Batch Plant Project Report

(1)

BATCHING AND CRUSHING PLANT PROJECT

INITIAL ENVIRONMENTAL EXAMINATION ( IEE ) CHECKLIST REPORT

for

Project name or Title

Below is the IEE Report Checklist for Batching and Crushing Plant Project:

Industry

Parameter

Threshold

Batching Plant (with or without crushing)

All Batching Plants

Metallic Mineral or Ore Processing (e.g.

copper, lead, nickel, cobalt, zinc, silver,

magnesium, and manganese, gold, placer

with metal content) with Physical or

Mechanical Processing

Annual processing

(inputs)

>200.0 MT annually but

<70,000 MT

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.

EXECUTIVE SUMMARY



PROJECT FACT SHEET PD SUMMARY

Project Name: _________________________________________________________________

Project Site Location: __________________________________________________________

Nature of Project: ______________________________________________________________

Production Capacity: ___________________________________________________________

Total Land Area: ______________________________________________________________

Project Components: __________________________________________________________

Manpower Requirement: _______________________________________________________

Project Cost: _________________________________________________________________



PROCESS DOCUMENTATION

EIA Team:

Consultant

Areas of Expertise

EIA Study Schedule (for primary data):

(2)

EIA Study Area:

Direct Impact Areas: (Complete Barangay, and Municipality/City)

____________________________________________________________________

Indirect Impact Areas: (Complete Barangay, and Municipality/City)

____________________________________________________________________

___________________________________________________________________________

EIA Methodology:

EIA Study Module

METHODOLOGY

Type of Data (please

check)

Source of Data/Remarks (e.g.

LGU )

Primary

Secondary

Land



Land Use Classification



Geology/Geomorphology



Pedology



Terrestrial Biology

Water



Hydrology/Hydrogeology



Oceanography



Water Quality



Freshwater or Marine

Ecology

Air



Meteorology/Climatology



Air Quality and Noise

People

* Section or page number where the primary data can be found

I. PROJECT DESCRIPTION

1.1 PROJECT LOCATION: Street Name, Barangay, and Municipality/City (Vicinity Map showing

sitio, barangay, municipality, province and region boundaries. Attach location and vicinity maps and

photographs of the project site as ANNEX 1.)

__________________________________________________________________________

_________________________________________________________________

Geographic coordinates of project area: _________________

1.2 PROJECT RATIONALE: Cite and focus on the need for the project based on national and local

economic development and in terms of contribution to sustainable development agenda and current

development thrusts of the Philippines.

__________________________________________________________________________

_________________________________________________________________

(3)

1.3 PROJECT ALTERNATIVES:

Reasons for selection of preferred option (please check):

Technology

Commercial

Environmental Others

Facility Siting

Development Design

Process/Technology Selection

Resource Utilization

Others

1

_{indicate a “no project” option in the comparative analysis at it still account for growth and}

development even if the project were not approved.

1.4 PROJECT COMPONENTS

Batching Plant

No. of Units

Machinery/Equipment

Specification

Cement Silos

Aggregate Hopper

Belt Conveyor

Transit Mixers

Payload

Generator Set

Fuel Storage Tank

Others:__________________________

(Use additional sheet, if necessary.)

Crushing Plant

No. of Units

Machinery/Equipment

Specification

Steel Hopper Feeder

Vibrating Grizzly Feeder

Primary Jaw Crusher

Cone Crusher

Scalper Screen

Vibrating Screen

Sand Screw Classifier

Belt Conveyor

Water Pump

Others:___________________________

(Use additional sheet, if necessary.)

Pollution Control Devices

No. of Units

Pollution Control Device

Facilities Being Served

Silencer/Muffler

Water Sprinkler

Dust Collector

Settling Pond

Silt/sediment traps

Septic Tank/Sewage Treatment Plant

Others: _________________________

(Use additional sheet, if necessary.)

(4)

1.5 PROCESS/ TECHNOLOGY OPTIONS

Type of batching Process:

Dry-type

Wet-type

(Provide a process flow diagram)

Raw Materials

No

RAW MATERIALS

CONSUMPTION /DAY

1 Cement

2 Gravel

3 Sand

4 Water

5 Admixture

(Use additional sheet, if necessary.)

