INITIAL ENVIRONMENTAL EXAMINATION (IEE) CHECKLIST

For

MINI HYDRO POWER PLANTS

SECTION 1

1.0 GENERAL INFORMATION

1.1 Project Name/Title:

_______________________________________________
1.2 Proponent/Company: _______________________________________________

Address:
_______________________________________________
(Street/sitio, barangay, city/municipality, province)

Tel/Fax:
_______________________________________________
E-mail: _______________________________________________

1.3. Project Location:

_______________________________________________
(Street/sitio, barangay, city/municipality, province)

(Attach location maps, scale 1:25’000 and 1:10’000, with important landmarks, political
boundaries, access
points)

1.4 Scheme of Hydro Development :

Run-of-water Scheme Storage Scheme

1.5 Project Objective/s:

______________________________________________
______________________________________________
______________________________________________

1.6 Project Ownership:

Type of Owner(s): Single Proprietorship Corporation

Partnership/Joint Venture Cooperative

Others, pls. Specify: ________________________

1.7 List of Owners ( in case of partnership/corporation) :

________________________________________________________________
________________________________________________________________
________________________________________________________________

1.8 Project Cost

Total Project Cost (Range): ________________________________________

2.0 PROJECT AREA DESCRIPTION

2.1 Project Area Coverage:

Watershed area (km2):

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 Above weir/ intake: ___________________________________
Total watershed area of river: __________________________

Area of project sites (m2 or ha):

Total area: _____________

Structures: _____________ Buildings: ____ ______
Impoundment: __________ Switchyard: _______________
Others, pls. specify: __________________________________
(Attach location map(s), scale 1:10,000, showing all project sites)

2.2 General Water Appropriation:

Domestic Municipal Irrigation Power Generation

Fisheries Livestock Raising Industrial Recreational

Others, pls. specify: ______________

2.3 General Land Classification of project areas:

[ ] Public Land (ha): _____________

[ ] A ( applicable), (ha): ___________ [ ] D (disposable), (ha) : ____________

2.4 Present Land Use Classification (based on the approved land use/zoning ordinance of
the city/municipality).

[ ] Agriculture [ ] Residential [ ] Tourism

[ ] Industrial [ ] Forest Land [ ] Institutional
[ ] Commercial [ ] Open Spaces
[ ] Others, pls. Specify : ___________________________________

3.0 PROJECT COMPONENTS

3.1 Relevant Dimensions

Dimension Proposed Project

Plant Capacity MW
Max. Plant Discharge m3/s
Min Plant Discharge m3/s
Max. Headwater Level m.a.s.l
Min. Operating Headwater m.a.s.l
Level
Tailrace Water Level m.a.s.l
Estimated Net Head m.a.s.l
Total Storage Volume M3

3.2 Structures and Buildings

3.2.1 Description

Characteristics
Facility Specifications/Descrip
tions Area Length Height
[m2] [m] [m]
Weir N/A
Intake Structure N/A N/A
Headrace N/A
Surge Tank N/A
Forebay
Penstock N/A
Powerhouse N/A
Tailrace N/A
Switchyard N/A N/A
Other structures, pls.
specify

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 3.2.2 Access

Facility Access New or upgrading Access to

Project Site
Access from Distan Max. Leng Heig
(preferable main road) ce [km] allowable th ht
Weight on [m] [m]
road [t]
Weir
Headrace
Surge
Tank
Penstock
Powerhou
se
Other
structures,
pls.
specify

3.3. Transmission Line

Transmission from Switchyard to New Transmission Line

Location of next Substation/Tapping Voltage Length [km] Right-of-way [m]
Point [ V]

3.4 Resource Requirements

Water Demand:

Design Discharge (m3/s or I/s): __________________________________

Others, pls. Specify: __________________________________

Other Resource Requirements, pls. specify: __________________________

3.5 Water Treatment and Sewage Disposal

Is water used for other purpose than energy generation?

[ ] No [ ] Yes, pls. specify:

If yes, is there provision for water treatment?

[ ] No [ ] Yes, pls. describe: __________________

[ ] N/A

If sewage disposal is required, what system is used?

[ ] Individual Septic Tank [ ] communal Septic Tank

[ ] N/A

3.6 Handling and Disposal of Dangerous Substances

What kind of dangerous substances ( e.g. oil, lubricants, chemicals; pls. Specify)
are used during:

 Pre)Construction Phase:
________________________________________________________________

 Operation/Maintenance Phase:
_____________________________________________

Is an oil water separator installed?

