Batch Plant Project Report

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. Annual processing >200.0 MT annually but
copper, lead, nickel, cobalt, zinc, silver, (inputs) <70,000 MT
magnesium, and manganese, gold, placer
with metal content) with Physical or
Mechanical Processing
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):
Activity Date Season

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

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

____________________________________________________________________
____________________________________________________________________
___________________________________________________________________________
EIA Methodology:
METHODOLOGY
EIA Study Module Type of Data (please Source of Data/Remarks (e.g.
check) 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.
__________________________________________________________________________
__________________________________________________________________________
_________________________________________________________________
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
1
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:___________________________
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: _________________________
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
Water Supply
3 3
Community Water Demand : [ ] dry season ____ m /sec [ ] rainy season ______ m /sec [ ] annual
_____ m3/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: ___ % (_____ m3/sec) b) rainy season: ___% (___ m 3/sec) c) annual: ___%
3
(___ m /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)
2 3
Communal box/faucet surface area: _____ m Volume :_______ m 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 ____m3/sec
Power Supply
Sources of Power Yes No Estimated Daily Kilowatt

Supply consumed:
Local Electric Utility
Generator
Others, please
specify
(Use additional sheet, if necessary)

Waste Management System
2
Type of Source of Waste Volume Per Day Mode of Treatment
Waste
Liquid
Air
Dust
Noise
Solid
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 phase3
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.
Operation Phase
Provide brief discussion on the process:

_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
______________________________________________
Process Flowchart
Insert process flowchart
Abandonment Phase and schedule
Decommissioning Waste Generated Mode of Disposal Restoration Plan

Activities
□ Removal wastes □ Used oil □ EMB authorized

□ Aggregates recyclers
stockpiles □ Landfill
□ Others, please □ Others, please
specify_____ specify_____
□ Dismantling of □ Used oil □ EMB authorized □ Revegetation

plant structures and
equipment □ Used pipes recyclers
□ Leveling and
□ Used cables □ Landfill backfilling of settling
□ Concrete masonry □ To be donated ponds and non-usable

drainage channels
□ Broken □ Others, please □ Repair of road
specify_____
equipments networks
□ Others, please □ Others, please
specify_____ specify_____
□ Retrenchment □ Employee re-

package and labor training
support program
□ Entrepreneurial
skills development
□ Others, please
specify_____
1.8 MANPOWER
Manpower Expertise/Skills No. of No. of Men No. of IP’s Total

Requirement Women
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
TSS – Total Suspended Solid
II. ENVIRONMENTAL IMPACT AND CLIMATE CHANGE RISK MANAGEMENT PLAN
Environmental Impact Management Plan

