Initial Environmental Examination (IEE) Checklist Report Form for Road and Bridge Projects

ROAD AND BRIDGE PROJECTS

I.2. PROJECT COMPONENTS

Area
(sq./M)/
No. of Specification/Description
Facilities Length
Units
(km)/
Capacity
1. Road Road 1 Earthworks:
= 1166 m. : 5,247 sq. m. Clearing and Grubbing - 0.9750 ha.
Road 2 Embankment from Roadway Excavation (Common Soil) - 76.231 cu.m.
= 334 m. : 1503 sq. m. Embankment from Borrow (Common Soil) - 748.781 cu.m.
Selected Borrow for Topping (Case 2) - 1870.650 cu.m.

2. Intersections N/A

3. Bridge/s N/A

4. Access roads/Ramp N/A Base and Subbase Course:

Crushed Aggregate Base Course (t=0.20m) - 1989.62 cu.m.

5. Drainage facilities
(i.e. Reinforced Concrete Box N/A

Culverts (RCBC);Reinforced
Concrete Pipe Culverts (RCPC),
others)
6. Associated facilities (i.e. N/A
Guardrails, Traffic signs, etc.)

7. Solid waste management facility N/A

8. Others, specify N/A 5.0 mos Provision of Field Office for the Engineer (Rental Basis)
Facilities for the Engineers Provision of 4x4 Van Type Service Vehicle on Rental Basis (12-seater)

9. Others, specify N/A 2.00 ea. Project Billboard/Signboard

5.0 mos. Construction Safety & Health
Other General Requirements
150.000 days Road Works Safety and Traffic Mangement
1.00 l.s. Mobilization/Demobilization

10. Others, specify N/A Reinforcing Steel, Grade 40

Drainage Structure / RCPC Structural Concrete, 20.68 Mpa, Class A, RCPC 910 mm diameter

11. Others, specify N/A

Surface Course Bituminous Concrete Surface Wearing Course, Hot-Laid, t=50mm

12. Others, specify N/A

Use additional sheets, if necessary

I.3. UTILITIES/REQUIREMENTS (Construction and Operation Phases):

Power/Energy, Water and other Requirements

Project Name: ____________________________________________________

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 Initial Environmental Examination (IEE) Checklist Report Form for Road and Bridge Projects

Estimated Projected breakdown from Source

Demand/ specified
Utilities Source Breakdown
Consumption
Construction Operation
(Total)
Grid KWh
Construction:
N/A

KWh Generator Set KWh

Power/Electricity Operation:
N/A

Others, please specify: KWh

KWh
N/A

Local Water Utility Provider m3/day

Construction:
N/A

Well in: (specify location): m3/day

N/A

Spring in: (specify location): m3/day

N/A

m3/day
River, Lake or other surface water m3/day
Operation: : (specify name & location)
N/A

Others, please specify: m3/day

N/A

m3/day

Construction: Source: MT
Mahayag Source:
1989.62 cu.m.
Sand and Gravel

MT
Source: m3/day
N/A
Other materials and
requirements …

Power/Energy and Water Efficiency Measures (if any)

Project Name: ____________________________________________________

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 Initial Environmental Examination (IEE) Checklist Report Form for Road and Bridge Projects

Estimated
Estimated Total
Utilities Proposed Efficiency/Conservation Measures Savings for each
Savings
Project Phase
Power/ Electricity Construction KWh KWh
N/A

Operation KWh KWh

N/A

Water Construction m3/day m3/day

N/A

Operation Rainwater collection system m3/day m3/day

Others, please specify:
N/A

I.4. MANPOWER AND TIMELINES OF PROJECT PHASES

November 1, 2023 (Cathc-Up Plan)
Target start of Construction
December 28, 2023 (ELCAC project)
Target Date of Ground-breaking
November 1, 2023
Target Start of Operation

Total Requirement per

Phase Expertise/Skills Requirement per Expertise/Skill
project phase
a. Construction Project Manager Licensed Civil Engineer 1
Project Engineer Licensed Civil Engineer 1
Quantity Engineer Licensed Civil Engineer 1
Survey Engineer Licensed Civil/ Geodetic Engineer 1

Material Engineer Licensed Material Engineer 1

Laboratory Technician 1
Foreman 1

Skilled Personnel 7
Unskilled Personnel 14
Service Driver Drivers License 1
1
Security Personnel

First Aider 1

b. Operation Maintenance Engineer Licensed Civil Engineer 1

Project Name: ____________________________________________________

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 Initial Environmental Examination (IEE) Checklist Report Form for Road and Bridge Projects

I.5. INDICATIVE PROJECT COST (Initial Investment):

7,000,000.00
PhP US $ (specify if with foreign investment)

Project Name: ____________________________________________________

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