Peza Cheklist IEE

Philippine Economic Zone Authority
SUPPLEMENTAL GUIDELI NES for

Initial Environmental Examination (IEE) Checklist for
Economic Zone Enterprises

September 2004

Environmental Safety Group

2
nd
Floor Al meda Building
Roxas Boul evard corner San Luis Street,
Pasay City

Tel: (02) 551-9526 / 551-6561
Fax: (02) 551-3439
Email: engg_envtl@peza.gov.ph
Website: www.peza.gov.ph

E M B R e g i o n a l O f f i c e s

BCEZ

Rio Tuba SEZ

Amkor SEZ, Macroasia SEZ,
VW SEZ

RD J oel Salvador
DENR-EMB CAR
Forestry Compound
Pacdal, Baguio City
(074)4422346
(074)4447364

RD Roberto Sheen
DENR-EMB MI MAROPA
6/F L&S Bldg.,
1515 Roxas Blvd. Manila
(02) 5369786
(02)5369786
RD Sixto Tolentino
DENR-EMB NCR
29 Hizon Building, Quezon Ave
Quezon City
(02)7810497
(02) 7810471

BEZ, AI P, LI P, Subic SEZ,
TECO SEZ, Plastic
Processing Center SEZ

CEZ, CPIP, CIP1&2,
LI SP1&2, CAI P, DI P, FCI E,
FPI P, GBP, GAP, LI I P, LTI ,
EMI -SEZ, LTC, PTC,
Tabangao SEZ, Toyota SEZ,
YTMI SEZ

MEZ 1 & 2, CLI P, MRI , New
Cebu, WCI P, Asia Town I T
Park
RD Lormelyn Claudio
DENR-EMB Region 3
Amalgamated Bldg., Balit
San Fernando, Pampanga
(045)8880988
(045)8880985

RD Luciano Hornilla
DENR-EMB CALABARZON
6/F L&S Bldg.,
1515 Roxas Blvd. Manila
(02)5369784
(02) 5250348
RD J un Erasmo Villafae
DENR-EMB Region 7
Greenplains Subd., Banilad,
Mandaue City, Cebu
(032)3453905
(032)3453966

LI DE

J asaan SEZ

Sarangani SEZ
RD Fermin Weygan
DENR-EMB Region 8
Sto. Nio Extension
Tacloban City
(053)4777960

RD Sabdullah Abubakar
DENR-EMB Region 10
Macabalan,
Cagayan de Oro City
(088)8569362
RD Datu Tungko Saikol
DENR-EMB Region 12
4/F Siyambio Bldg., Roxas St.
Koronadal, South Cotabato
(083)2284847

E M B C e n t r a l O f f i c e

Reynaldo P. Alcances
Chief, Environmental Impact Assessment Division
Environmental Management Bureau
DENR Compound, Visayas Avenue, Quezon City
(02) 9202240

Director Julian D. Amador
Environmental Management Bureau
DENR Compound, Visayas Avenue, Quezon City
(02) 9202260 (02) 9271518
IEE Checklist for Economic Zone Enterprises i
Version 3.0 22September 2004
IEE CHECKLIST_peza.doc

Table of Contents

Section Title Page

I N S T R U C T I O N S

I Introduction ii
II Scope of the Checklist iii
III Instructions on the Preparation & Submission of the IEE Checklist iv

I E E C H E C K L I S T

1.0 General Information 1
2.0 Project Description
2.1 Project Cost
2.2 Project Area Coverage
2.3 Description of Project Phases 2
3.0 Impact Assessment and Mitigation
3.1 Pre-operation/Construction Phase 8
3.2 Operation & Maintenance Phase 9
3.3 Abandonment & Rehabilitation Phase 10
4.0 Environmental Management Plan 11
5.0 Environmental Monitoring Plan 12
6.0 Proponents Commitments 13
7.0 Attachments/Annexes
Accountability Statement of the Proponent 15
Location Map
Site Development Plan
Vicinity Map
Pictures of the Proposed Site
Process Flow Chart of the Process
Water Treatment Facility Layout
Drainage Layout Plan
Sewage Disposal Layout
PEZA Board Approval/Certificate of Registration

IEE Checklist for Economic Zone Enterprises ii

I . I NTRODUCTI ON

A. Background

The Philippine Environmental Impact Statement System was formally established by virtue
of Presidential Decree 1586. It requires the submission of Environmental Impact Statements
(EIS) for environmentally critical projects and Initial Environmental Examination (IEE) for
projects which are located in environmentally critically areas as provided in its Implementing
Rules and Regulations (IRR) and Presidential Proclamation No. 2146, series of 1981.