Cost of Mitigation/
Possible Preventive/ Monitoring
Project Phase / Baseline Data Monitoring (Assumed to
Environmental/ Mitigating/Enhancement Parameters/
Activities Parameter be integrated in project
Social Impacts Measures Implementation
cost per project phase)
Pre-construction Phase
 Site Selection and  Change/ Current land use:  Consider alternative site  Presence of LGU zoning  Acquisition of Clearance
Planning/ Inconsistency in land  Residential  Secure LGU zoning clearance integrated in Pre-
Design use  Commercial/ clearance  Comparative benefits construction Cost: ______
Institutional  Expand and strengthen and costs monitoring of  Design, construction,
 Industrial data collection and applied land maintenance and monitoring
 Agricultural/ monitoring in order to management schemes of land management
Recreational improve decision making;  Undertake monitoring schemes
 Protected Ares  Adopt short and long-term systems for land use  Others, specify
measures to increase activities and related ____________
History/record of hazard or resilience of resources; events to ensure trends ____________
damage to land and  Develop a comprehensive can be detected
property land use and management  Others, specify
 Infestation plan incorporating climate ____________
____________
 Fire change concerns vis-à-vis
vital requisites of project
 Floods/drought sustainability;
 Typhoon
 earthquake  Others, specify:
 Others, specify ____________
____________ ____________
____________ ____________
 Encroachment in Project is within an ECA:  Consider alternative site or  Presence of PAMB  Acquisition of Resolution
Environmentally  All areas declared by design to be compatible Resolution integrated in Pre-
Critical Areas (ECAs) law as national parks, with the PA zoning  Proof of Completion of construction Cost: _______
watershed reserves,  Secure PAMB Resolution FBI  Survey Cost integrated in
wildlife preserves, for PA  Presence of FPIC Pre-construction Cost: _____
sanctuaries  Consider alternative site Document  Meetings Cost integrated in
 Areas set aside as to avoid/lessen  Coordination with NCIP Pre-construction Cost: _____
aesthetic potential construction impacts on  Presence of NHI  Meetings on acquisition of
tourist spots IPs/IP areas unless the clearance, clearance fees &
clearance
 Areas which constitute IPs are among the
 Proof of coordination coordination with NHI
the habitat of any beneficiaries of the facility integrated in Pre-
arrangements or
endangered or
Cost of Mitigation/
threatened species of  Apply for FBI and secure inclusion of NHI construction Cost:____
Philippine wildlife (flora FPIC from the IPs thru the procedures in project  Others, specify
and fauna) NCIP design , construction ____________
 Areas of unique historic,  Consider alternative site manual, operating ____________
archaeological, or or redesign to avoid or procedures manual
scientific interests lessen probability of  Others, specify
 Areas which are damage ____________
traditionally occupied by  Secure NHI clearance ____________
cultural communities or  Coordinate with NHI/NM
tribes on construction
 Areas frequently visited  Others, specify
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
Cost of Mitigation/
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
With 50% and above
live coralline
cover; Spawning and
nursery grounds for fish;
Act as natural
breakwater of coastlines
 Procurement/Hiring  In-migration Population:_____  Give hiring preference to  Proof of local residence,  Local Hiring cost integrated
of labor and other %Men:_____ qualified local community e.g. Community Tax in Pre- & Construction
manpower services %Women: ______ residents, particularly Certificate (CTC) or Costs:____
(Note: Actual those who will be certificate of residence  Others, specify
employment is displaced issued by the Brgy. ____________
implemented during  Others, specify Captain ____________
Construction ____________  Others, specify
Phase) ____________ ____________
____________
Cost of Mitigation/
 Non-hiring of qualified Population:_____  Prioritize hiring of qualified  Proof of local residence,  Local Hiring cost integrated
Indigenous Peoples in %Men:_____ Indigenous Peoples, in e.g. issued by the tribal in Pre- & Construction Costs:
projects located in %Women: ______ projects located in chieftain or tribal council ____
ancestral domain ancestral domain claims or  Employment record \  Others, specify
areas or where IPs where IPs are confirmed  Others, specify ____________
are confirmed to to reside ____________ ____________
reside  Others, specify ____________
____________
____________
Construction Phase
 Installation of  Change in surface Slope:  Provide erosion control  Presence of slope  Slope/ Erosion Control
Equipment landform/ topography/  flat (0-3%) and slope protection protection in erosion- integrated in Construction
terrain/slope  gently sloping to rolling measures prone areas Cost:
(3-18%)  Designate a Spoils  Presence of new  Others, specify
 steep (>18%) Storage Area, with topsoil eroded areas near the ____________
set aside for later use and ____________
site
allow maximum re-use of
spoils  Others, specify
____________
 Others, specify
____________
____________
____________
 Tree cutting or Existing vegetation in the  Compliance with  Compliance with  Replacement planting cost
vegetation clearing, area: conditions in permits conditions of DENR/LGU depends on area opened
and disturbance to  Forest secured during the Pre- SLUP, Tree Cutting up:
wildlife within the  Coastal/Marine construction Phase Permit, ROW, PCA  Compliance with other permit
influence area due to  Marshland  Implementation of tree Permit conditions integrated in
noise and other
 Grassland planting around the facility  Area replanted/ Construction Cost:
construction activities
 Mangrove ; revegetated  Others, specify
 Wetland  Promote restoration of  # incidence of violation ____________
damaged or destroyed to protection guidelines ____________
Others, specify
__________
vegetation where possible;  Presence of fences and
__________  Vegetation to serve also markers
as buffer to wildlife  Others, specify
 Limit land clearing as ____________
much as possible ____________
Cost of Mitigation/
Specify the existing flora  Provide a temporary
in the area ________ fencing to vegetation that
_________________ will be retained
 Others, specify
Specify the existing fauna ____________
in the area ________ ____________
_________________
Operation Phase
 Cement based  Air Pollution Air Quality Data Upwind:  Wet areas of dust sources  # public complaints  Water spraying/ Dust
products  TSP_____ to minimize discomfort to received by Proponent/ filters/barriers/fences
manufacturing  SOx____ nearby residents Contractor Cost:____
 NOx_____  Proper operation and  Presence of emission  Others, specify
 PM10______ maintenance of the dust test results/certificate of ____________
producing installations conformance with
 Other, specify (stone cutters) and its air emission standards
____________
_________
pollution control facility  Absence of white or
Air Quality Data Downwind:  Good housekeeping to be black smoke from
strictly enforced vehicles, heavy
 TSP_____
 SOx____  Proper operation of the equipment and generator
generator set  Result of air quality
 NOx_____  Control of vehicle speed sampling
 PM10______ to lessen suspension of
 Other, specify road dust Frequency :
_________  Remove soil. mud from  Monthly
tires of trucks and  Quarterly
equipment before leaving  Semi-Annual
the area  Annually
 Other, specify _______  Others, specify_______
___________________
 Water Pollution  Set-up proper and  # of public complaints  O&G traps: _____
Receptor: adequate toilet facilities received by the  Ring canals:______
 Fresh  Strictly require the proponent or constructor  Used oil containers:
 Brackish contractor and its workers  Visible turbid and/or ________
 Saline/Sally to observe proper waste silted condition of the
Cost of Mitigation/
disposal and proper river  Silt trap/stilling ponds
sanitation  Visible oil & grease film integrated in Construction
Water Quality Data in  Provision of wastewater on waterbodies Cost:______
upstream: treatment facility  TSS concentration  Others, specify
 TSS  Proper operation and ____________
 Oil and grease maintenance of the toilet Frequency : ____________
facilities and septic tank  Monthly
Water Quality Data in  Set up silt trap/stilling  Quarterly
downstream: ponds to minimize  Semi-Annual
 TSS downstream siltation
 Annually
 Oil and grease  Provide oil & grease traps
 Others, specify_______
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
 Generation of solid Volume of solid waste  Implementation of the  Presence of  Implementation cost of
waste from the project generated from current Ecological Solid Waste waste/recycling bins for ESWMP: __________
activities/ operations sources Management Plan segregation  Others, specify
(ESWMP);  Absence of mixed ____________
 Re-use and recycling garbage in the facility ____________
 Others, specify
____________ Frequency :
____________  Monthly
 Quarterly
 Semi-Annual
 Annually
 Others, specify_______
 Threat to public  Health Facilities within  Provide appropriate  Safety standards, PPE,
Cost of Mitigation/
health and safety the project site, specify warning signs, lighting and  Presence of signages safety signs are expected to
_____________ barricades, whenever  Potable quality of water be integral part of the
_____________ practicable source & supply Occupational Safety program
 Observe proper  Presence of adequate
of the Proponent
Heath and safety concerns housekeeping sanitary facilities  Potability analysis integrated
 Respiratory illness  Provide on-site medical  # of medical complaints
in Construction Cost:
Specify type and rate of services and supplies for or cases  Others, specify
occurrence: any emergency, thru ____________
_______________ institutional and
 # of accidents
____________
_______________ administrative
arrangements with the  Frequency :
 Accidents barangay health unit ____________
____________
Specify type and rate of  Identification of hot spots
occurrence: or critical areas based on
_______________ levels of vulnerability  Others, specify
____________
_______________  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
____________
____________
 Increase in traffic Traffic condition within the  Observe traffic rules  Presence of designated  Signages cost :______
volume and area: Implementation of traffic parking , pedestrian  Cost of barangay or
worsening of traffic  Light management system; lanes, loading/ unloading city/town traffic aide:
flow  Moderate  Promotion of green zones, delivery areas, ________
 Heavy infrastructure, i.e. sidewalk vendor areas  Others, specify
interconnected network of  Presence of signages ____________
balancing open space with  Presence/ Visibility of ____________
natural park and local traffic aide
vegetation cover;
Cost of Mitigation/
 Others, specify Frequency :
____________ _____________
____________  Others, specify
____________
____________
 Increase economic Source of livelihood:  Priority of employment  Number of jobs

