POULTRY FARM PROJECT

Initial Environmental Examination (IEE)

Checklist

GUIDE FOR PROPONENTS

Below is the IEE Checklist for Poultry Farm Project with a population raging from 5,001
to 40,000 heads. Read the questions carefully and provide the appropriate answers in
the spaces/blocks provided. Use additional sheets if necessary and provide
attachments as directed/required.

Misleading statements and erroneous answers provided in the blocks/spaces are basis
for legal actions and revocation of Environmental Compliance Certificate (ECC).

1.0 GENERAL INFORMATION

Project Location : __________________________________________________

___________________________________________________
(State complete address: street, barangay, municipality/city, and
province)

Name of Proponent :____________________________________________________

Name of Contact Person :_________________________________________________

Mailing Address :____________________________________________________

____________________________________________________

Telephone Number(s) :____________________________________________________

Fax Number(s) :____________________________________________________

E-mail Address :____________________________________________________

TIN :____________________________________________________

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DENR-EMB-EIA & DA-NAFC
 1.1 Project Status

[ ] Proposed/New

[ ] Existing/Operational
If existing, date/year when the project was started:
____________

[ ] Expansion of existing operations

If an expansion, does the existing production have an ECC?

[ ] Yes [ ] No

If yes, attach copy of ECC issued.

1.2 Project Ownership

[ ] Single Proprietorship [ ] Partnership

[ ] Corporation [ ] Other (cooperative,

association, NGO, etc)

1.3 Mode of Financing

[ ] In-house [ ] Bank

[ ] Others, pls. specify

______________________________________

1.4 Project Duration

Estimated number of years of project operation:__________________

1.5 Project Capitalization: ______________________________________

1.6 Purpose of Project

[ ] Contract Growing [ ] Contract Breeding

[ ] Commercial Poultry [ ] Layer

[ ] Others, pls. specify ____________________________________

1.7 Market

Name of Firm(s)/Name of Market(s):____________________________

Others, pls. Specify:_________________________________________

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2.0 PROJECT OPERATIONS

Project Bird Population:_____________________________________________

Project Description:

A brief but complete description of the proposed undertaking should be

presented here.

(Use additional sheets if necessary)

Extent of Operations:

[ ] Hatchery

[ ] Grow-out

[ ] Processing

[ ] Feed Milling

[ ] Others, Please specify ___________________________

2.1 Description of Project Utilities and Infrastructure

Table 2.1 List of Facilities/Equipment

EQUIPMENT/FACILITIES NO. OF CAPACITY

UNITS

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DENR-EMB-EIA & DA-NAFC
 Table 2.2 List of Existing or Proposed Infrastructure

INFRASTRUCTURE UNITS FLOOR AREA BIRD POPULATION

(square CAPACITY (per
meters) poultry building)

Table 2.3 Description of source of water supply

SOURCE METHOD (well, NO. OF PUMP Hp RATING DEPTH (in

surface, LWUA, etc.) UNITS meters)

Table 2.4 Description of power supply source

SOURCE / METHOD (Generator set NO. OF UNITS OUTPUT (Hp or

and/or Local Power Supply) Watts)

2.2 Description of waste generated during project operation

Table 2.5 Types of waste generated by the project

TYPES OF DESCRIPTION/SOURCE VOLUME(m3/day)

WASTE
Waste Water
Solid Waste
Dust Particulate
Others

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 2.2.1 Attach treatment scheme for the proposed wastewater treatment
facility with dimensions and description of each of the treatment
units, if applicable.

2.3 Manpower Requirement of the Project

2.3.1 No. of employees to be hired by the project

During the construction phase:_________________________

During the operational phase:__________________________

3.0 DESCRIPTION OF THE PROJECT ENVIRONMENT

Attach the following:

! Vicinity Map;
! Picture of the proposed site (Provide captions and brief description of the area.);
! Site development plan showing the location of the following:
• Birdhouses;
• Mortality pits;
• Composting area;
! If with a Feedmill, identify location of air pollution control structures.

3.1 Description of the project site

Area covered by the project:_________________________________(m2)

Table 3.1 description of the existing land use of the immediate/adjoining

area within the 200-meter radius from project periphery. (Check dominant land
use and indicate estimated density locators.)
AGRICULTURAL
INSTITUTIONAL
(Estimated # of

COMMERCIAL
RESIDENTIAL

INDUSTRIAL

INDUSTRIAL
(specify)
houses)

AGRO-

DIRECTION

North
South
East
West

Remarks:______________________________________________________________
________________________________________________________________
________________________________________________________________

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DENR-EMB-EIA & DA-NAFC
 Table 3.2 Description of existing land use of the immediate/adjoining area
beyond the 200-meter radius from project periphery. (Check dominant land use
and indicate estimated density locators.)

