Professional Documents
Culture Documents
'1"t .?"r{.
Telephone:
r 19\
/-t - Gcj - Z?
FAX: E-mail
A. PROJECT DESCRIPTION
4. Project Site: (Attach location and vicinity maps and photographs of front, left,
right, and near views of the project site as ANNEX 2.)
,e0
t ,.
.4
L.
|i,
{
.j
Attach photo, left side view ofproject site I
3-,-
EJ
} .i,"
i
r./
:1
I
I
I
E A
:,,-,..-"JE a.-JiilEd i
,23
a
F
LI
r I
l!r'
E@&;* .-.-
;
t
5
4.a Land
4.a.1 Total Land Area, sq. m. 1,6
4a.2Lmd Area to be occupied, sq. m. 7LA
4.a.3 Is the area owned or lease lca 9,a'
I Plan/Design
2 PermitVClearances
J Site Preparation & Clearing
4 Excavation
5 Civil Works
6 Finishin/Site Clearing
'7 Installation of Equipment
8 Commisioning & Start-up
Operation
(IJse additional sheel if necessary. Inchtde civil works undertaken as Pan of he proiecl, e.8.
construction ol otice for operafon, administration, canteen, and other amenities)
dl
5.a.3.2 Power Supply b
,20
a
1. Physical Environment
n
l.f Are there water bodies found inside or near the project site? J
I$es, please enumerate them:
l.g What is the quality of water?
l.h What is the quality of air? [
tl Fair [ ] Saline/Saltv
] Poor [ ] t I Good
2. Ecosystem Description
2.a Is the project immediately adjacent to a natural ecosystem?_
Ifyes, please check on the appropriate box:
[ ]Fores [ ]Coastal/Marine [ ]Marshland
[ ]Crrassland t I t Wetland
[ ] Others, please speci!,
t(
a
3. Socio-Economic Environment
3.a Total Households to be affected? Families
What will happen to them?
[.{No ]
3.c Are there health facilities(e.g.,clinic,etc.)within the project site? [
Yes
3.d Are there required benefits under the Labor Code and other regulations to be
enjoyed by the stafl 6as
If yes, please enumerate:
3.e Are the inhabitants to benefit by the proiect?4 ,rc, Please elaborate
-,
3.f Are the cultural norms/morals and lifestyle of the local inhabitants to be
affected by the project? ,LO Pls. Elaborate.
3.g Are there any position on the project? [ J No 1..]nes (Attach document to
support the answer as ANNEX 6.)
11
t7
Project Impacts
l. Pre-Construction/Construction Details
ComponentV Answer Describe the impacts Describe your
Parameters Mitigating/ Enhancement
Yes No Measures
Is there land
clearing
Is there
vegetation
clearing
Is there tree
cutting?
Is there
topsoil
removal
replacement?
ls there
excavation
works and
cut & filI
activities
Is there other
earth moving
activities
Is there
stockpiling
of
sand/gravel
materials m
the side
Is there
drilling,
boring and
hammering
activities?
(I)se additional sheet, if necessqry)
l(r'
)
ll
L Pre-Construction/Construction Details
Components/ Answer Descnbe the impacts Describe your Mitigatingi
Paramoters Enhancement Measures
Yes No
Is any slope
modification
or ground
levelling?
Is there
increased
traffic
movement in
the area
Is the public
community
access
to/through
the area
affected?
Is there an
increased
economic
activity ln
the area?
ls there an
increased
availability
of
employment
Is there
displacement
of people in
the area
t
Is the
'
displacement
involve
relocation of
affected
parties
(Jse additiottol sheet, if necessa4t)
,5
l'7
2 ion and Maintenance Phase
Components/ Answer Describe the impacts Describe your Miti gating/
Parameters Enhancement Measures
Yes No
Will the lta
project g/"1tP
generde
wastewater?
Is there an
affect on the
quality of the
receiving
body of
wder?
Is the
increase in
waler in
surface run-
off to other
areas?
Is there an a;a.0^,
increase
water
a demand?
Is there dust
emission into
the
eavironment?
Will it affect
the ambient
air quality of
the areas?
Is there air
pollution
sources
,;rrl
equipment to
be installed?-
.
Are
hazardous/
toxic waste to
be introduced
into the env't.
4
lg
Is there a
genoaion of
solid waste?
Is there an
I
W;ffi
increase
traffic
movement in *
the aree
Is there an
effect on the
road system
of the
community?
Is there an
increase
avarl abilrty of
employment?
Is there an
increase ln
population
from
migration?
Is there an
increase in
land value?
Is the projece .
stuctufes
affect or
obstnrct the
view fiom
adjacent
areas?
lj
t+
Is there any
population
complaint
from the
nea$Y
residents?
Is there a,
increase in
crime,/secuit
y problerns in
the area?
O*ren, please
speciS,.
Will any of
the facilities
be
abandonment
or demolished
after the
project tife?
Will .. any of
ihe facilities
need to be .
rehabilitated
after a certain
period of
time?
Others, please
specifu.
K
,{
PROPONENT'S COMMITMENTS
ll
la
b) establish anEMF/EGF'r Yes No
If yes, what is your proposed annual contributiont -- EVyear
- -
AtrTACHMENTS
lt)
ACCOUNTABILITY STATEMENT
p1.-{-rfiul Vri)fi-.
(Date)
t1