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Initial Environmental Examination (IEE) Checklist Report Form for Water Supply Projects

WATER SUPPLY PROJECTS


I.2. PROJECT COMPONENTS

Facilities No. of Area (sq/M)/ Specifications/Description/


Units Capacity Remarks
1. Water distribution system (Indicate service area in m2 and
N/A N/A
number of households served)
PUMPED square meters

N/A N/A households


558

2. Communal box/faucet (new)


9 unit N/A

3. Communal box/faucet (for rehabilitation)


N/A N/A

4. Water pipelines, distribution main (new)


4,960 l.m. N/A

5. Water pipelines distribution main (for


rehabilitation) N/A N/A

6. Water pipelines, service line (new)


2.550 km. N/A

7. Water pipelines service line (for


rehabilitation) N/A N/A

8. Pumping stations
1 lot N/A

9. Chemical storage facility


1 lot N/A

10. Others, specify


N/A N/A N/A

11. Others, specify


N/A N/A N/A

12. Others, specify


N/A N/A N/A

13. Others, specify


N/A N/A
N/A

14. Others, specify


N/A N/A N/A

Project Name: ____________________________________________________


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Initial Environmental Examination (IEE) Checklist Report Form for Water Supply Projects

I.3. UTILITIES/REQUIREMENTS (Operation Phase):

Estimated Demand/ Projected Amount from


Utilities Source Breakdown
Consumption (Total) Source specified
Grid KWh

24.235 24.235 24.235 (6 hrs.) =145.41

Generator Set KWh


Power/Electricity
KWh
N/A N/A N/A

Others, please specify: KWh


N/A N/A N/A

Local Water Utility Provider m3/day

N/A N/A N/A

Well in: (specify location): m3/day


N/A
N/A N/A

Spring in: (specify location): m3/day

Water 853.006
m3/day Brgy. Maligaya, Hinatuan, Surigao del Sur 648

River, Lake or other surface water : m3/day


(specify name & location)

N/A N/A N/A

Others, please specify: m3/day

N/A N/A N/A

Energy/Water Efficiency

Utilities Proposed Estimated Savings for Estimated Total Savings


Efficiency/Conservation each Measure
Measures
Power/ Electricity KWh KWh

N/A N/A N/A

KWh

N/A N/A N/A

Project Name: ____________________________________________________


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Initial Environmental Examination (IEE) Checklist Report Form for Water Supply Projects

Water Rainwater collection system with m3/day m3/day


total capacity of

N/A N/A N/A

Others, please specify: m3/day

N/A N/A N/A

1.4. MANPOWER & TIMETABLE OF PROJECT PHASES

Proposed Start of Construction November 3, 2021

Proposed Start of Commissioning November 3, 2021

Proposed Start of Operation November 3, 2021

Total Requirement per


Phase Expertise/Skills Requirement per Expertise/Skill
project phase
a. Construction
Project Manager Water Sanitation and Construction 5

Materials Engineer Water Sanitation and Construction 3

Master Plumber Water Sanitation and Construction 3

Foreman Water Sanitation and Construction 3

b. Operation
Project Engineer Water Sanitation and Construction 3

Foreman Water Sanitation and Construction 3

Plumber Water Sanitation and Construction 3

Carpenter Water Sanitation and Construction 3

1.5. INDICATIVE PROJECT COST (Initial Investment):

PhP ________ 20,000,000.00 __ US $ _________ ____ (specify if with foreign investment)

Project Name: ____________________________________________________


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