Professional Documents
Culture Documents
This IEE Checklist Report shall be used for proposed Resorts and Other Tourism/Leisure Projects to
be located within Environmentally Critical Area (ECA).
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 blank spaces
provided or otherwise check (a) the appropriate boxes □ or parenthesis ( ). Boxes with
check marks (;) are automatically required. Use additional sheets if necessary and
indicate this in the appropriate space.
Misleading or erroneous answers are basis for legal actions and/or denial of ECC issuance.
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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 - GPS setting, otherwise
specify datum used).
Perimeter/Boundary points
Longitude Latitude
(based on OCT/TCT/etc)
1. Rooms
2. Villas
3. Public washrooms/toilets
4. Swimming pools
5. Function/Convention Hall
6. Lobby/Reception Area
7. Restaurant
8. Parking area
9. Water sports facilities
10. Wharf / Jetty
11. Mini zoo/Park
12. Ecological trail
13. Garden/Landscaping
14. Waste water Treatment Facility
15. Solid waste management
facilities
16. Drainage system
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(Use additional sheets if needed)
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1.3 UTILITIES/REQUIREMENTS (Operation Phase):
Water Source
[ ] ground water [ ] well [ ] spring [ ] others: ____________________________
Energy/Water Efficiency
Utilities Estimated Savings Proposed Efficiency/Conservation
Measures
Power/Electricity KWh
Water m3/day
1.4 MANPOWER
a. Construction Phase
Manpower Requirement Expertise/Skills Total
b. Operation Phase
Manpower Requirement Expertise/Skills Total
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II.ENVIRONMENTAL IMPACTS AND MANAGEMENT PLAN
Possible Environmental/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Social Impacts Implementation
LAND
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Possible Environmental/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Social Impacts Implementation
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
identified by MGB/PAG-ASA/
Compliance with the DENR Administrative
PHIVOLCS as hazard prone? Order No. 2003-30 and DENR
Yes Administrative Order No. 2000-28,
Implementing Guidelines on Engineering
No Geological and Geo-hazard Assessment
(EGGA).
Soil/Land contamination Existing soil type in the area: ; Implementation of the Ecological Solid ; Daily inspection of ; 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 ; Daily inspection for presence
; Implement re-use and recycling of waste of mixed garbage in the
Others, specify
materials facility
____________ ; Weekly inspection of waste
; Implement proper segregation, collection
and disposal of domestic wastes in accumulated
designated areas
Others, specify
Implement proper collection and __________
processing of animal waste into organic
fertilizer
Implement proper collection, labeling and
storage of hazardous waste
; Provide receptacles / bins for solid wastes
Coordinate with the municipal / city waste
collectors
Engage third party company for waste
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Possible Environmental/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Social Impacts Implementation
collection
Others, specify
________________
WATER
Increased siltation due Specify nearest/receiving water ; Set-up proper and adequate sanitary Regular (ocular) inspection of: ; Cost integrated in the
to project activities body:
___________________________
facilities
Drainage / canal systems construction/ operation cost
Water quality
Strictly require the contractor and its
Water treatment facility (i.e.,
degradation Distance to nearest/receiving water workers to observe proper waste disposal grease trap, septic tank, etc.)
and proper sanitation
Others, specify body:
____________
0 to less than 0.5 km
; Strictly observe proper waste handling and
disposal Quarterly monitoring of the
0.5 to 1 km
; Provision of wastewater treatment facility
following:
More than 1 km (e.g. septic tank, oil and water separator,
pH
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Possible Environmental/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Social Impacts Implementation
C
D
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Possible Environmental/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Social Impacts Implementation
>5,000person disruption of traditional water uses concerned agencies
Obtain Water Permit from NWRB ; Regularly monitor
Available/nearest water source. ; Improve efficiency of water supply and occurrences of water
shortages
Deepwell distribution system
Water district/LGU
Use drought resistant species which
Others, specify
require less water input and hence have ________________
Surface water
less impact on water tables
Others, specify
Others, specify
_________________
______________________
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Possible Environmental/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Social Impacts Implementation
AIR / NOISE
Air quality degradation Distance to nearest community:
Properly operate and maintain all emission ; Regularly monitor ; Cost integrated in the
0 to less than 0.5 km sources (e.g. vehicles, boiler, generator, presence/absence of construction/ operation cost
complaints
0.5 to 1 km etc)
More than 1 km
Install when applicable, the appropriate air
Regular (ocular) inspection of:
pollution control device/s
Strictly enforce good housekeeping
Absence of white or black
smoke from vehicles,
practices
equipment, generator,
Control vehicle speed to lessen etc.
suspension of road dust
Presence of truck cover
Conduct water spraying to suppress dust during deliveries
sources and minimize discomfort to nearby
residents
Use covered vehicles to deliver materials
that may generate dust
Other, specify
_________________
Nuisance due to Distance to nearest community:
Regular clean-up of animal houses ; Regularly monitor ; Cost integrated in the
generation of
0 to less than 0.5 km
Use of environment-friendly deodorizer or
presence/absence of construction/ operation cost
complaints
obnoxious/unpleas
ant odor
0.5 to 1 km odor masking substances
More than 1 km
Spraying natural / microbial disinfectants
Nuisance due to noise Distance to nearest community:
Properly operate and maintain all noise ; Regularly monitor ; Cost integrated in the
generation
0 to less than 0.5 km sources (e.g. vehicles, boiler, presence/absence of construction/ operation cost
complaints
0.5 to 1 km generator, etc)
More than 1 km
Install when applicable, the appropriate
Regular monitoring of buffer
noise control device/s (e.g., mufflers, zones
silencer, sound barriers, etc.)
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Possible Environmental/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Social Impacts Implementation
Implement appropriate operating hours
Provide adequate buffer and/or planting of
trees
Others, specify
_______________________
PEOPLE
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Possible Environmental/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Social Impacts Implementation
Impacts on community ; Regular coordination with LGU ; Regularly monitor ; Cost integrated in the
health and safety
Provide appropriate warning signs, lighting presence/absence of
complaints
construction/ operation cost
Others, specify and barricades, whenever practicable
____________ ; Observe proper housekeeping ; Regular coordination with
LGU
Provide on-site medical services for any
; 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
; Strictly comply with fire, safety and similar
regulatory requirements
Strictly comply with requirements of RA
6969
Others, specify
______________
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III. ABANDONMENT /DECOMMISSIONING/REHABILITATION POLICIES AND
GENERIC GUIDELINES (if Applicable)
Organization Chart:
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Attach drawing/plan of waste water treatment facility (with dimensions and
descriptions)
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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.
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.
__________________________
NAME OF PROPONENT HEAD
(Position)
(Company Name)
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