Water Supply

Community Water Demand : [ ] dry season ____ m

3

/sec [ ] rainy season ______ m

3

/sec [ ] annual

_____ m

3

/sec

Water Source

[ ] surface water S/W Type : [ ] river (Name: _____________) [ ] rainwater collector

[ ] ground water G/W Type: [ ] well [ ] spring [ ] others:

____________________________

Location of water source

____________________________________________________________________________

(Sitio/Zone, Barangay, Municipality/City, Province, Region)

Water source flow: a) dry season flow: _______ m

3

/sec b) rainy season: _______ m

3

/sec

Percent & Flow of water source to be tapped:

a) dry season: _ % (___ m

3

/sec) b) rainy season: _% (_ m

3

/sec) c) annual: ___%

(___ m

3

/sec)

Location of communal water box/faucet area:

____________________________________________________________

(If water box/faucet area is to be provided) (Lot Number, Street, Sitio/Zone, Barangay,

Municipality/City, Province, Region)

Communal box/faucet surface area: _____ m

2

Volume :_______ m

3

Distance of box from

source: ______ m

Pipe length from source to water box: _____ m Pipe Material: [ ] GI pipes [ ] PVC

[ ] bamboo___________

Overflow of Concrete Water Box: m (height) Target overflow: dry season m

3

/sec;

rainy season ____m

3

/sec

Power Supply

Sources of Power

Supply

Yes

No

Estimated Daily Kilowatt

consumed:

Local Electric Utility

Generator

Others, please

specify

(5)

Waste Management System

Type of

Waste

Source of Waste

Volume Per Day

Mode of Treatment

2

Liquid

Air

Dust

Noise

Solid

(Use additional sheet, if necessary.)

Include in the discussion how waste will be properly discharge/disposed-off during project

pre-construction, construction and operation, as necessary.

1.6 PROJECT SIZE

Total Land Area, sq.m _______

Land Area to be occupied, sq.m ________

Is the area owned or leased ___________

If leased, period covered ________________

(Attach document, TCT, as ANNEX 3)

Production Rate

RAW MATERIALS

CONSUMPTION (MT)/DAY

Cement

Gravel

Sand

Water

Admixture

Others_______________

Total

1.7 DEVELOPMENT PLAN, DESCRIPTION OF PROJECT PHASES AND CORRESPONDING

TIMEFRAMES

Pre-Operation/ Construction phase

3

Construction Schedule

ACTIVITY

TIMEFRAME (no. of days)

Plans/Design

Permits/ Clearances

Site Preparation & Clearing

Excavation

Civil Works

Finishing Site Clearance

Installation of Equipment

Commissioning & Start-up

Operation

(Use additional sheet if necessary. Include civil works undertaken as part of the project, e.g.,

Construction of office for operation, administration, canteen, and other amenities.

(6)

Operation Phase

Provide brief discussion on the process:

_________________________________________________________________________________

______________________________________________

Process Flowchart

Abandonment Phase and schedule

Decommissioning

Activities

Waste Generated

Mode of Disposal

Restoration Plan

□

Removal wastes

□

Dismantling of

plant structures and

equipment

□

Retrenchment

package and labor

support program

□

Used oil

□

Aggregates

stockpiles

□

Others, please

specify_____

□

Used oil

□

Used pipes

□

Used cables

□

Concrete masonry

□

Broken

equipments

□

Others, please

specify_____

□

EMB authorized

recyclers

□

Landfill

□

Others, please

specify_____

□

EMB authorized

recyclers

□

Landfill

□

To be donated

□

Others, please

specify_____

□

Revegetation

□

Leveling

and

backfilling of settling

ponds and non-usable

drainage channels

□

Repair of road

networks

□

Others, please

specify_____

□

Employee

re-training

□

Entrepreneurial

skills development

□

Others, please

specify_____

(Use additional sheet, if necessary.)

(7)

1.8 MANPOWER

Manpower

Requirement

Expertise/Skills

No. of

Women

No. of Men

No. of IP’s

Total

1.9 INDICATIVE PROJECT COST

Project Cost (PhP): ____________

LIST OF ACRONYMS

dB

–

Decibel

DENR

–

Department of Environment and Natural Resources

ECA

–

Environmentally Critical Area

ECC

–

Environmental Compliance Certificate

EIA

–

Environmental Impact Assessment

EIS

–

Environmental Impact Statement

EMB

–

Environmental Management Bureau

ESWMP

–

Ecological Solid Waste Management Plan

FPIC

–

Free, Prior and Informed Consent

GenSet

–

Generator Set

IP

–

Indigenous People

LGU

–

Local Government Unit

NCIP

–

National Commission on Indigenous Peoples

NHI

–

National Housing Institute

NOx

–

Nitrogen Oxide

PA

–

Protected Area

PAMB

–

Protected Area Management Board

PCA

–

Philippine Coconut Authority

PPE

–

Protective Personal Equipment

ROW

–

Right of Way

SLUP

–

Special Land Use Plan

SOx

–

Sulfur Oxide

TCT

–

Transfer Certificate of Title

TSP

–

Total Suspended Particulates

(8)