In 11 February 2004, the Department of Environment and Natural Resources (DENR) and
the Philippine Economic Zone Authority (PEZA) signed the Implementing Rules and
Regulations (IRR) prescribing the procedures and guidelines for the operationalization of the
Memorandum of Agreement (MOA) executed by and between the DENR and PEZA which
was signed by both parties on 25 August 1999. Section 3, Rule 6 of the said IRR, provides
that a supplemental guidelines such as IEE Checklist for non-environmentally critical projects
(non-ECPs) to be located within an ecozone. As such, this checklist, which is defined as a
simplified form of the IEE Report, was developed by PEZA and EMB to further assist the
economic zone locator enterprises in ensuring that environmental considerations are
incorporated in project development.
B. Objectives of this Guide

Pollution Control Officers (PCOs) and Environment Officers (Eos) are encouraged to prepare
the IEE Checklist. This guide is intended to aid the PCOs and Eos to prepare their own
applications for securing the Environmental Compliance Certificate (ECC).

IEE Checklist for Economic Zone Enterprises iii

I I. SCOPE OF THE CHECKLI ST

This checklist is applicable to ECC applications of PEZA-economic zone enterprises proposing
to undertake non-environmentally critical projects (non-ECPs). The following projects with
the corresponding PSIC code is covered by this Checklist:

PSI C I NDUSTRY CLASS Division Code
Air Transport I 62
Basic Metals D 27
Chemicals and Chemical Products D 24
Computer and Related Activities D 30
Construction F 45
Electrical Machinery and Apparatus, N.E.C. D 31
Electricity, Gas, Steam and Hot Water Supply E 40
Fabricated Metal Products, Except Machinery and Equipment D 28
Food Products and Beverages D 15
Furniture D 36
Leather, Luggage, Handbags and Footwear D 19
Machinery and Equipment, N.E.C. D 29
Manufacturing, N.E.C. D 39
Medical, Precision and Optical Instruments, Watches and Clocks D 33
Miscellaneous Business Activities K 74
Motor Vehicles, Trailers and Semi-Trailers D 34
Office, Accounting and Computing Machinery D 30
Other Non-Metallic Mineral Products D 26
Other Service Activities O 93
Other Transport Equipment D 35
Paper and Paper Products D 21
Private Education Services M 81
Publishing, Printing and Reproduction of Recorded Media D 22
Radio, Television and Communication Equipment and Apparatus D 32
Recycling D 37
Rubber and Plastic Products D 25
Textiles D 17
Tobacco Products D 16
Water Transport I 61
Wearing Apparel D 18
Wood, Wood Products and Cork, Except Furniture D 20

The submission of an IEE Checklist, however, does not preclude the DENR-EMB Regional Director
from further requiring the proponent to submit an IEE/EIS if necessary. The RD may eventually
require the proponent to submit an IEE/EIS if the proposed project has high potential to cause
significant negative environmental impact/s or is of such scale and magnitude that I EE/EI S
becomes more appropriate document to submit.

IEE Checklist for Economic Zone Enterprises iv

I II . INSTRUCTIONS ON THE PREPARATI ON AND SUBMI SSION OF THE IEE
CHECKLI ST

This section guides the project proponent on how to answer the checklist. It also directs the
proponent to submit the IEE Checklist initially at PEZA for procedural review and then to the
DENR-EMB for substantive review.

A. Contents of the IEE Checklist

The IEE Checklist consists of a series of questions related to the operation of the project and
its corresponding impact to the environment. It serves as a planning tool for the proponent
to determine water quality, air quality, solid and hazardous waste management issues that
needs to be addressed during all stages of project implementation.