[ ] No [ ] Yes, Location: _______________________________

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 What oil/Lubricants Collection and Disposal System is used?

Collection System: Volume of storage containers(I):__________________

Storage Location:_____________ ___________________

Disposal System:

[ ] Recycled [ ] Sold to Re-cyclers

[ ] Others, pls. Specify: _______________

3.7 Solid Waste Disposal System

Collection System:

[ ] Association/project-maintained garbage collection system

[ ] integrated into municipal garbage collection system
[ ] Others, pls. Specify: __________________

Disposal System :

[ ] Burning at open dumpsite [ ] Open dumpsite in project site

[ ] Sludge cleaning [ ] Municipality/City landfill site
[ ] Others, pls. Specify: _____________________________

Location of waste disposal site:

__________________________________________

3.8 Manpower and Employment

How many people will be employed by the proposed Mini Hydro Power Plant during:

 (Pre)Construction Phase: _______________________

 Operation and Maintenance Phase: _______________

(Attach listing of detailed manpower requirements)

3.9 Project Schedule

(Attach schedule of development activities from pre-construction, construction and

operation and operation phase)

3.10 Pictures of Project sites

(Attach schedule of project sites and its immediate vicinity looking up-and
downstream/north and south)

SECTION 2

4.0 BASELINE ENVIRONEMTAL CONDITIONS

4.1 Natural and Physical Environment

River characteristics (length of river between intake and tailrace, slope, waterfall, typical
flow depths), pls.
describe and attach maps/photographs:

_____________________________________________________________________________

_____________________________________________________________________________

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 Flood characteristics of the river:

Return Statistical flood discharge (as far as known)

Period
[Years] [m3/s]
2
5
50
100
500

Are there areas in the site where indication of soil erosion occur?

[ ] No
[ ] Yes, pls. specify and/or attach pictures: __________________________________

If yes, what causes the erosion? Pls. specify:

Have any landslide occurred or still are occurring in the project area?

[ ] No
[ ] Yes, pls. Specify and/or attach picture: _________________

What are the present used of water bodies (ground water surface water ) in the watershed
of the proposed
project area?

[ ] Washing [ ] Recreation (swimming, boating. Etc.)

[ ] Source of drinking water (body/ location / demand [I/s]):

_____________________________________________________________

Sanitation (body/location / demand [I/s]):

_____________________________________________________________

[ ] Irrigation (body/location / demand [I/s]):

[ ] Fishing(body/location / demand [I/s]):

_____________________________________________________________
_____________________________________________________________

[ ] Others, pls. Specify: ________________________________________

What is the present land use of the project wherein the structures and buildings of the
proposed mini hydro
power plant will be located?

Facility Area Present Land Use

[m2]or[h Categories see below
a]
Weir/Intake
Headrace
Surge Tank
Forebay
Penstock
Powerhouse
Tailrace
Switchyard
Others, pls.
specify
Categories:
(1) Prime agricultural land (productive/irrigated); (2) Prime agricultural land (idle/abandoned);
(3) Grassland; (4) Build-up; (5) Orchard; (6) Marshal/Mangrove; (7) Fishpond;

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 (8) Others (pls. Specify)

Was the present water quality in the river assessed?

[ ] No
[ ] Yes, pls. Insert results in table:

Parameter Sample
pH
Total Suspended ppm
Solids
Total Coliform No.
Oil and Grease Mg/l
Chlorides Mg/l
Copper Ppm
Lead Ppm
Iron Ppm
Manganese Ppm
Total Hardness Mg /l
Alkalinity Mg/l as CaCo3
Pesticides, pls.
Specify:
Pls. Describe methods and locations of sampling and attach chemical attests:
_____________________________________________________________
_____________________________________________________ ________
______________________________________________________________

4.2 Biological Environment

Are there flora and/or fauna of ecological or commercial significance to be found in the
water bodies near within
the project area that might be affected by the proposed project?

[ ] No, pls. discuss probable reasons:

___________________________________________________

____________________________________________________

____________________________________________________

[ ] Yes, pls. specify (water body/location/species/significance of the population):

____________________________________________________

____________________________________________________

What methods and data sources were used to assess the flora and fauna in the water
bodies? Pls. describe
and/or attach documents:
_______________________________________________________________________

_______________________________________________________________________

Is there flora and/or fauna of ecological or commercial significance to be found outside the
water bodies near
within the project area that might be affected by the proposed project?