II. ENVIRONMENTAL IMPACT AND CLIMATE CHANGE RISK MANAGEMENT PLAN

Environmental Impact Management Plan

Project Phase /

Activities

Possible

Environmental/

Social Impacts

Baseline Data

Parameter

Preventive/

Mitigating/Enhancement

Measures

Monitoring

Parameters/

Implementation

Cost of Mitigation/

Monitoring (Assumed to

be integrated in project

cost per project phase)

Pre-construction Phase

 Site Selection and Planning/

Design



Change/

Inconsistency in land use

Current land use:



Residential



Commercial/ Institutional



Industrial



Agricultural/ Recreational



Protected Ares History/record of hazard or damage to land and property



Infestation



Fire



Floods/drought



Typhoon



earthquake



Others, specify ____________ ____________



Consider alternative site



Secure LGU zoning clearance



Expand and strengthen data collection and monitoring in order to improve decision making;



Adopt short and long-term measures to increase resilience of resources;



Develop a comprehensive land use and management plan incorporating climate change concerns vis-à-vis vital requisites of project sustainability;



Others, specify: ____________ ____________ ____________



Presence of LGU zoning clearance



Comparative benefits and costs monitoring of applied land

management schemes



Undertake monitoring systems for land use activities and related events to ensure trends can be detected



Others, specify ____________ ____________



Acquisition of Clearance integrated in Pre-construction Cost: ______



Design, construction, maintenance and monitoring of land management schemes



Others, specify ____________ ____________



Encroachment in Environmentally Critical Areas (ECAs)

Project is within an ECA:



All areas declared by law as national parks, watershed reserves, wildlife preserves, sanctuaries



Areas set aside as aesthetic potential tourist spots



Areas which constitute the habitat of any endangered or



Consider alternative site or design to be compatible with the PA zoning



Secure PAMB Resolution for PA



Consider alternative site to avoid/lessen

construction impacts on IPs/IP areas unless the IPs are among the beneficiaries of the facility



Presence of PAMB Resolution



Proof of Completion of FBI



Presence of FPIC Document



Coordination with NCIP



Presence of NHI clearance



Proof of coordination arrangements or



Acquisition of Resolution integrated in Pre-construction Cost: _______



Survey Cost integrated in Pre-construction Cost: _____



Meetings Cost integrated in Pre-construction Cost: _____



Meetings on acquisition of clearance, clearance fees & coordination with NHI integrated in

(9)

Pre-II. ENVIRONMENTAL IMPACT AND CLIMATE CHANGE RISK MANAGEMENT PLAN

Project Phase /

Activities

Possible

Environmental/

Social Impacts

Baseline Data

Parameter

Preventive/

Mitigating/Enhancement

Measures

Monitoring

Parameters/

Implementation

Cost of Mitigation/

Monitoring (Assumed to

be integrated in project

cost per project phase)

threatened species of

Philippine wildlife (flora and fauna)



Areas of unique historic, archaeological, or scientific interests



Areas which are traditionally occupied by cultural communities or tribes



Areas frequently visited and/or hard-hit by natural calamities (geologic hazards, floods, typhoons, volcanic activity, etc.)



