POULTRY FARM PROJECT Initial Environmental Examination (IEE) Checklist | GUIDE FOR PROPONENTS Below is the IEE Checklist for Poultry Farm Projact with a population ranging from 10,000 to 40,000 heads. Read the questions carefully and provide the appropriate answers in the spacesiblocks provided. Use additional sheets if necessary and provide attachments as directed/required. Misleading statements and erroneous answers provided in the blocks/spaces are basis for legal actions and revocation of Environmental Compliance Certificate (ECC). 1.0 GENERAL INFORMATION Project Location SITO MABURAC, BRGY. CAPULAAN, VILLASIS, | PANGASINAN | (State complete address: street, barangay, municipality/city, and province) | Name of Proponent : MELCHOR Q. CABREROS JR. Name of Contact Person : MELCHOR -ABREROS JR. M ity. Net, M. Posadas Ave., San Carlos City, Pangasinan 1g Address Mel's Telephone Number(s): 0921-3126247 / 075-6348146 Fax Number(s) NA E-mail Address mel_cabreros@yahoo.com TIN 924-263-339 1.1 Project Status Poultry Checkist DENR-EMB-EIA §|DA.NAFC[Vv ] Proposed/New | [1 Existing/Operational Ifexisting, date/year when the project was started: [1 Expansion of existing operations | If an expansion, does the existing production have an ECC? [1 Yes [ ] No | Ifyes, attach copy of ECC issued. | 1.2 Project Ownership [Vv] _ Single Proprietorship [ ] Partnership {1 Corporation { ] Other (cooperative, association, NGO, etc) 1.3. Mode of Financing | [1 In-house [ V] Bank (Loan) [1 Others, pls. specify 1.4 Project Duration Estimated number of years of project operation: 50 years 1.8 Project Capitalization: P6.5 million 4.6 Purpose of Project [ V] Contract Growing {1 Contract Breeding | [1 Commercial Poultry {1 Layer | | [1 Others, pls. specify 1.7 Market Name of Firm(s)/Name of Market(s): Others, pls. Specify: SAN MIGUEL FOODS, INC. | 2.0 PROJECT OPERATIONS Poulty | | DENR-EMB-EIA 2 DA-NAFCProject Bird Population: 29,000 BIRDS Project Description: A brief but complete description of the proposed undertaking should be | presented here. Tu ENT POULTRY IS A 29,000 BROILER CAPACITY FARN UNDER ‘SAN MIGUEL FOODS, INC. (SMFI) / MAGNOLIA BROILER CONTRACT GROWING. THE PROJECT CONSIST OF 122 M.X. 12.2 M, BROILER HO! WITH FULLY AUTK ED EQUIPMENT. LOADING OF CHICKS IS 7BATCHES PER YR. (Use additional sheets if necessary) | Extent of Operations: | [ 1 Hatchery | ey Grow-out ] Processing fete Feed Milling [ ] Others, Please specity 2.1 Description of Project Utilities and Infrastructure Table 2.1 List of Facilities/Equipment EQUIPMENTIFACILITIES | NO. OF CAPACITY | UNITS GENERATOR 2| ww ~ Table 2.2 _List of Existing or Proposed Infrastructure | i INFRASTRUCTURE | UNITS] FLOORAREA | BIRD POPULATION | (square meters) CAPACITY (per poultry building) TUNNEL VENT 7 7464 SO. ML 729,000 BIRDS, POULTRY, 122 MX 12.2 M. Table 2.3 Description of source of water supply SOURCE METHOD (well, | NO. OF surface, LWUA, etc.) | | _ UNITS DEEP WELL fl PUMP Hp RATING | DEPTH {in ZHORSE POWER | 50 FT. Table 2.4 Description of power supply source 1 j ‘SOURCE METHOD (Generator set | NO. OF UNITS | OUTPUT (Hp or and/or Local Power Supply) Watts) PANELCO 2.2 Description of waste generated during project operation | Table 2'5 Types of waste generated by the project WASTE, Waste Water (GENERATED DURING CLEAN- UP OF POULTRY HOUSES / | | WASHING OF UTENSILS) Solid Waste BIRDS MANURE. i Dust Particulate Others | TYPES OF DESCRIPTION/SOURCE VOLUME(m day) Poutry Checklist | DENR-EME-EIA & DA.NAFC| 2.2.1. Attach treatment scheme for the proposed wastewater treatment facility with dimensions and descripticn of each of the treatment units, if applicable. 