activities and  Construction _____  Regular tax remittance generated____
economic  Farming _____  New jobs created
opportunities to local  Fishing ______ :______________
 Job opportunities  Trading ______ _______________
 Increase tax revenue  Others _______  Income tax generated
TOTAL EMP COST________
CLIMATE CHANGE RISK MANAGEMENT PLAN

Cost of Adaptation /
Monitoring Monitoring
Project Phase / Baseline Data
Climate Change Risk Adaptation Measure Parameters/ (Assumed to be integrated
Activities Parameter
Implementation in project cost per project
phase)
 Occurrence of flooding  Historical data on  Improve efficiency of  Review monitoring Construction cost:_____
flooding water supply/irrigation systems for water
systems levels, flows and
 Protect water recharge water quality rainfall
areas to preserve  drainage and flood
quality and quantity control facilities to take
 Increase, when into account climate
practical, storage change to date and
capacities of water projections;
supply structures for  Others, specify
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
____________
____________
 Drought  Historical data on  Tree planting to  Percent survival of  Planting cost depends on
drought moderate trees planted area: ______________
temperature  Effectiveness of
increases drain water system
 Adapting drain water  Effectiveness of
system water conservation
 Water conservation techniques
techniques e.g.  Improvement on
catchment basins water use efficiency
 Improving water use  Others, specify
efficiency, planning ____________
phase)
for alternative water _____________
sources (such as
treated wastewater
or desalinated
seawater), and
making changes to
water allocation
 Others, specify
____________
____________
 Occurrence of  Historical record on  Slope stabilization Ocular inspection  Planting cost depends on
landslide, gully landslide, gully  Establishment of Maintenance of area: ______________
erosion and rock falls erosion and rock buffer zone slope
falls  Planting of trees  Percent survival of
 Others, specify trees planted
___________  Others, specify
___________ ____________
____________
 Damage to core  Record on heat  Heat wave action  Review and monitor
operations and waves plan changes in weather
increased levels of  Information program pattern
heat stress, for employees  Effectiveness of heat
respiratory illness,  Weather advisories wave action plan
chronic disease due to alert the public  Temperature
to prolonged heat
waves
about dangerous  Others, specify
heat conditions ___________
 Adequate financial ___________
and human public
health resources,
including training,
surveillance and
emergency
response, and
prevention and
control programs
 Others,
phase)
specify_________
_______________
 Longer and more  Historical data on  Scheduling the  Review and monitor
intense rains that intense rainfall construction activity changes in weather
restrict access to  Others, events
construction sites and specify___________  Monitor resilience of
slow productivity ________________ drainage and flood
control facilities
 Others, specify,
______________
 Earthquake  Historical Records  Incorporate in  Constant