The information contained herein will serve as basis for the DENR-EMBs issuance or denial
of the Environmental Compliance Certificate (ECC).

The IEE Checklist is divided into eight (8) major sections:

1. General Information presents the project title, name and address of project
proponent, proponent's contact person and the location of the project;

2. Project Description presents the plan/design components and activities during
all phases of the project, from construction to abandonment;

3. I mpact Assessment and Mitigation describes the possible impacts that may
occur during project development and the corresponding mitigating and
enhancement measures to prevent and/or minimize the adverse effects of the
project;

4. Environmental Management Program summarizes the mitigation,
compensation, contingency and monitoring measures to enhance positive impacts
and minimize negative impacts of the proposed project;

5. Environmental Monitoring Plan summarizes the monitoring program detailing
the parameters, location of sampling stations, frequency, etc.

6. Proponents Commitment specifies the duties and responsibilities of the
economic zone locator enterprise related to the management of the environment

7. Attachments refers to the checklist of documents that the proponent should
attach to the IEE Checklist

8. Accountability Statement of the Proponent and Preparer*
*if the PCO or representative of the company prepared the IEE report, the accountability
statement of the Preparer is no longer necessary

IEE Checklist for Economic Zone Enterprises v

B. I nstructions on the Preparation of the I EE Checklist

1. The IEE Checklist can be prepared by the proponent or any of his/her authorized
representative(s).

2. The proponent places a check mark () in the appropriate box. If the answer does
not fall in any of the pre-determined responses, check () OTHERS and indicate your
specific answer in the blank space provided or use additional sheets. If some
questions are not applicable to your project, write N/A on the blank space or column.

3. Refer to Section 3.0 of the checklist, the Impact Assessment and Mitigation specified
in the section shall serve as guide for the economic zone locator enterprise.

The proponent may check applicable measures, however, additional impacts and
mitigation/enhancement measures should also be added if it is not in the list.

4. Refer to Section 4.0 of the checklist, the proponent enumerates all works to be
undertaken for each phase of the project. For each stated activity in column 1, the
proponent identifies the potential environmental impact (column 2), the mitigating &
enhancement measures (column 3), the estimated cost of proposed mitigating
measures (column 4) and the person or unit who will implement the plan.

5. Refer to Section 5.0 of the checklist, the proponent should identify the programs
related to the management of the following aspects:
Water quality
Air quality
Toxic substances and hazardous waste
Solid waste

For column 2, identify the location where the sampling for the parameters indicated
in column 3 shall be conducted. The frequency of sampling and subsequent analysis
shall be indicated in column 3. Indicate in column 4 if the PCO or other personnel
shall be in charge of the monitoring.

C. I nstructions on the Submission and Processing of the IEE Checklist

The process flow for the application and the responsibilities of the proponent, PEZA-ESG and
the DENR-EMB during the ECC application process is summarized below:

Proponent

1. Coordinate with PEZA-ESG for the requirements for ECC appliaction

2. Prepare and submit one copy of the IEE checklist to PEZA ESG.

PEZA ESG

3. The documents submitted are checked for completeness.

4. If incomplete, the application is NOT officially received and will be returned to the
proponent for revision/completion.

IEE Checklist for Economic Zone Enterprises vi

5. If complete, the ECC application documents are officially received, stamped, and
recorded.

6. Project is evaluated within ten (10) working days which includes site validation and
request for additional information

Note: The proponent is given two working days to submit the additional
information, otherwise the application shall be returned

7. Recommendation to the PEZA Board and to the concerned EMB Regional Office is
submitted for further appropriate action.

DENR EMB Regional Office (EMB RO)

8. PEZAs evaluation is officially received.

9. The concerned EMB RO receives the processing fee from the proponent.

10. The application is acted upon within (15) working days for IEE Report and ten (10)
working days for IEE Checklist including further site verification and request for
additional information whenever necessary.

Note: The proponent is given two working days to submit the additional
information, otherwise the application shall be returned

11. EIA Division recommends the issuance/denial of the ECC.

12. Regional Director issues/denies the ECC.

13. Prior to the issuance of the ECC, the EMB Regional Office will explain to the project
proponent its relevance and his responses in complying with the conditions of the
ECC and corresponding accountability for non-compliance.