AGRICULTURAL
INSTITUTIONAL
(Estimated # of

COMMERCIAL
RESIDENTIAL

INDUSTRIAL

INDUSTRIAL
(specify)
houses)

AGRO-
DIRECTION

North
South
East
West

Remarks:______________________________________________________________
________________________________________________________________
________________________________________________________________

3.2 Description of the terrain (% slope)

[ ] Flat or Level (0-3)

[ ] Level to Undulating (3-8)
[ ] Undulating to rolling (18-30)
[ ] Rolling to moderately steep (18-30)
[ ] Moderately steep to slightly mountainous (30-50)
[ ] Very mountainous (above 50)

3.3 Identification of water bodies adjacent to the site

Please Check Name of Location (Specify Current Distance

Body of Water in the Water complete address as Usage of from the
the Vicinity of the Body sitio, barangay, town Water Body Proposed
Proposed Site and province) (domestic, Project
industrial, Area (in
agricultural) kilometers)
Water Body
Creek
River
Sea
Others (pls.
specify)

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DENR-EMB-EIA & DA-NAFC
 3.4 Identification of existing ecosystem

ECOSYSTEM DISTANCE FROM THE DIRECTION in N,S,E,W

PROJECT AREA (in
kilometers)

3.5 Project’s Social Acceptability

3.5.1 Is there any complaint/opposition to the project?

[ ] No [ ] Yes

If yes, what is the nature of the complaint/opposition to the

project?

____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________

3.5.2 Has the issue/complaint been resolved?

[ ] No [ ] Yes

Manner of Resolution:___________________________________
Date of Resolution:_____________________________________

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4.0 DESCRIPTION OF IMPACT AND MITIGATING MEASURES

4.1 Pre-Construction/Construction Phase

Please Mitigating/Enhancement
Check Measure
Appropriate Describe (Recommendation to
Components/Parameters Answer the impact come from the inspecting
Yes No area office for compliance by
the proponent)
Will there be land clearing?
(m2)
Will there be vegetation
clearing?
(m2)
Will there be tree cutting?
trees
Will there be to soil
removal? replacement? (m2)
Will there be excavation
works and cut & fill (m2)
activities?
Will there be other
earthmoving activities? (m2)
Will there be any slope
modification or ground
leveling?
Will there be an increased
traffic movement in the
area?
Will there be an increase
economic activity in the
area?
Will there be an increase in
availability of employment?
Will there be displacement
of people in the area?
Does the displacement will
involve relocation of
affected parties?

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 4.2 Operation Phase

Components/ Please Check Describe Mitigating/Enchancement

Parameters Appropriate the impact Measure
Answer area
Yes No

Wastewater Physical
Treatment
Physical
Biological
Tertiary
Treatment
Others, pls.
specify (use
additional
sheet if
necessary

Odor Chemical
Treatment
Feed Additives

Green Zone
Establishment
Others

Solid Waste Composting

Production
Landfill
Contractor
Buying
Mortality Pit
(for livestock
moralities)
Air Pollution from Cyclone Dust
feedmill Collection

Bag House

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 4.2.1 Attach scheme of treatment for the proposed wastewater facility/plans
with dimensions and description of each of the treatment units.

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5.0 PROPONENT’S COMMITMENT

I hereby commit to undertake the following:

1. Comply with existing environmental rules and regulations, guidelines and

criteria

2. Construct, maintain and properly operate adequate and appropriate

treatment facilities for my liquid waste and air emissions, if there are any;

3. Construct, maintain and properly operate an adequate and appropriate

storage and disposal facilities for solid wastes;

4. Institute measures to ensure and maintain the cleanliness of my project’s

general surroundings to prevent occurrence of nuisance;

5. Extend social benefits to the community;

6. Pay environmental tax or fee should this be deemed necessary by the

appropriate authority to maintain an environmental-friendly area; and,

7. Initiate the formation of Multipartite Monitoring Team (MMT) and establish

an Environmental Monitoring Fund and in accordance with the provisions
of DAO 96-37.

_________________________________________
Project Proponent’s Signature over printed Name

________________________________________
Title/Designation

_________________________________________
Date

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6.0 ATTACHMENTS

1. Governing Permits and Clearance (Attach photocopies of documents)

PERMITS/CLEARANCES ATTACHED?
YES NO
Mayor’s Permit
Business Permit
Sanitary Permit
Building Permit
Endorsement from LGU/Brgy.
Locational clearance/certificate of Locational Viability (HLURB
Clearance)

2. Other Attachments

DESCRIPTION ATTACHED?
YES NO
Transfer Certificate of Title
Project Vicinity Map/Sketch
Site Development
Endorsement from the LGU (Barangay/Municipal Certificate)
Construction Schedule in GANTT Chart Form

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