Areas with critical slopes



Areas classified as prime agricultural lands



Recharged areas of aquifers



Water bodies

characterized by one or any combination of the following conditions: tapped for domestic purposes;

within the controlled and/or protected areas declared by appropriate authorities; which support wildlife and fishery activities



Mangrove areas characterized by one or



Apply for FBI and secure FPIC from the IPs thru the NCIP



Consider alternative site or redesign to avoid or lessen probability of damage



Secure NHI clearance



Coordinate with NHI/NM on construction



Others, specify ____________ ____________ inclusion of NHI procedures in project design , construction manual, operating procedures manual



Others, specify ____________ ____________ construction Cost:____



Others, specify ____________ ____________

(10)

II. ENVIRONMENTAL IMPACT AND CLIMATE CHANGE RISK MANAGEMENT PLAN

Project Phase /

Activities

Possible

Environmental/

Social Impacts

Baseline Data

Parameter

Preventive/

Mitigating/Enhancement

Measures

Monitoring

Parameters/

Implementation

Cost of Mitigation/

Monitoring (Assumed to

be integrated in project

cost per project phase)

any combination of the

following conditions: with primary pristine and dense young growth; adjoining mouth of major river systems; near or adjacent to traditional productive fry or fishing grounds; areas which act as natural buffers against shore erosion, strong winds and storm floods; areas on which people are dependent for their livelihood.



Coral reefs

characterized by one or any combination of the following conditions: With 50% and above live coralline

cover; Spawning and nursery grounds for fish; Act as natural

breakwater of coastlines  Procurement/Hiring

of labor and other manpower services (Note: Actual employment is implemented during Construction Phase)



In-migration Population:_____ %Men:_____ %Women: ______



Give hiring preference to qualified local community residents, particularly those who will be displaced



Others, specify ____________ ____________



Proof of local residence, e.g. Community Tax Certificate (CTC) or certificate of residence issued by the Brgy. Captain



Others, specify ____________ ____________



Local Hiring cost integrated in Pre- & Construction Costs:____



Others, specify ____________ ____________

(11)

II. ENVIRONMENTAL IMPACT AND CLIMATE CHANGE RISK MANAGEMENT PLAN

Project Phase /

Activities

Possible

Environmental/

Social Impacts

Baseline Data

Parameter

Preventive/

Mitigating/Enhancement

Measures

Monitoring

Parameters/

Implementation

Cost of Mitigation/

Monitoring (Assumed to

be integrated in project

cost per project phase)



Non-hiring of qualified Indigenous Peoples in projects located in ancestral domain areas or where IPs are confirmed to reside

Population:_____ %Men:_____ %Women: ______



Prioritize hiring of qualified Indigenous Peoples, in projects located in

ancestral domain claims or where IPs are confirmed to reside



Others, specify ____________ ____________



Proof of local residence, e.g. issued by the tribal chieftain or tribal council



Employment record \



Others, specify ____________ ____________



Local Hiring cost integrated in Pre- & Construction Costs: ____



Others, specify ____________ ____________

Construction Phase

 Installation of Equipment



Change in surface landform/ topography/ terrain/slope Slope:



flat (0-3%)



gently sloping to rolling (3-18%)



steep (>18%)



Provide erosion control and slope protection measures



Designate a Spoils Storage Area, with topsoil set aside for later use and allow maximum re-use of spoils



Others, specify ____________ ____________



Presence of slope

protection in

erosion-prone areas



Presence of new

eroded areas near the

site



Others, specify ____________ ____________



Slope/ Erosion Control

integrated in Construction

Cost:



Others, specify ____________ ____________



Tree cutting or vegetation clearing, and disturbance to wildlife within the influence area due to noise and other construction activities

Existing vegetation in the area:



Forest



Coastal/Marine



Marshland



Grassland



Mangrove



Wetland Others, specify __________ __________



Compliance with conditions in permits secured during the Pre-construction Phase



Implementation of tree planting around the facility ;



Promote restoration of damaged or destroyed vegetation where possible;



Vegetation to serve also as buffer to wildlife



Limit land clearing as much as possible



Compliance with conditions of DENR/LGU SLUP, Tree Cutting Permit, ROW, PCA Permit



Area replanted/ revegetated



# incidence of violation to protection guidelines



Presence of fences and markers



Others, specify ____________ ____________



Replacement planting cost depends on area opened up:



Compliance with other permit conditions integrated in Construction Cost:



Others, specify ____________ ____________

(12)

II. ENVIRONMENTAL IMPACT AND CLIMATE CHANGE RISK MANAGEMENT PLAN

Project Phase /

Activities

Possible

Environmental/

Social Impacts

Baseline Data

Parameter

Preventive/

Mitigating/Enhancement

Measures

Monitoring

Parameters/

Implementation

Cost of Mitigation/

Monitoring (Assumed to

be integrated in project

cost per project phase)

Specify the existing flora

in the area ________ _________________ Specify the existing fauna in the area ________ _________________