IEE Checklist for Economic Zone Enterprises vii

PROCESS FLOWCHART OF ECC APPLICATION FOR NON-ECPs
Receives
recommendation from
PEZA ESG
Receives
recommendation from
PEZA ESG
Receives processing fee
Conducts further
evaluation (including
site validation and
request for additional
information if necessary)
Conducts further
site validation and
EMB-RO EIAD drafts
ECC/Denial Letter
EMB-RO EIAD drafts
ECC/Denial Letter
EIA Division Chief
reviews the draft
EIA Division Chief
reviews the draft
REGIONAL DIRECTOR
issues or denies ECC
REGIONAL DIRECTOR
D
E
N
R
E
M
B
R
O
Receives
recommendation from
PEZA ESG
Receives
recommendation from
PEZA ESG
Conducts further
site validation and
Conducts further
site validation and
EMB-RO EIAD drafts
ECC/Denial Letter
EMB-RO EIAD drafts
ECC/Denial Letter
EIA Division Chief
reviews the draft
EIA Division Chief
reviews the draft
REGIONAL DIRECTOR
REGIONAL DIRECTOR
Receives
recommendation from
PEZA ESG
Receives
recommendation from
PEZA ESG
Conducts further
site validation and
Conducts further
site validation and
EMB-RO EIAD drafts
ECC/Denial Letter
EMB-RO EIAD drafts
ECC/Denial Letter
EIA Division Chief
reviews the draft
EIA Division Chief
reviews the draft
REGIONAL DIRECTOR
REGIONAL DIRECTOR
D
E
N
R
E
M
B
R
O
Coordinates with PEZA
ESG on the requirements
for application
for application
Submits one (1) copy to
PEZA-ESG of IEE Checklist/
P
R
O
P
O
N
E
N
T
for application
for application
P
R
O
P
O
N
E
N
T
Day 11-20 Day 1-10 IEE Checklist
DENR-EMB RO PEZA
Day 11-20 Day 1-10 IEE Checklist
DENR-EMB RO PEZA
Processing Schedule*
*delays caused by the requirement for additional information is not included in timeframe
Project evaluation
& site validation
Project evaluation
& site val idation
Submits recommendation to
PEZA Board & EMB RO
PEZA Board & EMB RO
Complete
documents?
Complete
documents?
Requires
additional
information?
Requires
additional
information?
P
E
Z
A
E
S
G
YES
YES
NO
NO
Project evaluation
& site validation
Project evaluation
& site val idation
PEZA Board & EMB RO
PEZA Board & EMB RO
Complete
documents?
Complete
documents?
Requires
additional
information?
Requires
additional
information?
Project evaluation
& site validation
Project evaluation
& site val idation
PEZA Board & EMB RO
PEZA Board & EMB RO
Complete
documents?
Complete
documents?
Requires
additional
information?
Requires
additional
information?
P
E
Z
A
E
S
G
YES
YES
NO
NO

IEE Checklist for Economic Zone Enterprises Page 1 of 15

PEZA
INITIAL ENVIRONMENTAL EXAMINATION (IEE)
CHECKLIST FOR ECONOMIC ZONE ENTERPRISES

Enter the required information on the spaces provided or otherwise, check (a) the appropriate boxes () and circles ()

1.O GENERAL I NFORMATI ON
1.1 PROPONENT / COMPANY

:

CONTACT PERSON

:

POSTAL ADDRESS

:

TEL. / FAX

:

E-MAIL

:

1.2 PROJ ECT NAME / TITLE

:

1.3 PROJ ECT LOCATI ON

:

ECONOMI C ZONE

:

(Attach Location Map which clearly shows the site of the project in relation to the
surrounding area inside the economic zone, including important landmarks and access
points. Indicate Location Map as Annex 1)

1.4 PROJ ECT OBJ ECTI VES

2.0 PROJ ECT DESCRI PTI ON
2.1 PROJ ECT COST :
2.2 PROJ ECT AREA COVERAGE

(Attach Site Development Plan as Annex 2A, Vicinity Map as Annex 2B & picture of the
proposed site as Annex 2C)

