CHECKLIST

THE CLOSURE AND REHABILITATION OF

OPEN DUMPSITES AND CONTROLLED DUMPSITES

To be prepared by the authorized representative of the LGU. Please fill up the information on the space provided and put a (√) on the
appropriate items. This checklist should bear signature of the preparer.

A. General Information

1. Location of the Dumpsite

(Brgy./Sitio/City/Municipality/Province) Brgy. Sapilang, Bacnotan, La Union

2. Estimated present capacity (m3)

1000 m3

3. Estimated height of dump wastes

(m) 4m

4. Type of Dumpsite operation prior to [ / ] open dumpsite (active)

closure [ ] open dumpsite (abandoned)
[ ] controlled dump facility (with NTP)
Remarks: [ ] controlled dump facility (without NTP)

5. Managed/operated by [ / ] local government

[ ] private

__________________________pls. specify

[ ] others

__________________________pls. specify

6. Waste Disposed daily

_200+ kg_ __metric tons (MT) or

___________cubic meters (m3)

7. Types of wastes disposed Recyclable, Special wastes, Residual, and

Biodegradable.

8. Site condition [ / ] flat land

[ ] hilly
[ ] quarry/mines

1
 [ ] swampy area
[ ] others

________________________please specify

9. Prior land use condition [ ] agricultural

[ ] residential
[ ] industrial
[ ] others

_______Institutional________please specify

10. Waste covered [ / ] yes

[ ] no

11. Type of cover material

Soil

12. Source of cover material

From river

13. Frequency of cover material applied [ ] daily

[ ] weekly
[ ] monthly
[ ] others

________Quarterly_________please specify

B. Components of the Closure Plan (The closure management program extended to

particular disposal sites to address significant physical and environmental impacts)
1. Site Clearing The on-going closure activity in the dumpsite
is free from:
[ / ] waste pickers
[ ] makeshift structures
[ ] other obstruction ___please specify

(To be filled up by the Regional Office)

Findings:

2
2. Site Grading and Stabilization of [ ] compaction of exposed wastes
Critical Slope [ ] benching
[ ] modified present slope
(Photo documentation should be [ ] side slope at 1 vertical to 3 horizontal or
attached) gentler
[ ] steep slope

__________________specify estimates
[ ] retaining wall
[ ] embankment

(To be filled up by the Regional Office)

Findings:

3. Application and maintenance of soil

cover [ ] availability of intermediate soil/inert cover
material
[ / ] compaction
[ ] final soil cover

(To be filled up by the Regional Office)

Findings:

4. Drainage Control System [ ] construction of canals/ditches

[ / ] natural drain available
(specify in the site lay-out)

(To be filled up by the Regional Office)

Findings:

5. Leachate Management [ ] installation of leachate collection pipes

[ ] installation of collection pond
[ ] leachate treatment

[ ] evaporation
[ ] re-circulation

[ ] surface water discharge

[ / ] natural attenuation

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(To be filled up by the Regional Office)
Findings:

6. Gas Management [ ] installation of gas vents

___number of gas vents installed
___type of gas vent installed
(To be filled up by the Regional Office)
Findings:

7. Fencing and Security [ ] fence constructed/available

[ / ] fence unavailable
8. Operating hours [ / ] daytime
[ ] nighttime
9. Burning @ dumpsite [ ] yes (indicate reason)

____________________________________
____________________________________
____________________________________
[ / ] no
10. Signage [ / ] yes
[ ] no
C. Post Closure Land Use (The closure management of the open dumpsite or the
controlled dumpsite should be returned to some form of productive use.)

1. Land Utilization [ ] Integrated Waste Management Facility

___________________pls. specify details

[ ] Public open space

[ ] Park
[ ] Parking Area or Roads
[ ] Recreational Use
[ ] Golf Course
[ ] Grazing Area or Agriculture
[ ] Building/Housing Units
[ ] Commercial/Industrial Facility
[ ] Others
____________________pls. specify

D. General Condition of the disposal site and its surroundings

(To be filled up by the Regional Office)
1. Landslide Remarks:
[ ] noticeable
[ ] medium
[ / ] none

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 2. Soil subsidence Remarks:
[ ] noticeable
[ ] medium
[ / ] none
3. Vector and wild animals Remarks:
[ ] noticeable
[ / ] medium
[ ] none
4. Odor, landfill gas and smoke Remarks:
[ ] noticeable
[ ] medium
[ / ] none
5. Leachate quantity Remarks:
[ ] noticeable
[ ] medium
[ / ] none
6. Location of water intake Remarks
[ / ] Upstream
[ ] Downstream
[ ] none
7. Location of drinking water well Remarks
[ ] <500m
[ / ] >500m
[ ] none
8. Geological condition Remarks:
[ ] limestones
[ / ] alluvial
[ ] others
9. Are there any public complaint Remarks:
[ ] yes ___details of
complaint
[ / ] none
10. Distance to the nearby Remarks:
residential area
[ ] <500m
[ / ] >500m
[ ] none

Prepared by: Aldrin M. Mulato

Date: March 5, 2018