SLAUGHTER HOUSE

INITIAL ENVIRONMENTAL EXAMINATION (IEE) CHECKLIST

For

__________________________________________________________________
Project name or Title

Below is the IEE Report Checklist for Slaughter House Proponents. Read the
questions carefully before answering the space provided. Uses additional
sheet if necessary and indicate this in the appropriate space.

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

Project Location : Complete drop Street, Barangay, and Municipality/City)

___________________________________________________________
___________________________________________________________

NAME OF PROPONENT : ______________________________

ADDRESS (Complete Address: street. Barangay, and

Municipality/City)

Telephone No. _____________________

Fax No. ___________________
Email Add: _____________________

A. PROJECT DESCRIPTION

1. Project Ownership : (Attach document as ANNEX 1)

Single Proprietorship Partnership Corporation

2. Capitalization & Project Cost:

2.a Capitalization :
Authorized Paid-Up

2.b Project Cost:

2.b.1 Site Development :
2.b.2 Slaughter House :
2.b.3 Building Structures :

3. Project Site : (attach location and vicinity maps and photographs of

front, left, right, and rear views of the project site as ANNEX 2.)

3.a Land
3.a.1 Total Land Area, sq.m

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 3.a.2 Land Area to be occupied, sq.m.
3.a.3 Is the area owned or leased
3.a.3.1 If leased, period covered
(Attach document, TCT, as ANNEX 3)

3.b Classification (attach photocopy of location clearance as ANNEX 4)

Industrial Residential
Commercial Others, pls. Specify

3.c Existing Land Use Within

 50 meters radius
 100 meters radius
 200 meters radius

4. Project Description

4.a Pre-Operation/Construction phase/Operation phase

4.a.1 Construction Schedule

No. ACTIVITY TIMEFRAME

1 Plans/Design
2 Permits/Clearance
3 Site Preparation & Clearance
4 Excavation
5 Civil Works
6 Finishing Site Clearance
7 Instillation of Equipment
8 Commissioning & Start-up Operation

4.a.2 Manpower Requirement:

4.a.3 Facilities Requirement :

4.a.3.1 Water Supply

No. Of Units Sources of Water supply CONSUMPTION/DAYS

Local Water District
Surface Water
Deepwell
Others, please specify
(Use additional sheet, If necessary)
4.a.3.2 Drainage System (Attach drainage lay-out plan)

Type of Drainage available

______ Open Canal
______ Close / Underground Drainage
______ None

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 4.a.3.3 Power Supply

No. Of Units Sources of Power CONSUMPTION/DAY

Supply
Local Electric Utility
Generator
Others, please specify
(Use additional sheet, if necessary)

4.a.3.4 Wastewater Disposal System

A. Sewage Disposal System (attach Sewage Design Layout)

Sewage System
______ Individual Septic Tank
______ Centralized Septic Tank
______ Communal Septic Tank

Sewage Disposal
______ Discharge to an existing public sewerage system
______ Treated in a community disposal plant or communal septic tank
______ Treatment in individual septic tank with disposal by absorption field
or leaching pH
______ Others, pls. Specify

B. Wastewater Treatment Facility (attach detailed plans and specifications)

4.a.3.5 Solid Waste Disposal System

 Volume generated / day (kg./day) ________________

Type of Facility Capacity

Collection System
______ Association / Project Maintained Garbage Collection System
______ Integrated into the Municipal
______ Others, pls. Specify

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Disposal system

A. Solid Waste (Horns, entrails, etc.)

______ Burning at open dumpsite in the project site

______ Sludge Cleaning
______ Open dumpsite outside of the project site
______ Municipal / City Landfill Area
______ Others, pls. Specify

Location of the waste disposal site ________________________

B. for NMIC rejected Meat:

Location of the waste disposal site __________________________

(attach flow plan of the Solid Waste Management)

4.b. Abandonment Phase and schedule

Facilities to be Waste Generated Mode of Disposal Restoration Plan
Abandoned

A. DESCRIPTION OF ENVIRONMENTAL SETTING

1. Physical Environment

1.a Description f terrain (%slope)

Flat or Level (0-3) Level of Undulating (3-8)

Undulating to Rolling (8-18) Rolling of Moderately steep (18-30)
Moderately steep to steeply Mountainous (30-50)
Very Steeply Mountainous (above 50)

1.b Is the area erosion prone? _________________________

If so, what is the status : Slight Moderate Severe

1.c Are the existing natural hazards in the area, e.g., landslides, gullying?
Subsidence. Etc.? _______

1.d Is the site situated along a flood prone/storm surge area?

________________________________
1.e Is the project beside or near the shoreline? __________ If yes, How far?
________ Meters

1.f Are there water bodies found inside or near the project site? __________
If yes please enumerate them: ____________________________________

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1.g What is the Quality of water? Fresh Brackish Saline/Sally

1.h What is the quality of air? Poor Fair Good

2. Ecosystem Description

2.a Is the project immediate adjacent to a natural ecosystem? ___________

If yes, please check on the appropriate box:

Forest Coastal/Marine Marshland

Grassland Mangrove Wetland
Others, please specify _______________________________

2.b Are there any wild life in the area? _____________________________

If yes, please identify and enumerate: ____________

2.c Are there trees within the Project site? ___________

If yes, please identify and enumerate:
_____________________________________________________________

2.d Is there other vegetation within the project site? ________________

If yes, please identify and enumerate:
_____________________________________________________________

3. Socio-Economical Environment

3.a What is the total population of the barangay where the project is located?

3.b Are there existing settlements in the proposed slaughter house projects
that would be displaced?

If yes, indicate the number of:

_____________ household/families
_____________ legitimate landowners
_____________ tenants
_____________ informal dwellers

3.c what will be the livelihood of the displaced families?