2.3 Manpower Requirement of the Project 2.3.1. No. of employees to be hired by the project During the construction phase: 30 MANPOWER During the operational phase: 4 MANPOWER 3.0 DESCRIPTION OF THE PROJECT ENVIRONMENT | Attach the following: > Vicinity Map; Picture of the proposed site (Provide captions and brief description ofthe area); > Site development plan showing the location of the followng: | + Birdhouses; ‘+ Mortality pits; | + Composting area; | > _ If with a Feedmill, identify location of air pollution control structures. 3.1 Description of the project site | Area covered by the project: 1.464 (m*) Table 3.1 description of the existing land use of the immediate/adjoining area within the 200-meter radius from project periphery. (Check dominant land use and indicate estimated density locators.) 23 d Zz 2 Z 2 z z cuz | & gs z $e z orection | ; 3 & 5 5 £5 E 323 2 3g a 8 es 5 Es g 23 3 || gs 8 = g = || ey North = Vv T ‘South z v | East Vv 1 LL West Vv iH | Remarks: beet Poutry Cheeksst DENR-EMB-EIA S OA.1IAFCTable 3.2 __Description of existing land use of the immediate/adjoining area beyond the 200-meter radius from project periphery. (Check dominant land use and indicate estimated density locators.) seo ca lee) oe all ¢ 53? g ee 2 gE = Direction | Ba 3 i 5g 3 58 2g gee | 3 es 3 23 Z ee 8 2 g = F North | i South East Vv i West alee: Remarks: | I 3.2 | Description of the terrain (% slope) | [ ] Flat or Level (0-3) | Vo] Level to Undulating (3-8) t ] Undulating to rolling (18-30) [ ] Rolling to moderately steep (18-30) [ ] Moderately steep to slightly mountainous (30-50) {1 Very mountainous (above 50) | 3.3 Identification of water bodies adjacent to the site | [Please Check | Name of | Location (Specify Current Distance Body of Water in | the Water | complete address as Usage of from the the Vicinity of the Body sitio, barangay, town | Water Body Proposed Proposed Site and province) (domestic, Project. industrial, | Area (in agricultural) | kilometers) Water Body | NA 1 Creek if T River ial [ Sea | | ‘Others (pls. | | specify) Poutty Checklist DENR-EMB-EIA & DA-NAFCyw vw | | 3.4, Identification of existing ecosystem | ECOSYSTEM DISTANCE FROM THE | DIRECTION in N,S.E,W PROJECT AREA kilometers) 3.5 Project's Social Acceptability 3.5.1. Is there any complaint/opposition to the project? [Vy] No C t Yes If yes, what is the nature of the complaintopposition to the project? i I 3.5.2 Has the issue/complaint been resolved? N/A | C 1 No l | Manner of Resolution: Date of Resolution: Poutty Checkist DENR-EMB-EIA& DA-NAFC J Yes |4,0 DESCRIPTION OF IMPACT AND MITIGATING MEASURES | 4.1. Pre-Construction/Construction Phase Please Mitigating/Enhancement Check : Measure Appropriate | Describe (Recommendation to Components/Parameters | “"anewer | the impact | come from the inspecting Yes | No area office for compliance by the proponent) _ Will there be land clearing? | 7 CONDUCT VEGETATION 1484(m?) | ACTIVITIES / PLANTING OF INDIGENOUS TREE SPECIES / ORNAMENTAL PLANTS AS MUCH AS POSSIBLE Will there be vegetation | V REPLANTING ie clearing? REVEGETATION AS = (m*) | SOON AS POSSIBLE Will there be tree cutting? | Will there) be to soil v ] removal? Replacement? (mm?) | Will there be excavation | V7 “STOCKPILE CUT SOIL IN works and cut & fill 1464(m?) ASAFE PLACE) AREA) activities? - USE SOIL AS FIRM GRADSING — MATERIAL OR FIRM LAYER Wil there be other earthmoving activities? (m’) Will there be any slope Vv modification or ground leveling? Will there be an increased v traffic movement in. the | area? oh Will there be an increase Vv economic activity in the area? ‘Will there be an increase in | availability of employment? | Will there be displacement of people in the area? es Does