[ ] No
[ ] Yes, pls. specify (location/location/significance):
____________________________________

_____________________________________________________________________________
______

4.3 Socio-Cultural, Economic and Political Environment

Are there existing settlements in the watershed area of the proposed project?

[ ] No

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 [ ] Yes, pls. specify(location/number of households. families and population):
_______________________________________________________________________
_______________________________________________________________________

What methods and data sources were used to gain information on the existing
settlements? Pls. describe and/or
attach documents:
_______________________________________________________________________
_______________________________________________________________________

What social infrastructures are located in or near the project area? Pls. describe.

Facility Location Capacity

Number of Sufficient
persons (yes/no)
School(s)
Health
Center(s)/Clinic(s)
Hospital(s)
Others, pls. specify

Is the political situation (peace and order) stable in the near the project area?

[ ] Yes
[ ] No, pls. describe:
___________________________________________________________________

___________________________________________________________________

What are the major employment and income sources in and around the project area?

Livelihood Percentage of Population living on

Farming
Fishing
Backyard poultry and piggery
Vending/Bug and Sell
Sari-sari store
Others, pls. specify:

Are there existing local non-governmental organizations in or around the project area?

[ ] No
[ ] Yes, pls. identify:
___________________________________________________________________

___________________________________________________________________

Social acceptability of the project assessed(community, government, non-governmental

organizations)?

[ ] No
[ ] Yes, pls. describe and/ or attach documents:
___________________________________________________________________

___________________________________________________________________

SECTION 3

5.0 IMPACT ASSESSMENT / MITIGATION MEASURES

5.1 Project Location and Design

Evaluation
Impact Relevant Magnitude Mitigation Measures Responsibility
Subjects and of Impact
Parameters
Loss of species Height of the [ ] none [ ] No mitigation

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due to weir(m):_____ [ ] low measure
obstructions to [ ] [ ] Fishway or by-
movement of moderate pass planned. Pls.
aquatic life [ ] high Describe design and
arrangement of the
proposed mitigation
facility and attach
plans:

[ ] Further measures,
pls. specify.
Fish injuries due Width of [ ] none [ ] No mitigation
to passing openings of [ ] low measure
through turbine screen or rack at [ ] [ ] Planned
or across sharp intake (mm) : moderate measures, pls. Specify:
edged weir ____ [ ] high
Design of weir
spillway
Dying out of the Minimum [ ] none How is the residual
riverbed between residual flow with [ ] low flow provided?
the intake and proposed project: [ ] [ ] With a residual flow
the outlet -In m3/s or I/s: moderate section in the weir
____ [ ] high [ ] By-pass pipeline
In % of mean [ ] Other, pls. Specify
annual flow
without proposed [ ] Other measures,
project: ___ pls. specify:

Downstream Design and [ ] none Design and

Erosion due to arrangement of [ ] low arrangement of the
reduction or the weir and the [ ] weir and the intake?
inhibition of bed intake moderate Pls. Attach drawing or
load transport [ ] high plan:
Sludge alluvial Tot. storage [ ] none [ ] No mitigation
deposits, volume (m3): [ ] low measure
increased growth ______ [ ] [ ] Planned
of algae, Tot. surface area moderate measures, pls. Specify:
Reduction of of the [ ] high
capacity for self- impoundment
cleaning of the (m2): ________
water due to the
transformation of
a stream into an
impoundment
Impairment on Architecture, size [ ] none Architecture, size and
aesthetics or and construction [ ] low construction materials
cultural heritage materials of [ ] of major buildings? Pls.
due to protruding buildings and moderate describe and attach
structures structures: [ ] high plans:
Erosion due to Maximum slope [ ] none [ ] No mitigation
building of roads at construction [ ] low measure
and/or structures site (%, N/A if [ ] [ ] Slope stabilization
on steep slopes tunnel ): moderate with methods of bio-
-Weir and intake [ ] high engineering, pls.
structure: ___ Specify :
-Headrace____ [ ] Other slope
-Surge stabilization measures,
tank/Forebay:__ pls. Specify
___
-Penstock:____ [ ] Other measures,
- pls. Specify:
Powerhouse:___
_
-Tailrace:___
-Others, pls.
Specify:
_____
______