3.d Are there existing social infrastructures in the barangay within 200
meters radius from the project area?
________ schools
________ communications
________ health centers/clinics/hospitals
________ churches
________ transportation
________ roads
________ others, pls. Specify

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4. Project Impacts

1. Pre-Construction / Construction Details

Components/ Answers Describe the Describe your
Parameters Yes No impacts Mitigating/enhancement
Measures
Is there land
clearing?
Is there
vegetation
clearing?
Is there tree
cutting?
Is there topsoil
removal/replac
ement?
Is there
excavation
works and cut
& fill activities?
Are there other
earthmoving
activities?
Is there
stockpiling of
sand gravel
material in the
site?
Are there
drilling, boring,
& hammering
activities?
Is there any
slope
modification or
ground
leveling?
Is there
increased traffic
movement in
the area?
Is there
public/communi
ty access
to/though the
area affected?
Is there an
increase
economic

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activities in the
area?
Is there
increase in the
availability of
employment?
Will it cause
displacement of
people in the
area?
Does the
displacement
involve
relocation of
affected
parties?
(Use additional sheet if necessary)

2. Operation and Maintenance Phase

Components/ Answers Describe the Describe your
Parameters Yes No impacts Mitigating/enhancement
Measures
Will the project
generate
wastewater?
Is there an
effect on the
quality of the
receiving body
of water?
Is there an
increase in
surface run-off
to other areas?
Is there
increase in
water demand?
Is there dust
emission into
the
environment?
Will it affect the
ambient air
quality of the
area?
Are there air
pollution
sources to be
installed?

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Is there
generation of
solid waste?
Is there
increased traffic
movement in
the area?
Is there
increase in the
availability of
employment?
Are there any
complaints
from the
nearby
residents?
Will it affect the
peace and
order situation
in the area?
Is there an
affect on the
road system of
the
community?
Is there an
increase in
population due
to migration?
Is there an
increase in land
value?
Will the project
Structure affect
or obstruct the
view from
adjacent areas?
(Use additional sheet if necessary)

3. Abandonment & Rehabilitation Phase

Components/ Answers Describe the Describe your
Parameters Yes No impacts Mitigating/enhancement
Measures
Will any of the
facilities be
abandoned or
demolished
after the
project life?

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Will any of the
facilities need
to be
rehabilitated
after a certain
period of time?
Is there
generation of
solid waste
Is there an
increase in
traffic
movement in
the area?
Is there an
effect on the
road system of
the
community?
Is there an
increase in the
availability of
employment?
Is there an
increase in
population due
to migration?
Is there an
increase in land
value
Will the project
structure affect
or obstruct the
view from
adjacent areas?
Will it affects
the peace and
order situation
in the area?
Is there an
increase in
noise level in
the area?
(Use additional sheet if necessary)

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Attach photo, panoramic view of project site and its immediate vicinity

Attach photo, front view of the project site

Attach photo, left side view of the project site

Attach photo, right view of the project site

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Attach photo, back/rear view of the project site

Attach sketch plan/lay-out of project site

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Attach drawings/plan of waste water treatment facilities (with dimensions
and descriptions)

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ENVIRONMENTAL MANAGEMENT PLAN

Project: __________________________________________________________
_________________________________________________________
_________________________________________________________

Impact Mitigation Period of Responsible Party

Enhancement Measure Implementation (IES)

Proponent’s Commitments

Are you committing yourself to … Answer

Ye No
s
Comply with existing environmental rules and regulations, guidelines
and criteria?
Comply with all mitigation and enhancement measures that have
been identified in the checklist?
Participate or support any multi-partite monitoring efforts to be
organized?
Construct, operate and maintain well-designed sewerage/WTF and
drainage facilities?
Observe proper waste management practices by providing adequate
garbage receptacles in strategic points of the project site and
observing regular garbage collection and disposal in an approved
disposal site?
Establish adequate open spaces within the project site for
loading/unloading purposes and the provisions of access road?
Maintain the cleanliness of the project facilities and immediate
vicinities?
Organize and conduct information, education and communication
(IEC) activities on Integrated Solid Waste Management Program such
as recycling, re-use, composting, sanitation, proper collection and
disposal of solid
Properly brief or orient the Project Administrator and beneficiaries
about the ECC Conditions, commitments and agreements made
about the project?
Support continuing government efforts to promote environmental
sound slaughter house project?
Others, please specify…

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ATTACHMENTS

Government Permit and Clearance (attach photocopies of documents)

PERMITS/CLEARANCES ATTACHED?
Demolition Permit
Electrical Permit
Sanitary Permit
Building Permit
Water Rights Permit
Location Clearance / Certificate of
Locational Viability
DTI?SEC Registration
Safety (Fire) Permit
Municipal / Business Permit
Transfer Certificate of the Title
Colored photo of the site (different
perspectives)
Project Vicinity Map/Sketch
Project Lay-out Plan
Sewerage and Drainage Plan
WTP Plan
Map/delineation of primary &
secondary impact areas
Endorsement from the LGU
(Barangay Certificate)
Construction schedule in chart form

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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 if any information, which would make the IEE inaccurate,
I/we shall bring the said information to attention of the Environmental
Management Bureau of DENR Regional Office.

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

________________________
Project Proponent

________________________
Title/Designation

________________________
Date

ACKNOWLEDGEMENT

BEFORE ME this ______ of ___________________ , 19 _________ at

__________________________________________ personally appeared
issued on ___________________ with Community Tax Certificate No.
______________ capacity as ______________________ of
_______________________ and acknowledge to me that this IEE 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 on which this acknowledgement, is an Initial Environmental
Examination Checklist Report.

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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