DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES 

ENVIRONMENTAL MANAGEMENT BUREAU REGION VII 
Greenplains Subdivision, Banilad, Mandaue City 
Tel Nos. (032) 346‐9426 / 260‐9777 
 
ECC MINOR AMENDMENT SCREENING FORM 
Type of Amendment :
ECC Number :

I. PROJECT BACKGROUND/INFORMATION
1.1. Title & Category
Current:
Project Name
Proposed:
Project Type/Category
Project Parameter
Current:
Project Size
Proposed:
1.2. Project Location
Province
City/Municipality
Barangay/Sitio/Street
Geographic Coordinates
1.3. Proponent
Current:
Name
Proposed:
Address
Contact No.
1.4. Authorized Representative
Contact Person/Designation
Contact No.
Email Address

II. EVALUATION OF SUBMITTED DOCUMENTS (to be filled out by DENR‐EMB personnel)
Compliance
Attachment Remarks
( or x)
1. Letter Request
Stating the Nature of the Project and Amendment
2. Electronic Copy
Softcopy of all files submitted via email/CD/USB
3. Copy of the approved ECC to be amended
4. Copy of the latest received submitted CMR
5. Proof of Compliance to ECC conditions
6. Proof of Authority/Ownership
7. Approved copy of DTI/SEC Registration of the
new owner
8. Signed Sworn Statement of Accountability of
Proponent
9. Materials Recovery Facility (MRF)
Indicating Floor Area Occupied (m2) and Daily
waste input (kg/day)
10.Cistern Tank for Rainwater Catchment
Indicating Floor Area Occupied (m2) and Volumetric
capacity (m3)
11.Wastewater Treatment Facility
Indicating Floor Area Occupied (m2), Flowrate
(m3/day), and Volumetric capacity (m3)

Screened by:


___________________________________________
___________________________________________