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 ____
Construction Phase
Construction Estimated [ ] none [ ] No mitigation
work in sensitive duration of noisy [ ] low measure
environment and dust [ ] [ ] General guidelines
provoking moderate for construction work
activities during [ ] high (safety, health, and
construction at environment ). Pls.
all major project Attach guidelines and
sites (days or implementing
months)? procedures.
[ ] Restricting of hours
Estimated during which the
duration and offending activities are
volume of major carried out. Pls.
transport traffic Specify:
to construction
sites (days and [ ] Use of blast mats
trucks per day)? [ ] Maintenance of
equipment exhaust
Kind and number system
of machinery [ ] Removing and
used at major disposal of trees and
construction any vegetation pushed
sites? or felled into
watercourses
[ ] Inhibition of illegal
settlement and housing
of wild animals as well
as logging around the
construction work
[ ] Introduction of
speed limits on access
roads
[ ] Other measures,
pls. Specify:

Contamination of Storage, [ ] none [ ] following of the

soil and water handling and [ ] low regulation of RA 6969
due to spilling of disposal of [ ] [ ] Other measures,
dangerous dangerous moderate pls. Specify:
substances (fuel, substances [ ] high
oil, lubricants,
chemicals)
Loss of habitat Volume of [ ] none [ ] No mitigation
due to excavation in or [ ] low measure
excavation work at watercourses [ ] [ ] Erosion control
in watercourses (m3):______ moderate measures with
[ ] high methods of bio-
engineering, pls.
Specify:

[ ] Other erosion
control measures, pls.
Specify:

[ ] Protection
measures for fish
populations, pls.
Specify:

[ ] Other measures,
pls. Specify:
Erosion and Estimated [ ] none [ ] No mitigation
sedimentation volumes of spoil [ ] low measure
due to disposal from excavation [ ] [ ] Disposal of spoil
of spoil from work at moderate from excavation works
excavation work construction sites [ ] high at dedicated spoil and

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 (m3): ________ stockpile location, pls.
Specify location(s):

[ ] Related measures
(drainage, re-
vegetation )at stockpile
location, pls. Specify:

[ ] Other measures,
pls. Specify:
Operation and Maintenance
Obstruction to Functionality of [ ] none [ ] No mitigation
movement of mitigation [ ] low measure
aquatic life due facilities [ ] [ ] Frequent
to insufficient moderate maintenance of
functionality of [ ] high fishway or by-pass, pls.
the migration Describe measures:
facility
[ ] Other measures,
pls. Specify:
Loss of aquatic Estimated [ ] none [ ] No mitigation
life due to surges maximum [ ] low measure
as a variation of [ ] [ ] operation
consequence of downstream moderate guidelines to limit
intermittent discharge (m3/s) [ ] high surges, pls. describe:
operation of the during normal
hydro scheme plant operation [ ] Other measures,
within a period of pls. specify:
5 Minutes: ____
10 Minutes:___
60 Minutes:___

Loss of aquatic Volume of life [ ] none [ ] No mitigation

life due to storage, that will [ ] low measure
flushing of the be maintained [ ] [ ] Flushing during
impoundment during plant moderate natural floods
operation phase [ ] high [ ] Provision and
(m3/s):____ Implementation of
flushing guidelines, pls.
specify or attach
flushing guidelines:

If flushing during
natural floods is not
successful, what other
strategies are planned
to maintain the live
storage?
[ ] Dredging
[ ] Flushing outside
natural floods
[ ] Others, pls.
specify:

Accumulation of Design of intake [ ] none [ ] No mitigation

floating debris at [ ] low measure
the intake [ ] [ ] Measures to
moderate reduce or avoid
[ ] high accumulations of
floating debris at the
intake, pls. describe:

If there will be
accumulations of
floating debris at the
intake, how will it be
disposed? Pls.
describe:

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Loss of habitats [ ] none [ ] No mitigation
due to de- [ ] low measure
watering of [ ] [ ] Relocation of fish
basins and moderate population prior to de-
channels during [ ] high watering of basins and
revision and channels
maintenance [ ] Other measures,
work pls. specify:
Abandonment and Rehabilitation Phase

Contamination of Abandonment of [ ] none [ ] No mitigation

soil and water plant facilities [ ] low measure
due to including all [ ] moderate [ ]
abandoned equipment [ ] high Abandonment
equipment (machinery, plan including
electro- cost estimate,
mechanical pls. describe and
equipment) attach plan:

