Instructions On The Preparation and Submission of The Iee Checklist
Instructions On The Preparation and Submission of The Iee Checklist
Instructions On The Preparation and Submission of The Iee Checklist
CHECKLIST
This section discusses how the project proponent will fill-up and answers the
various questions and information stated in the checklist. Likewise this section
will also inform the project proponent the permit requirements to be attached to
the checklist, where to submit and process such application and the timeframe
for DENR processing.
A.
Section D: consists of the listing of possible potential impacts that may occur
in the various stages of the project establishment and operation;
corresponding mitigation and enhancement measures to prevent
the occurrence of adverse impacts and strengthen the positive
effects of the project;
Attachments:
B.
appropriate box. If your answer does not fall in any of the pre-determined
responses, check (4) OTHERS and indicate your specific answer in the blank
space provided or use additional sheets as necessary. If some questions are
not applicable to your project, write N/A on the blank space or column
The proponent may put a check (4) to the columns of Y or N on the predetermined and identified Mitigation/Enhancement measures column. The
proponent may choose the mitigating measures appropriate to the impacts
identified for the proposed project.
a check mark
sketches) and other visual aids is deemed to provide better description of the
information provided in the Checklist. These will help EMB in understanding
the proposed project, and make decision on the application for ECC.
C.
8. The Screening Officer shall indicate, through a check/tick mark under the
Yes, No or Not applicable column, the presence or absence of a particular
information required.
10. If the IEE Checklist is complete, it will be formally accepted. The proponent
will be furnished a copy of the accomplished procedural form duly signed by
the Screening Officer.
12. If the IEE Checklist has complied with all the DENR prescribed requirements,
the proponent shall submit 3 copies of the documents to EIA Section of the
concerned EMB Regional Office.
The proponent shall pay the amount of P3,000.00 at the Cashier Section of
concerned EMB Regional Office upon submitting the required number of
copies at the Record Section of the same office.
13. All IEE Checklist not going following the said standard procedures shall not
be considered as valid applications and therefore, shall not be used as a
basis for recommendation on the issuance or denial of the ECC.
14. The project proponent or his duly recognized representative shall be the one
who will follow-up the said application to respective EMB Regional Office.
The processing time including the issuance and/or denial of the ECC will take
a maximum of 30 days.
14. The EIA Section of the EMB Regional Office, in the course of substantial
review, may conduct site visits or ocular inspections in coordination with the
project proponent
15. If the EMB finds that the IEE Checklist Report has substantially addressed all
Below is the IEE Report Checklist for Batching Plant Proponents. Read the questions
carefully before answering the space provided. Uses additional sheets if necessary and indicate
this in the appropriate space. Misleading or erroneous answers are basic for legal actions and/or
ECC.
A. GENERAL INFORMATION
PROJECT LOCATION: Complete drops Street, Barangay, and Municipality/City)
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
NAME OF PROPONENT: ________________________________________________________
TIN: __________________________
ADDRESS (Complete Address: Street, Barangay, and Municipality/City)
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Telephone: ________________________________
Fax
: ________________________________
Email: ____________________________________
B. PROJECT DESCRIPTION
1. Project Ownership : (Attach document as ANNEX 1)
Single Proprietorship
Partnership
Corporation
Paid-Up:
Dry-type
Wet-type
4. Project Site: (attach location and vicinity maps and photographs of front, left, right, and rear
views of the project site as ANNEX 2.)
4.a Land
4.a.1 Total Land Area, sq.m
4.a.2 Land Area to be occupied, sq.m.
4.a.3. Is the area owned or leased
4.a.3.1 If leased, period covered
(Attach document, TCT, as ANNEX 3)
CONSUMPTION/DAY
CONSUMPTION/DAY
CONSUMPTION /DAY
Machinery/Equipment
Cement Silos
Aggregate Hopper
Belt Conveyor
Transit Mixers
Payload
Generator Set
Fuel Storage Tank
Specification
Position
Plant Manager
Plant Engineers
Accountant
Stock Clerk/ Checker
Laborers/ Workers
Drivers
Auto Mechanic
Security Guard
Type of
Source of Waste
Waste
Liquid
Air
Dust
Noise
Solid
(Use additional sheet, if necessary.)
Mode of Treatment
Mode of Disposal
Restoration Plan
Severe
1.c. Are the existing natural hazardous in the area, e.g., landslides, gullying, and
subsidence. Etc.?______
If yes please enumerate then: ______________________________________________
1.d Is the site situated along a flood prone/storm surge area? _________________________
1.e Is the project beside or near the shoreline? ________ If yes, How far? ________ Meters
1.f are there water bodies found inside or near the project site?______________
If yes please enumerate them:
_______________________________________________
1.g What is the Quality of water?
1.h What is the quality of air?