 Number of emergency response communication with
occurrence _______( plan the climate concerned line agency
indicate years) change risk reduction  Regular inspection of
 Highest magnitude  Engineering design buildings and related
recorded facilities and
____(indicate years) infrastructures
 Volcanic Eruption  Historical Records  Establishment of buffer  Regular monitoring of
 Number of zone to prevent early warning devices
occurrence _______( gaseous nuisance and preparedness
indicate years) systems to ensure their
effectiveness
 Others, specify,
_____________
_____________
TOTAL EMP COST________
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 IMPLEMENTATION5
Organization Chart:
Insert chart here:
5
include in the plan improve coordination within and among affected stakeholders, organizing, and
providing scientific, technical and managerial personnel on climate change.
Attach sketch plan/lay-out of project site
(Use additional sheet if necessary)

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)

SWORN STATEMENT OF ACCOUNTABILITY OF THE PROPONENT*
T hi s i s t o certif y t hat al l t he i nf orm at i on and commi tm ent s i n t hi 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 ____________________
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:
Community Tax Certificate Information

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

Page No. ____________________
Book No. ____________________
Series of ____________________

Batch Plant Project Report

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Batch Plant Project Report

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BATCHING AND CRUSHING PLANT PROJECT

INITIAL ENVIRONMENTAL EXAMINATION ( IEE ) CHECKLIST REPORT

Project name or Title

Industry Parameter Threshold

 PROJECT FACT SHEET PD SUMMARY

Project Name: _________________________________________________________________

Consultant Areas of Expertise

EIA Study Schedule (for primary data):

Activity Date Season

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

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

Geographic coordinates of project area: _________________

Reasons for selection of preferred option (please check):

Technology Commercial Environmental Others

1.4 PROJECT COMPONENTS

No. of Units Machinery/Equipment Specification

No. of Units Machinery/Equipment Specification

Pollution Control Devices

No. of Units Pollution Control Device Facilities Being Served

Type of batching Process: Dry-type Wet-type

No RAW MATERIALS CONSUMPTION /DAY

Sources of Power Yes No Estimated Daily Kilowatt

(Use additional sheet, if necessary)

1.6 PROJECT SIZE

Total Land Area, sq.m _______

RAW MATERIALS CONSUMPTION (MT)/DAY

1.7 DEVELOPMENT PLAN, DESCRIPTION OF PROJECT PHASES AND CORRESPONDING

Pre-Operation/ Construction phase3

Provide brief discussion on the process:

Insert process flowchart

Abandonment Phase and schedule

Decommissioning Waste Generated Mode of Disposal Restoration Plan

□ Removal wastes □ Used oil □ EMB authorized

□ Dismantling of □ Used oil □ EMB authorized □ Revegetation

□ Concrete masonry □ To be donated ponds and non-usable

□ Retrenchment □ Employee re-

Manpower Expertise/Skills No. of No. of Men No. of IP’s Total

1.9 INDICATIVE PROJECT COST

Project Cost (PhP): ____________

Environmental Impact Management Plan

 Increase economic Source of livelihood:  Priority of employment  Number of jobs

CLIMATE CHANGE RISK MANAGEMENT PLAN

 Earthquake  Historical Records  Incorporate in  Constant

Project Life or Service : ___________ years

IV. INSTITUTIONAL PLAN FOR EMP IMPLEMENTATION5

Insert chart here:

(Use additional sheet if necessary)

(Use additional sheet if necessary)

(Use additional sheet if necessary)

T hi s i s t o certif y t hat al l t he i nf orm at i on and commi tm ent s i n t hi s

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

NAME OF THE PROPONENT HEAD

Doc. No. ____________________

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

Name Field of Expertise Signature

Community Tax Certificate Information

Doc. No. ____________________

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

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