Provide a temporary fencing to vegetation that will be retained



Others, specify ____________ ____________

Operation Phase

 Cement based products manufacturing



Air Pollution Air Quality Data Upwind:



TSP_____



SOx____



NOx_____



PM10______



Other, specify _________

Air Quality Data Downwind:



TSP_____



SOx____



NOx_____



PM10______



Other, specify _________



Wet areas of dust sources to minimize discomfort to nearby residents



Proper operation and maintenance of the dust producing installations (stone cutters) and its air pollution control facility



Good housekeeping to be strictly enforced



Proper operation of the generator set



Control of vehicle speed to lessen suspension of road dust



Remove soil. mud from tires of trucks and equipment before leaving the area



Other, specify _______ ___________________



# public complaints received by Proponent/ Contractor



Presence of emission test results/certificate of conformance with emission standards



Absence of white or black smoke from vehicles, heavy

equipment and generator



Result of air quality sampling Frequency :



Monthly



Quarterly



Semi-Annual



Annually



Others, specify_______



Water spraying/ Dust

filters/barriers/fences

Cost:____



Others, specify ____________ ____________



Water Pollution Receptor:



Fresh



Brackish



Saline/Sally



Set-up proper and adequate toilet facilities



Strictly require the contractor and its workers to observe proper waste



# of public complaints received by the

proponent or constructor



Visible turbid and/or silted condition of the



O&G traps: _____



Ring canals:______



Used oil containers: ________

(13)

II. ENVIRONMENTAL IMPACT AND CLIMATE CHANGE RISK MANAGEMENT PLAN

Project Phase /

Activities

Possible

Environmental/

Social Impacts

Baseline Data

Parameter

Preventive/

Mitigating/Enhancement

Measures

Monitoring

Parameters/

Implementation

Cost of Mitigation/

Monitoring (Assumed to

be integrated in project

cost per project phase)

Water Quality Data in upstream:



TSS



Oil and grease Water Quality Data in downstream:



TSS



Oil and grease

disposal and proper sanitation



Provision of wastewater treatment facility



Proper operation and maintenance of the toilet facilities and septic tank



Set up silt trap/stilling ponds to minimize downstream siltation



Provide oil & grease traps upstream of any run-off discharge from the project to the waterbodies



Provide ring canals around fuelling tanks/ motorpool/ maintenance areas



Collect used oils in containers



Limit, where possible, the extent of impervious (paved) areas

river



Visible oil & grease film on waterbodies



TSS concentration Frequency :



Monthly



Quarterly



Semi-Annual



Annually



Silt trap/stilling ponds integrated in Construction Cost:______



Others, specify ____________ ____________



Generation of solid waste from the project activities/ operations

Volume of solid waste generated from current sources



Implementation of the Ecological Solid Waste Management Plan (ESWMP);



Re-use and recycling



Others, specify ____________ ____________



Presence of

waste/recycling bins for segregation



Absence of mixed garbage in the facility Frequency :



Monthly



Quarterly



Semi-Annual



Annually



Implementation cost of ESWMP: __________



Others, specify ____________ ____________

(14)

II. ENVIRONMENTAL IMPACT AND CLIMATE CHANGE RISK MANAGEMENT PLAN

Project Phase /

Activities

Possible

Environmental/

Social Impacts

Baseline Data

Parameter

Preventive/

Mitigating/Enhancement

Measures

Monitoring

Parameters/

Implementation

Cost of Mitigation/

Monitoring (Assumed to

be integrated in project

cost per project phase)

health and safety the project site, specify

_____________ _____________ Heath and safety concerns



Respiratory illness Specify type and rate of occurrence:

_______________ _______________



Accidents

Specify type and rate of occurrence:

_______________ _______________

warning signs, lighting and barricades, whenever practicable



Observe proper housekeeping



Provide on-site medical services and supplies for any emergency, thru institutional and administrative arrangements with the barangay health unit



Identification of hot spots or critical areas based on levels of vulnerability



Foster increased public awareness of resilience and develop approaches to climate adaptation



Effective IEC program as regards potential risks and vulnerabilities as a result of project implementation on the environment, and vice versa;



Others, specify ____________ ____________



Presence of signages



Potable quality of water source & supply



Presence of adequate sanitary facilities



# of medical complaints or cases



# of accidents



Frequency : ____________ ____________



Others, specify ____________ ____________

safety signs are expected to be integral part of the Occupational Safety program of the Proponent