Fresh
Brackish
Poor
Fair
Saline/Sally
Good
2.Ecosystem Description
2. a Is the project immediately adjacent to a natural ecosystem? ______________
If yes, please check on the appropriate box:
Forest
Coastal/Marine
Marshland
Grassland
Mangrove
Wetland
Others, please specify _______________________________________
2.b Are there any wild life in the area? ____________
If yes, please identify and enumerate:
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
2.c Are there trees within the Project site? _____________
If yes, please identify and enumerate:
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
2.d Is there other vegetation within the project site?_____________
If yes, please identify and enumerate:
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
3. Socio-Economic Environment
3.a Total Household to be affected?
________Families
What will happen to them?
_______________________________________________________________________
3.b Will you employ vulnerable groups?
__________No
If yes, please identify and enumerate:_____Elderly_____Children _____Handicapped
3.c Are there health facilities (e.g., clinic, etc.) within the project site?
No
Yes
3.d Are the required benefits under the Labor Code and other regulations to be enjoy by
the staff?_________________ If yes, please enumerate:
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
3.e Are the local inhabitants to be benefits by the project?_________Please elaborate.
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
3.f Are the cultural norms/morals and lifestyle of the local inhabitants to be affected by the
project?____________
Pls.Elaborate._______________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
D.
1.
PROJECT IMPACTS
Pre- Construction / Construction Details
Components/
Parameters
ANSWERS
Yes
No
Describe the
impacts
Is there increase in
the availability of
employment?
Is there displacement
of people in the area?
Is the displacement
involve relocation of
affected parties?
(use additional sheet if necessary)
Describe your
Mitigating
/Enhancement
Measures
Describe your
Mitigating
/Enhancement
Measures
Is there an effect on
the road system of
the community?
Is there an increase
in the availability of
employment?
Is there an increase
in population from
migration?
Is there an increase
in land value?
Is there project
structure affected or
obstruct the view from
adjacent areas?
Is there an increased
in crime / security
concern in the area?
(Use additional sheet if necessary)
Attach photo, panoramic view of project site and its immediate vicinity
Attach drawing/plan of air pollution source and control installation s (with dimensions
and descriptions)
Attach drawing /plan of waste water treatment facilities (with dimensions and
descriptions)
ATTACHMENTS
1. Government Permits and Clearance (attach photocopies of documents)
PERMITS/CLEARANCES
Demolition Permit
Electrical Permit
Sanitary Permit
Building Permit
Water Rights Permit (NWRB)
ATTACHED?
PERMITS/CLEARANCES
Location Clearance / Certificate of Locational Viability
DTI?SEC Registration
Safety (Fire) Permit
Municipal/Business Permit
ATTACHED?
PERMITS/CLEARANCES
Transfer Certificate of the Title
Colored photo of the site (different perspectives)
Project Vicinity Map/Sketch
Project Lay-out Plan
Sewerage and Drainage Plan
WTP Plan
ATTACHED?
PERMITS/CLEARANCES
Map/delineation of primary & secondary impact areas
Endorsement from the LGU (Barangay Certificate)
Construction schedule in chart form
ATTACHED?
PROPONENT S COMMITMENTS
ARE YOU WILLING TO
Comply with environmental rules and regulation, guidelines and criteria?
Participate or support multi-Partite monitoring efforts?
Constructed maintain and properly operate an adequate and appropriate
Treatment facility for your liquid wastes?
Contribute towards the operation and maintenance of the municipal sewerage
facility?
Construct maintains and properly operate an adequate and appropriate storage
and disposal facilities for your solid waste?
Contribute toward the operation and maintenance of a municipal solid waste
management/disposal facility?
Maintain the cleanliness of your general surrounding?
Extent social benefits to the community?
Organize and conduct information, education and communication (IEC) activities
on environmental, health and other civic issues?
Pay environmental tax or fee should this be deemed necessary by the
appropriate authority to maintain an environmental-friendly area?
Contribute (on cost-sharing basis) in government undertaking on pertinent (fastfood related ) issues (e.g., workshop, training, etc.)
Other, please specify
YES
NO
________yes ______no
________yes ______no
_______________PhP/year
ACCOUNTABILITY STATEMENT
This is to certify that all the information and commitments in the Initial Environmental
Examination (IEE) Report are true,
accurate and complete.
Should I/we learn if any
information which would make the IEE inaccurate, I/we shall bring said information to attention of
the Environmental Management Bureau of DENR Regional Office.
I/We hereby bind myself/ourselves jointly and solidarity for any penalties that may be
imposed arising from and misrepresentations or failure to state material information in the IEE.
_________________________________________________
Project Proponent
_________________________________________________
Title/Designation
_________________________________________________
Date
ACKNOWLEDGMENT
________________ 20______ at
BEFORE ME this __(day) _ of
__________(place)___________, personality appeared ____________(name)___________ with
Community Tax Certificate No. ____________________ issued on ____(date)____ at
_________(place)__________, in his/her capacity as __________(designation)___________ at
___________________ and acknowledged to me that this IEE is his voluntary act and deed,
and voluntary act and deed of the entity he/she represents. This document which consists of
(no)___________pages, including the page of which this acknowledgment is
,is an Initial
environmental Examination Report Checklist.
Witness my hand and seal on the place and date above written.
____________________________
Notary Public
Doc. No.___________________
Page No.__________________
Book No.__________________
Series of __________________