Total Land Area:

(ha or sq.m)

Area to be developed for the Project:

(ha or sq.m)

N.A.
project will involve construction of new building/s

Area to be occupied for the Project:

(ha or sq.m)

N.A.
project will ONLY involve renovation/occupancy of existing building/s


PEZA

2.3

DESCRI PTI ON OF PROJ ECT PHASES

2.3.1

PRE-OPERATION / CONSTRUCTION PHASE
2.3.1.1 Manpower Requirement

:

2.3.1.2 Buildings and Facilities to be Constructed

Type of Facility / Building No. of floors Floor Area (sq.m)
Administration/Office
Factory/Production
Raw materials storage area
Recreation/Gymnasium
Canteen
Wastewater Treatment Facility
Water Treatment Facility
Machine Room/Building
Hazardous Waste Storage Area
Solid Waste Storage Area
Fuel Depot
Others, specify add more space if necessary

2.3.1.3 Construction Schedule

Activity Duration (calendar days)
Mobilization/Demobilization
Earthworks
Structural Works
Architectural Works
Painting Works
Plumbing and Sanitary Works
Electrical Works
Mechanical Works
Fire Alarm System
Telephone and Network System

2.3.1.4 Water Supply

Source:

Daily Consumption:

cum/day
2.3.1.5 Power Supply

Source:

Daily Consumption:

Kwh


PEZA
2.3.2 OPERATI ON PHASE
2.3.2.1 Description of Activity / Process (Attach Flow Chart, indicate as Annex 2D)

2.3.2.2 Plant Operation Schedule
Average hrs./day days/week
Maximum hrs./day days/week

2.3.2.3
Raw Materials and Finished Products (List all raw materials including chemicals
to be used and check source, add more space if necessary)

Raw Materials Quantity Local I mported

2.3.2.4 Production Capacity (Specify all product types, add more space if necessary)

Product Quantity

2.3.2.5 Manpower Requirement
Number of administrative personnel :
Number of production personnel :
Total :
3, 8-hr shifts 1, 8-hr shift
Shifting Schedule :
2, 12-hr shifts Others


PEZA

2.3.2.6 Equipment Requirement (Specify all equipment, add more space if necessary)

Equipment Quantity

2.3.2.7 Power Supply (Specify all power sources, add more space if necessary)

Supplied by Output capacity (kVA) Demand Load (kW)
Natl Power Corp.
Own/Standby Generator
Ecozone Power Plant
Others, specify

2.3.2.8 Water Supply (Specify all water sources, add more space if necessary)

Volume for Extraction

Source Description
Domestic Industrial
Ecozone Water Supply
Surface Water
Own Deep Well
Others, specify

2.3.2.9 Type of water treatment (To be provided for independent water source)
Chlorination De-ionization
Filtration Others, specify
Reverse Osmosis


PEZA

2.3.2.10 Wastewater Generation
(Check applicable sources and indicate type of pollutant and estimated
volume, add more space if necessary)

Pollutants

Wastewater Source Estimated Volume
Toxic* Conventional
Production Process

Washing/Cleaning

Cooling

Domestic Wastewater

Recycled/Reuse Water

Others _____________

Total volume

*metals, deleterious and toxic substances as defined by Effluent Regulations of 1982 and DAO
90-35 refers to the following: barium, cadmium, copper, hexavalent chromium, dissolved iron,
lead, lithium, dissolved manganese, total mercury, molybdenum, nickel, selenium, silver, zinc,
arsenic, boron, beryllium, free chlorine, cyanide, fluoride, polychlorinated biphenyl, formaldehyde

Treatment Facility

With proposed wastewater treatment facility (WTF)

With proposed connection to centralized WTF

Not applicable

Receiving body of water:

DAO 90-34 Classification:

2.3.2.11

Proposed wastewater treatment facility
(Attach companys own wastewater treatment facility lay-out, indicate as
Annex 2E)