Potability analysis integrated in Construction Cost:



Others, specify ____________ ____________



Increase in traffic volume and worsening of traffic flow

Traffic condition within the area:



Light



Moderate



Heavy



Observe traffic rules Implementation of traffic management system;



Promotion of green infrastructure, i.e. interconnected network of balancing open space with natural park and

vegetation cover;



Presence of designated parking , pedestrian lanes, loading/ unloading zones, delivery areas, sidewalk vendor areas



Presence of signages



Presence/ Visibility of local traffic aide



Signages cost :______



Cost of barangay or city/town traffic aide: ________



Others, specify ____________ ____________

(15)

II. ENVIRONMENTAL IMPACT AND CLIMATE CHANGE RISK MANAGEMENT PLAN

Project Phase /

Activities

Possible

Environmental/

Social Impacts

Baseline Data

Parameter

Preventive/

Mitigating/Enhancement

Measures

Monitoring

Parameters/

Implementation

Cost of Mitigation/

Monitoring (Assumed to

be integrated in project

cost per project phase)



Others, specify ____________ ____________ Frequency : _____________



Others, specify ____________ ____________



Increase economic activities and economic opportunities to local



Job opportunities



Increase tax revenue

Source of livelihood:



Construction _____



Farming _____



Fishing ______



Trading ______



Others _______



Priority of employment



Regular tax remittance



Number of jobs generated____



New jobs created :______________ _______________



Income tax generated

(16)

II. ENVIRONMENTAL IMPACT AND CLIMATE CHANGE RISK MANAGEMENT PLAN

CLIMATE CHANGE RISK MANAGEMENT PLAN

Project Phase /

Activities

Climate Change Risk

Baseline Data

Parameter

Adaptation Measure

Monitoring

Parameters/

Implementation

Cost of Adaptation /

Monitoring

(Assumed to be integrated

in project cost per project

phase)



Occurrence of flooding



Historical data on flooding



Improve efficiency of water supply/irrigation systems



Protect water recharge areas to preserve quality and quantity



Increase, when practical, storage capacities of water supply structures for resilience to greater variations and extremes



In critical areas, develop flood plan maps, including climate change projections, and zoning measures to limit/restrict development activities



Others, specify ____________ ____________



Review monitoring systems for water levels, flows and water quality rainfall



drainage and flood control facilities to take into account climate change to date and projections;



Others, specify ___________ ___________

Construction cost:_____



Drought



Historical data on drought



Tree planting to moderate temperature increases



Adapting drain water system



Water conservation techniques e.g. catchment basins



Improving water use efficiency, planning



Percent survival of trees planted



Effectiveness of drain water system



Effectiveness of water conservation techniques



Improvement on water use efficiency



Others, specify ____________



Planting cost depends on

area: ______________

(17)

II. ENVIRONMENTAL IMPACT AND CLIMATE CHANGE RISK MANAGEMENT PLAN

Project Phase /

Activities

Climate Change Risk

Baseline Data

Parameter

Adaptation Measure

Monitoring

Parameters/

Implementation

Cost of Adaptation /

Monitoring

(Assumed to be integrated

in project cost per project

phase)

for alternative water

sources (such as treated wastewater or desalinated seawater), and making changes to water allocation



Others, specify ____________ ____________ _____________



Occurrence of landslide, gully erosion and rock falls



Historical record on landslide, gully erosion and rock falls



Slope stabilization



Establishment of buffer zone



Planting of trees



Others, specify ___________ ___________



Ocular inspection



Maintenance of slope



Percent survival of trees planted



Others, specify ____________ ____________



Planting cost depends on

area: ______________



Damage to core operations and increased levels of heat stress, respiratory illness, chronic disease due to prolonged heat waves



Record on heat waves



Heat wave action plan



Information program for employees



Weather advisories to alert the public about dangerous heat conditions



Adequate financial and human public health resources, including training, surveillance and emergency response, and prevention and control programs



Others,



Review and monitor changes in weather pattern



Effectiveness of heat wave action plan



Temperature



Others, specify ___________ ___________

(18)

II. ENVIRONMENTAL IMPACT AND CLIMATE CHANGE RISK MANAGEMENT PLAN

Project Phase /

Activities

Climate Change Risk

Baseline Data

Parameter

Adaptation Measure

Monitoring

Parameters/

Implementation

Cost of Adaptation /

Monitoring

(Assumed to be integrated

in project cost per project

phase)

specify_________

_______________



Longer and more intense rains that restrict access to construction sites and slow productivity