[ ] Other
measures, pls.
specify:
Flooding due to
blocking of
abandoned dam
or weir

5.2 Risk Assessment

Risk Evaluation Mitigation Responsibility

Relevant Subject Magnitude of Measures
and Parameters Impact
Downstream Dam or weir [ ] none [ ] No mitigation
flooding due to stability [ ] low measure
failure of the dam [ ] moderate necessary
or weir [ ] high [ ] Monitoring of
dam or weir
stability; pls.
include
monitoring plan
(refer to
paragraph 6.3.)
[ ] Other
measures, pls.
specify:
Upstream Maximum flood [ ] none [ ] No mitigation
flooding due to water level in [ ] low measure
high head water impoundment if [ ] moderate necessary
level sluice gate is [ ] high [ ] Restricting
blocked activities near
(m.a.s.l.): ____ impoundment,
pls. specify:

[ ] Other
measures, pls.
specify:

SECTION 4

6.0 ENVIRONMENTAL MANAGEMENT AND MONITORING PLAN

6.1. Environmental Management and Protection Plan

Subject Activity
Watershed Management and Protection Pls. describe or attach plan:
Protection of significant flora and fauna in or Pls. describe or attach plan:
near the project area

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 6.2. Disaster Preparedness Plan

Subject Activity
Flood Alarm System Alarm System provided?
[ ] Not necessary
[ ] Yes, please describe or attach plan:
Evacuation Plan Evacuation Plan provided?
[ ] Not necessary
[ ] Yes, please describe or attach plan:
Others, pls. specify:

6.3. Monitoring Plan

Subject Parameter, Location, Responsibility Cost Estimated

Frequency of
Monitoring
Water Quality
Fish Mitigation
Soil Erosion
Dam or weir stability

Waste disposal

Others, pls. specify:

7.0 ATTACHMENT AND ANNEXES

7.1 Government Permit and clearances

(Attach Photocopies of documents)

- Barangay and Municipal/ City Endorsement

- TCT/OCT/TD
- Location Clearance from HLURB
- National Water Resources Board (NWRB) Permit
- Other Permits or Clearances, if they are required for the proposed project, pls. specify:

7.2. Required Checklist Attachments

- Location maps, scale 1:25’000 and 1:10’000, with important landmarks, political
boundaries, access points
- Location map(s), scale 1:10’000, showing all project sites
- Listing of detailed manpower requirements
- Schedule of development activities from pre-construction, construction and operation
phase
- Pictures project sites and its immediate vicinity looking up- and downstream/ north and
south

7.3 Further Attachments and Annexes

____________________________________________________________
____________________________________________________________
____________________________________________________________

PROPONENT’S COMMITMENTS

I am / We are committing to

 Comply with existing environmental rules and regulations, guidelines and criteria;
 Comply with all mitigation measures that have been identified in the report;
 Support multi-partite monitoring efforts to be organized;
 Maintain the cleanliness of the general surroundings;
 Participate or contribute towards a communal cleaning effort;
 Strictly implement a risk management plan and safety programme;
 Organize and conduct information, education and communication (IEC) activities on
environmental, health and other civic issues;
 Others, pls. specify:

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 ACCOUNTABILITY STATEMENT

This is to certify that all the information and commitments in the Initial Environmental
Examination (IEE) Report are true, accurate and complete. Should I/we learn of any
information which would make the IEE inaccurate, I/we shall bring said information to the
attention of the appropriate EMB DENR Regional Office.

I/We hereby bind myself/ourselves jointly and solidarity for any penalties that may be
imposed from any misrepresentations or failure to state material information in the IEE Report.

_____________________________________________
Project Proponent

_____________________________________________
Title/Designation

_____________________________________________
Date

ACKNOWLEDGMENT

BEFORE ME this (day) ________ of ________________19____ at

(place)__________________________, personally appeared
____________________________________with Community Tax Certificate No.
_______________________________issued on ________________ at
____________________, in his/her capacity as
______________________(designation)_________________at ___________________ and
acknowledged to me that this IEE Report is his voluntary act and deed, and the voluntary
act and deed of the entity he/she represents. This document, which consists of
__________pages, including the page of which this acknowledgment is written, is an Initial
environmental Examination Report Checklist.

Witness my hand and seal on the place and date above written.

_________
____________________________
Notary
Public

Doc. No.___________________
Page No.__________________
Book No.__________________
Series of __________________

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