facilities
Strictly require the contractor and its Floating wastes or debris
to project activities body:
workers to observe proper waste disposal
Water quality 0 to less than 0.5 km
and proper sanitation
degradation 0.5 to 1 km
Strictly observe proper waste handling and
Others, specify More than 1 km disposal
_______________
If nearest/receiving water body is Provision of wastewater treatment facility
fresh water, specify classification: (e.g. septic tank, oil and water separator,
etc.)
AA
Set up silt trap/settling ponds to minimize
A downstream siltation
Possible Environmental/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Social Impacts Implementation and frequency
B Others, specify
C ______________
D
If nearest/receiving water body is
coastal or marine water, specify
classification:
SA
SB
SC
SD
Current Water Use:
Fishery
Tourist Zone / Park
Recreational
Industrial
Agricultural
Competition in water Size of population using receiving Implement rainwater harvesting and similar Cost integrated in the
surface water:
use measures as an alternative source of water Regularly monitor for construction/ operation cost
Depletion of water 1,000 persons Observe water conservation measures; presence/absence of
resources >1,000 and 5,000persons Others, specify complaints
Regular coordination with
>5,000person _________________ concerned agencies
Available/nearest water source. Regularly monitor for
occurrences of water
Deepwell
shortages
Water district/LGU Others, specify
Surface water ________________
Others, specify
________________
Possible Environmental/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Social Impacts Implementation and frequency
Increased occurrence Is the project site located in an area Use appropriate design for project facilities Regularly monitor for Cost integrated in the
of flooding identified by MGB/PAG-ASA as Implement appropriate drainage system presence/absence of construction/ operation cost
flood prone? complaints
Limit the depth and area of workspace
Yes Regular coordination with
No Regularly remove debris and other concerned agencies
materials that may obstruct water flow Regularly monitor for
Use appropriate technology (e.g. raised increased frequency of
hand-pumps) to protect drinking water from flooding
flood contamination Others, specify
Others, specify ____________________
___________________
AIR / NOISE
Air quality degradation Distance to nearest community: Properly operate and maintain all Regularly monitor for Cost integrated in the
0 to less than 0.5 km emission sources (e.g. vehicles, presence/absence of construction/ operation cost
0.5 to 1 km generator, etc) complaints
More than 1 km Install when applicable, the appropriate air
Regular (ocular) inspection of:
pollution control device/s
Strictly enforce good housekeeping Absence of white or black
practices smoke from vehicles,
generator, etc.
Control vehicle speed to lessen
Presence of truck cover
suspension of road dust
during deliveries
Conduct water spraying to suppress dust
sources and minimize discomfort to Quarterly monitoring of ambient
nearby residents air for the following:
Use covered vehicles to deliver materials TSP
that may generate dust
PM10
Other, specify
NOx
___________________
Possible Environmental/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Social Impacts Implementation and frequency
CO / CO2
Nuisance due to noise Distance to nearest community: Properly operate and maintain all noise Regularly monitor for Cost integrated in the
generation 0 to less than 0.5 km sources (e.g. vehicles, generator, etc.) presence/absence of construction/ operation cost
0.5 to 1 km Install when applicable, the appropriate complaints
More than 1 km noise control device/s (e.g., mufflers, Regular monitoring of buffer
silencer, sound barriers, etc.) zones
Implement appropriate operating hours
Provide adequate buffer Quarterly monitoring noise
(e.g. Perimeter planting of trees to serve as level
sound buffer and greenbelt)
Others, specify
_____________________
PEOPLE
Displacement of Size of population of host barangay: Provide relocation/disturbance Presence/Absence of Cost integrated in the
residents in the project 1,000 persons compensation packages complaints construction/ operation cost
site and within its Prioritize local residents for employment Regular coordination with
vicinity >1,000 and 5,000persons Promptly pay local taxes and other LGU
>5,000person
Displacement of financial obligations Others, specify
Indigenous People Classification of host barangay: Regular coordination with LGU _________________
Enhanced employment
Urban Prior consultation & coordination to
and/or livelihood
minimize disruption on daily domestic
opportunities Rural
activities & respect for IP rights and
Reduced employment
Available services within/near the cultural practices
and/or livelihood
opportunities host barangay: Ensure participation of IPs in consultations
Schools (e.g. elementary, and dialogues
Increased revenues for
LGU high school, college) Provide appropriate traffic/warning signs,
Health facilities (e.g., lighting, etc
Disruption/Competition
clinics, hospitals, etc.) Others, specify
in delivery of public
_________________
services (e.g., Peace and order (e.g.,
education, peace and police outpost, Brgy. Tanod,
Possible Environmental/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Social Impacts Implementation and frequency
order, etc.) etc.)
Enhanced delivery of Recreation and sports
public services (e.g., facilities
education, peace and Others, specify
order, etc.) ___________________
Increase in traffic
volume and worsening
of traffic flow
Impacts on community Regular coordination with LGU Regularly monitor for Cost integrated in the
health and safety Provide appropriate warning signs, lighting presence/absence of construction/ operation cost
Others, specify and barricades, whenever practicable complaints
_______________ Observe proper housekeeping Regular coordination with
LGU
Provide on-site medical services for any
Regular submission of reports
emergency.
to concerned agency
Participate in public awareness programs Others, specify
on health and safety ________________
Implement appropriate safety programs for
both community and workers
Strictly comply with fire, safety and similar
regulatory requirements
Strictly comply with requirements of RA
6969
Others, specify
_____________________
III. ABANDONMENT /DECOMMISSIONING/REHABILITATION POLICIES AND
GENERIC GUIDELINES (if Applicable)
Provide description of the Abandonment activities, such as, dismantling and waste disposal.
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Organization Chart:
Process flow
Attach drawing/plan of pollution source and control installations (with dimensions and descriptions)
SWORN STATEMENT OF ACCOUNTABILITY OF THE PROPONENT
This is to certify that all the information and commitments in this Initial Environmental
Examination (IEE) Checklist Report are accurate and complete to the best of my knowledge.
I hereby bind myself to answer any penalty that may be imposed arising from any
misrepresentation or failure to state material information in this IEE Checklist.
__________________________
NAME OF PROPONENT
HEAD (Position)
(Company Name)
SUBSCRIBED AND SWORN TO before me this _____ day of ____________ 201__, affiant
exhibiting his/her Community Tax Certificate No. ___________________ issued at
______________________ on __________________________.