the displacement will ) involve relocation of | affected parties? i | Pout Checkist DENR-EMB-EIA & OB-NAFC4.2) Operation Phase | ‘Components! Parameters, Please Check Appropriate ‘Answer Describe the impact Yes | No area Mitigating/Enchancement Measure Wastewater Physical | Treatment Physical Biological Tertiary Treatment { Others, pls. specify (use additional sheet if necessary ‘Odor Chemical Treatment l Feed Additives Green Zone | V Establishment Others L Solid Waste Production | ‘Composting V Landfill \ Contractor Buying Mortality Pit (for | V7 livestock moralities) | Air Pollution from feedmill Cyclone Dust ! Collection Bag House Poutty Checkist | DENR-EMB.EIA § OA-HAFC‘odN-VO 8 W13-ENNZO JpipPouo Aainoa “silun qweUeEs, @L9 Jo YoeE Jo UORdUOSEP pue SUOISUELIIP UM sueid/Ayjoes Jeyemeysem pesodosd ou) 40} JUEUNBEN Jo eUleyOS HERY 12h5.0 PROPONENT’S COMMITMENT [hereby commit to undertake the following: a PPoutty Checklist ‘Comply with existing environmental rules and regulations, guidelines and criteria Construct, maintain and properly operate adequate and appropriate treatment facilities for my liquid waste and air emissions, if there are any; Construct, maintain and properly operate an adequate and appropriate storage and disposal facilities for solid wastes; Institute measures to ensure and maintain the cleanliness of my project's general surroundings to prevent occurrence of nuisance; Extend social benefits to the community; Pay environmental tax or fee should this be deemed necessary by the appropriate authority to maintain an environmental-friendly area; and, Initiate the formation of Multipartite Monitoring Team (MMT) and establish an Environmental Monitoring Fund and fl sccordns with the provisions of DAO 96-37. f / ff yh MevcHon _G- CABNERO OA Project Proponents Signature over printed Name Vener Vad Voxtiny Title/Designati Ie, Date (OENR-EMB-EIA & DA-NAFC6.0 ATTACHMENTS 1 Goveming Permits and Clearance (Attach photocopies of documents) PERMITS/CLEARANCES "| ATTACHED? _ | __YES NO | Business Permit —— 2 | Sanitary Permit | Building Permit i Endorsement from LGU/Brgy. iv | Locational clearance/certificate of Locational Viability (HLURB | Clearance) | 2. Other Attachments ij DESCRIPTION | _ ATTACHED? Yes | NO | Transfer Ceftificate of Title Project Vicinity Map/Sketch | Site Development _ Endorsement from the LGU (Barangay/Municipal Certificate) ' Construction Schedule in GANTT Chart Form j | Poulty Checktst DENR-EMB-EIA & OA.NAFCa 9‘OdYN-VG 8 VIS-EW3-NIO 1 ypoeug Annog voneubisecvenit MPa NER 28, \pueuodorg pelos —_/' \ pmrp ay] | / ) Tahar Trg” fron Si spuey Jno yes Aqazey eNy| YoaloyM SSeLIIM Ul TI : yo fep 3a 84) Ul UOREUUOJU! JeNEVeWI eVEIS 0} Eun} JO suCAEWeseideisIW AUB WOLs\pesodw eq ‘Ae. Jey) senjeued Aue Jo} Aeprios pue Anujol senesinojseshw pulg Aqevey ei ‘eouO feuoIBeY UNG eyeudaudde oxy 0} OREWWOJUI PIES eLyy Buuq eys env] ‘eyesnooe eiou! 33! Ot SEW Pino YORUM UOREWLOJU! AUB Jo WEE] En! Pinoys ‘eje|duico pue eyeincoe ‘ony ale ySIPyOeYD (33!) UOHeUIWEXA JeWEWUONALA FenlU] SI) UI WEURIWUIOD UE LOREUWOWY! el He YR AWE OF S| SIL ANSWALVLS ALITIEVLNNOSOVACKNOWLEDGMENT dayot flo ,20% at Son Cay ironies STyeaTe appeared 1! ifue A80eRS with Community Tax Cortiicate issued on ¢ x Before me personally at Si Civles GY), in hismer capacity as Pre pe ren of and acknowledged to me that this IEE Checklist is his voluntary Sct and deed, and the voluntary act and deed of the entity he/she represents. [This document which consists of including the page on which this acknowledgement is written, is an initial Environmental Examination Report Doc. No. _¢/ Page No. _| g Book No. Series of Poulty Checkst DENR-EMB-EIA 8 DA.NAFC