Capacity of WTF: cu.m/day

Screening Equalization Grit Removal

Physical
Oil-water Separator Sedimentation Others, _________

Adsorption Disinfection pH Adjustment

Chemical
Flocculation / Coagulation Others, ________

Sequencing Batch
Reactor
Rotating Biological
Contactor
Others, ________

Activated Sludge Trickling Filter

Biological
Stabilization Pond Anaerobic Digestion

Thickening Heat Drying Aerobic Digestion

Sludge
treatment
Anaerobic Digestion Dewatering Others, ________

2.3.2.12
Drainage System
(Attach approved drainage layout plan of the company as Annex 2F relative
to the drainage lay-out of the ecozone)

Type: Open Canal Closed / Underground Drainage


PEZA

Where will the drainage system immediately connect?

Public Drainage Ecozone Drainage Natural Water Body

2.3.2.13 Sewage Disposal System
(Attach sewage disposal layout as Annex 2G)

Type: I ndividual Septic Tank Communal Septic Tank

Capacity:

Specify mode of discharge / treatment

Discharge to an existing public / industrial sewerage system

Treated in a centralized WTF of the ecozone

Proponents WTF

others, specify

2.3.2.14 Industrial Waste I nventory (Identify the wastes that shall be produced)
Acid wastes (such as sulfuric acid, hydrochloric acid, nitric acid etc)
Alkali wastes (such as caustic soda, caustic potash, alkaline cleaners etc.)
Asbestos Wastes
Ceramics/Ash/Mineral Wastes
Contaminated Containers (those previously containing chemicals, paints etc.)
Fertilizers and Pesticide Wastes
Glass Wastes
Immobilized Wastes (solidified, chemically fixed & encapsulated wastes)
Inorganic Chemical Wastes (such as arsenic, boron, cadmium etc.)
Leather Wastes
Metal Wastes (such as metal shaving, grindings etc.)
Oil (such as waste oils, oil/water mixtures)
Organic Sludge
Organic Solvents (such as halogenated, aliphatic, aromatic compounds)
Paints/Inks/Dyes
Paper Wastes
Pathogenic or Infectious Wastes
Pharmaceutical Wastes and Drugs
Plastic Wastes
Plating Wastes
Putrescible Wastes (such as grease trap wastes, animal wastes)
Reactive Chemical Wastes (such as explosives, reducing and oxidizing agents)
Resins/Lattices/Adhesives
Rubber Wastes
Styrofoam Wastes
Tannery Wastes
Textile Wastes
Wood Wastes


PEZA

2.3.2.15 Air Quality Management (Identify if any of the following shall be installed)

Power Plant

Stand-by Generator

Furnace

Ovens (smoke, bake ovens etc)

Varnish Kettles

Paint Booths

Scrubbers

Boilers

Incinerator

Rotary Kiln

2.3.3

ABANDONMENT PHASE
Identify all facilities that shall be abandoned
List all wastes to be generated and the mode of treatment and
disposal

Activity Duration (calendar days)
Demolition of structures
Equipment removal & transfer
Chemicals & unused materials transfer
Scraps & wastes removal & transport
Remediation of contaminated sites


PEZA

3.0 I MPACT ASSESSMENT AND MI TIGATI ON
Identify the predicted impacts by placing a check (a) inside the box ()
Identify the mitigating measures applicable to the project by placing a check (a) inside the circle ()
Determine the level of significance of the impact by filling up the table using the ff:

LEGEND: D direct impact In indirect impact

L long term S short term

R reversible I irreversible

If there are other impacts and mitigating measures identified within any of the project phases, attach
additional sheets and indicate as Annex 3)

