BATCHING AND CRUSHING PLANT PROJECT

INITIAL ENVIRONMENTAL EXAMINATION (IEE) CHECKLIST REPORT

For

Project name or Title

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.

Project proponents are strongly discouraged to engage the services of

consultants/facilitators/preparers to accomplish/fill-up the IEE Checklist Report
Form. The Report Forms have been designed to be user-friendly.

Furthermore, EMB Regional Office is required to complete the processing of an

ECC application using the IEE Checklist Report within twenty (20) working days
upon receipt for duly-accomplished forms with complete attachments.

Misleading or erroneous answers are basis for legal actions and/or denial of ECC issuance.

PROJECT FACT SHEET

Project Name: _______________________________________________________

Project Location: _______________________________________________________

Total Project Land Area: ______________________________________________________

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)

1.2 PROJECT COMPONENTS

Facilities No. Of Units Area (sq. M.) / Specification/

Capacity Description / Remarks

1. Raw material storage facility (e.g.

aggregate, cement, etc.)
2. Fuel storage facility
3. Product storage facility /
warehouse / stockpile
4. Processing facility (e.g. crushing,
mixing, screening etc.)
(please enumerate, use separate
sheet if necessary)

5. Support Facilities (e.g. conveyor

belt, generators, admin building,
workers quarter, etc.)
(please enumerate, use separate
sheet if necessary)
6. Water source / supply

7. Waste water management Facility

8. Solid waste management facility

9. Drainage system

10. Others, specify

_____________________

(Use additional sheets if needed)

1.3 UTILITIES/REQUIREMENTS (Operation Phase):

Utilities Source Estimated Demand/Consumption

Power/Electricity KWh
(Total)
Power/Electricity KWh
(From Renewable Energy
Sources)
3
Water m /day
(Total)
(Fill-up table below if water is not obtained
from the local water utility)
3
Water m /day
(Rainwater Collection System)

Water Source
[ ] ground water [ ] well [ ] spring [ ] others: ____________________________

[ ] Surface water [ ] river [ ] lake [ ] others: ____________________________

Location of water source

____________________________________________________________________________
(Sitio/Zone, Barangay, Municipality/City, Province, Region)

Energy/Water Efficiency

Utilities Estimated Savings Proposed Efficiency/Conservation

Measures
Power/Electricity KWh

3
Water m /day
1.4 MANPOWER

a. Construction Phase
Manpower Expertise/Skills Total
Requirement

b. Operation Phase
Manpower Expertise/Skills Total
Requirement

1.5 INDICATIVE PROJECT COST

Project Cost (PhP): ______________________

 II. ENVIRONMENTAL IMPACTS AND CLIMATE CHANGE RISK MANAGEMENT PLAN

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
______________

Actual land uses w/in 1km radius:

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
Permit
replanted/ re-vegetated construction /operation cost
clearing
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:
landform/ topography/
terrain/slope
Soil Erosion
Provide erosion control and slope Regular inspection of slope Slope/ Erosion Control
flat (0-3%) protection measures protection measures in Cost: ___________
gently sloping to rolling (3-18%) Designate a Spoils Storage Area, with erosion-prone areas Others, specify
topsoil set aside for later use and allow Regular inspection for new __________________
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
identified by MGB/PAG-ASA/
PHIVOLCS as hazard prone?
Yes
No
Compliance with the DENR Administrative
Order No. 2003-30 and DENR
Administrative Order No. 2000-28,
Implementing Guidelines on Engineering
Geological and Geo-hazard Assessment
(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/
Social Impacts
Baseline Environment
Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
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
facilities condition
Increased siltation due Distance to nearest/receiving water
Strictly require the contractor and its Floating wastes or debris
to project activities body:
Water quality 0 to less than 0.5 km
workers to observe proper waste disposal
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
(e.g. septic tank, oil and water separator,
fresh water, specify classification:
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
use surface water: 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

>5,000person _________________
Regular coordination with
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
identified by MGB/PAG-ASA as
of flooding
flood prone? Implement appropriate drainage system
presence/absence of
complaints
construction/ operation cost

Yes Limit the depth and area of workspace

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
smoke from vehicles,
practices
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
___________________
SOx
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
>1,000 and 5,000persons Prioritize local residents for employment Regular coordination with
vicinity
Promptly pay local taxes and other LGU
Displacement of
>5,000person
financial obligations Others, specify
Indigenous People
Classification of host barangay: Regular coordination with LGU _________________
Enhanced employment
Urban Prior consultation & coordination to
and/or livelihood
opportunities Rural minimize disruption on daily domestic
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
in delivery of public
services (e.g.,
education, peace and
clinics, hospitals, etc.) Others, specify
Peace and order (e.g., _________________
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
order, etc.)
Others, specify
___________________
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)

Project Life or Service: ___________ years

Provide description of the Abandonment activities, such as, dismantling and waste disposal.
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________

IV. INSTITUTIONAL PLAN FOR EMP IMPLEMENTATION

Organization Chart:

4.1. Abandonment Plan (if Applicable)

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.

By the authority vested in me by the ___ (Company Name) as

___(Position/Designation), I hereby commit to ensure implementation of all commitments,
mitigating measures and monitoring requirements indicated in this IEE Checklist Report as
well as the following:
Conform to pertinent provisions of applicable environmental laws e.g., R.A.
No. 6969 (Toxic Substances and Hazardous and Nuclear Wastes Control Act
of 1990), R.A. No. 9003 (Ecological Solid Waste Management Act of 2000),
R.A. No. 9275 (Philippine Clean Water Act of 2004), and R.A. No. 8749
(Philippine Clean Air Act of 1999).
Abide and conform to LGU development plan and guidelines.
Promptly pay local taxes and other financial obligations.
Regularly submit reports to concerned agencies.

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.

In witness whereof, I hereby set my hand this ____ day of __________ at

______________________.

__________________________
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 __________________________.

Doc. No. ____________________

Page No. ____________________
Book No. ____________________
Series of ____________________