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BATCHING AND CRUSHING PLANT PROJECT

INITIAL ENVIRONMENTAL EXAMINATION (IEE) CHECKLIST REPORT

for

Project name or Title

Below is the IEE Checklist Report for Batching and Crushing Plant Projects.
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)
Water m3/day
(Total)
(Fill-up table below if water is not obtained
from the local water utility)
Water m3/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

Water m3/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
þ Consistency with land Current land use w/in 1km radius þ 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: þ Compliance with conditions of DENR/LGU þ Annual inspection of area þ Cost integrated in the
due to vegetation  Forestland SLUP, Tree Cutting Permit, ROW, PCA replanted/ re-vegetated construction /operation cost
clearing  Marshland Permit
 Grassland þ Limit land clearing as much as possible
 Mangrove þ Provide temporary fencing for vegetation
 Wetland that will be retained
 Others, specify þ Promote restoration of damaged or
destroyed vegetation where possible (e.g.,
Possible Environmental/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Social Impacts Implementation and frequency
____________ 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  gently sloping to rolling (3-18%)  Designate a Spoils Storage Area, with erosion-prone areas  Others, specify
 steep (>18%) topsoil set aside for later use and allow  Regular inspection for new __________________
 Soil Erosion 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
Order No. 2003-30 and DENR
identified by
Administrative Order No. 2000-28,
MGB/PAGASA/PHIVOLCS as
Implementing Guidelines on Engineering
hazard prone?
Geological and Geo-hazard Assessment
 Yes (EGGA).
 No

þ Soil/Land contamination Existing soil type in the area: þ Implementation of the Ecological Solid þ Daily inspection of þ 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
 sandy-loam construction area þ Daily inspection for presence
 Others, specify þ Implement re-use and recycling of waste of mixed garbage in the
materials facility
____________________
þ Implement proper segregation, collection þ Weekly inspection of waste
and disposal of domestic wastes in accumulated
designated areas  Others, specify
 Implement proper collection, labeling and _________________
storage of hazardous waste
þ Provide receptacles / bins for solid wastes
 Coordinate with the municipal / city waste
collectors
Possible Environmental/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Social Impacts Implementation and frequency
 Engage third party company for waste
collection
 Others, specify
________________

 Impairment of Presence of visually significant  Implement landscaping and other  Regular inspection of þ 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
 Others, specify zones
________________ þ Regularly monitor for
presence/absence of
complaints from adjacent
property owners

WATER
 Increased siltation due Specify nearest/receiving water  Provide ring canals around fuelling tanks/ Regular (ocular) inspection of þ Cost integrated in the
to project activities body: motor pool/ maintenance areas water body for: construction/ operation cost
 Water quality ____________________________
þ Set-up proper and adequate sanitary  Turbidity and/or silted
degradation facilities condition
Distance to nearest/receiving water  Floating wastes or debris
 Others, specify body:  Strictly require the contractor and its
_______________  0 to less than 0.5 km workers to observe proper waste disposal
and proper sanitation
 0.5 to 1 km
 More than 1 km
þ Strictly observe proper waste handling and
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
 A
 Set up silt trap/settling ponds to minimize
downstream siltation
 B
 Others, specify
 C ______________
 D
Possible Environmental/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Social Impacts Implementation and frequency
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 þ Cost integrated in the
use surface water: measures as an alternative source of water þ 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 _________________ þ Regular coordination with
concerned agencies
Available/nearest water source. þ Regularly monitor for
 Deepwell occurrences of water
 Water district/LGU shortages
 Surface water  Others, specify
 Others, specify ________________
________________
 Increased occurrence Is the project site located in an area  Use appropriate design for project facilities þ Regularly monitor for þ Cost integrated in the
of flooding identified by MGB/PAGASA as  Implement appropriate drainage system presence/absence of construction/ operation cost
flood prone? complaints
 Yes
 Limit the depth and area of workspace
 Regularly remove debris and other þ Regular coordination with
 No
materials that may obstruct water flow concerned agencies
þ Regularly monitor for
Possible Environmental/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Social Impacts Implementation and frequency
 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 þ Regularly monitor for þ 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
pollution control device/s Regular (ocular) inspection of:
 Strictly enforce good housekeeping  Absence of white or black
practices smoke from vehicles,
 Control vehicle speed to lessen generator, etc.
suspension of road dust  Presence of truck cover
 Conduct water spraying to suppress dust during deliveries
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
 Other, specify
 PM10
___________________  NOx
 SOx
 CO / CO2

 Nuisance due to noise Distance to nearest community:  Properly operate and maintain all noise þ Regularly monitor for þ 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
Possible Environmental/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Social Impacts Implementation and frequency
(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 þ Presence/Absence of þ 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 þ Prioritize local residents for employment þ Regular coordination with
vicinity 
 Displacement of
>5,000person þ Promptly pay local taxes and other LGU

Indigenous People
financial obligations  Others, specify
Classification of host barangay:
 Enhanced employment þ Regular coordination with LGU _________________
 Urban
 Prior consultation & coordination to
and/or livelihood  Rural
opportunities minimize disruption on daily domestic
 Reduced employment activities & respect for IP rights and
Available services within/near the cultural practices
and/or livelihood host barangay:
opportunities  Ensure participation of IPs in consultations
 Schools (e.g. elementary, and dialogues
 Increased revenues for high school, college)
LGU  Provide appropriate traffic/warning signs,
 Health facilities (e.g., lighting, etc
 Disruption/Competition clinics, hospitals, etc.)
in delivery of public  Others, specify
services (e.g.,
 Peace and order (e.g., _________________
police outpost, Brgy. Tanod,
education, peace and
etc.)
order, etc.)
 Enhanced delivery of
 Recreation and sports
facilities
public services (e.g.,
education, peace and  Others, specify
order, etc.) ___________________
 Increase in traffic
volume and worsening
of traffic flow

 Impacts on community þ Regular coordination with LGU þ Regularly monitor for þ Cost integrated in the
health and safety presence/absence of construction/ operation cost
Possible Environmental/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Social Impacts Implementation and frequency
 Others, specify  Provide appropriate warning signs, lighting complaints
_______________ and barricades, whenever practicable þ Regular coordination with
þ Observe proper housekeeping LGU
 Provide on-site medical services for any þ 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
þ 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:

IV.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 ____________________

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