Historical data on intense rainfall



Scheduling the construction activity



Others, specify___________ ________________



Review and monitor changes in weather events



Monitor resilience of drainage and flood control facilities



Others, specify, ______________



Earthquake



Historical Records



Number of occurrence _______( indicate years)



Highest magnitude recorded ____(indicate years)



Incorporate in emergency response plan the climate change risk reduction



Engineering design



Constant

communication with concerned line agency



Regular inspection of buildings and related facilities and infrastructures



Regular monitoring of early warning devices and preparedness systems to ensure their effectiveness



Others, specify, _____________ _____________



Volcanic Eruption



Historical Records



Number of occurrence _______( indicate years)



Establishment of buffer zone to prevent gaseous nuisance

(19)

III. ABANDONMENT /DECOMMISSIONING/REHABILITATION POLICIES AND GENERIC

GUIDELINES (if Applicable)

Project Life or Service : ___________ years

Provide description of the Abandonment activities, such as, dismantling and waste disposal.

IV. INSTITUTIONAL PLAN FOR EMP IMPLEMENTATION

5

Organization Chart:

5

include in the plan improve coordination within and among affected stakeholders, organizing, and

providing scientific, technical and managerial personnel on climate change.

(20)

Attach sketch plan/lay-out of project site

(21)

Attach drawing/plan of air pollution source and control installation s (with dimensions

and descriptions)

(22)

Attach drawing /plan of waste water treatment facilities (with dimensions and

descriptions)

(23)

SWORN STATEMENT OF ACCOUNTABILITY OF THE PROPONENT*

T h i s i s t o c e r t i f y t h a t a l l t h e i n f o r m a t i o n a n d c o m m i t m e n t s i n t h i s

Initial Environmental Examination Checklist REPORT for PROJECT are accurate and complete

to the best of our knowledge, and that an objective and thorough assessment of the Project was

undertaken in accordance with the dictates of professional and reasonable judgment. Should I/we

learn of any information, which would make this IEE Checklist REPORT inaccurate, I shall

immediately bring the said information to the attention of DENR-EMB Region ____.

I hereby certify that no DENR personnel was directly involved in the preparation of IEE Checklist

REPORT other than to provide procedural and technical advice consistent with the guidelines in

the DAO 03-30 Revised Procedural Manual.

I hereby bind myself to answer any penalty that may be imposed arising from any

misrepresentation or failure to state material information in IEE Checklist REPORT.

In witness whereof, I hereby set my hand this day of ______ at

______________________.

NAME OF THE PROPONENT HEAD

(Position)

(Company)

SUBSCRIBED AND SWORN TO before me this _ day of ________ 200_, affiant

exhibiting his/her Community Tax Certificate No. ___________________ issued at

on ____.

Doc. No. ____________________

Page No. ____________________

Book No. ____________________

Series of ____________________

(24)

SWORN STATEMENT OF ACCOUNTABILITY OF PREPARERS (If applicable)

This is to certify that all information in

Initial Environmental Examination Checklist

REPORT for the

(state name of project)

PROJECT are accurate and complete to the best of our knowledge, and that an objective and thorough assessment of the Project was undertaken in accordance with the dictates of professional and reasonable judgment. Should we learn of any information which would make IEE Checklist REPORT inaccurate, we shall immediately bring the said information to the attention of the DENR-EMB Region ___.

We hereby certify that no DENR personnel was directly involved in the preparation of this IEE Checklist REPORT other than to provide procedural and technical advice consistent with the guidelines in the DAO 03-30 Revised Procedural Manual.

We hereby bind ourselves jointly and solidarily to answer any penalty that may be imposed arising from any misrepresentation or failure to state material information in this IEE Checklist REPORT.

In witness whereof, I hereby set my hand this day of ______ at

______________________.

Name Field of Expertise Signature

1. 2. 3. 4. 5.

SUBSCRIBED AND SWORN TO before me this _____ day of ____________ 2006, affiants exhibiting their Community Tax Certificate information, as follows:

Name Community Tax Certificate Information

CTC No. Place of Issue Date of Issue 1. 2. 3. 4. 5.

Doc. No. ____________________

Page No. ____________________

Book No. ____________________

Series of ____________________