3.1 PRE-OPERATION / CONSTRUCTION PHASE

Significance of
I mpacts
PREDI CTED I MPACTS
D/In L/S R/I
Mitigating / Enhancement
Measures
I ncrease in dust generation
due to clearing, civil works and
earthmoving activities
Regular watering of unpaved roads
or exposed soils / ground
Remove soil from tires of trucks
and equipment before leaving the
area
Hauling trucks should be covered
with canvass or other material
Set-up temporary fence around the
construction area
Top soil removal and loss due
to earthmoving activities,
transport, access road
construction
Stockpile the top soil in a safe
place and use as final grading
As soon as possible, rip-rap or re-
vegetate the area
Erosion from exposed cuts
and landslides due to
earthmoving and excavation
activities
Conduct construction activities
during dry season
Reduce exposure of opened cuts
Installation of barrier nets
Sedimentation/siltation of
drainage or waterways from
unconfined stockpiles of soil and
other materials
Set-up temporary silt trap/ponds to
prevent siltation
Proper stockpiling of spoils (on flat
areas & away from drains)
Spoils generated shall be used as
filling materials
Pollution of nearby water body
due to disposal of construction
wastes
Set-up temporary disposal areas
within the construction area &
properly dispose the solid wastes.
Set up adequate toilet facilities
Strictly require the contractor & its
workers to observe proper waste
disposal and sanitation
Loss of vegetation due to land
clearing
Limit land clearing as much as
possible
Provide temporary fencing to
vegetation that will be retained
Use of markers and fences to direct
heavy equipment traffic in the
construction site and avoid damage
to plants
Re-plant/ plant indigenous tree
species and ornamental plants


PEZA

3.2

PRE-OPERATION / CONSTRUCTION PHASE
Significance of
I mpacts
PREDI CTED IMPACTS
D/In L/S R/I
Measures
Disturbance or loss of wildlife
within the influence area due to
noise and other construction
activities
Re-establish or simulate the habitat
of affected wildlife in another
suitable area
Schedule noisy construction
activities during day time
Undertake proper maintenance of
equipment and use mufflers
Noise generation that can
affect the nearby resident
Schedule noisy construction
activities during day time
Undertake proper maintenance of
equipment and use mufflers
Generation of employment Hiring priority shall be given to
qualified local residents
Increase in the incidence of
accidents
Strictly require the contractor and
its workers to follow safety rules
and regulations during construction

3.3 OPERATI ON & MAINTENANCE PHASE

Significance of
I mpacts
PREDI CTED IMPACTS
D/In L/S R/I
Measures
Nuisance/hazards to nearby
residents and properties
Provide sufficient buffer area
Buffer area shall be vegetated with
trees
Fencing of the area
Air pollution caused by dust,
fume generation
Provide air pollution control
facilities
Contamination of surface/
ground water from domestic
and industrial liquid waste
Provide an effective septic tank
Provide adequate wastewater
treatment facilities
Contamination of the
workplace/environment from
hazardous waste generation
Provide an adequate hazardous
materials storage facility equipped
with secondary containment
Nuisance/hazards caused by
solid waste generation
Provide an adequate solid waste
segregation / storage facility
Ensure regular collection of waste
materials for disposal
Vibration caused by machine
operation
Provide vibration control measures
(e.g. shock absorber,
damper/isolator, spring isolator)
Noise generation Provide noise control measures
(e.g. insulator, muffler, silencer)
Offensive odors Provide tightly sealed containers,
masking agents, etc.


PEZA

3.4 ABANDONMENT & REHABI LI TATI ON PHASE

Significance of
I mpacts
PREDI CTED IMPACTS
D/In L/S R/I
Measures
Increase in dust generation
due to demolition works
Implement regular watering and
provide safety nets to suppress
dusts and escape of debris
Sedimentation/siltation of
drainage or waterways from
unconfined stockpiles of soil
and other materials
Set-up temporary silt trap/ponds to
prevent siltation
Proper stockpiling of spoils (on flat
areas and away from drainage
routes)
Spoils generated from demolition
works be disposed as filling
materials
Contamination of ground/
surface water from hazardous
substances left after operation
Remove all hazardous substances
and rehabilitate the area to restore
its aesthetic/ economic value


PEZA

4.0 ENVI RONMENTAL MANAGEMENT PLAN (EMaP)

Project /
Activity Phase
Potential
Environmental
I mpact
Mitigating &
Enhancement
Measures
Estimated Cost
of Proposed
Measures
Responsible
Person / Unit

Construction
(enumerate all
works to be
undertaken)

Operation
(enumerate all
production and
maintenance
processes)

ECONA can be
used (e.g.
semicon
industries can
use SEIPIs
ECONA)

Abandonment


PEZA

5.0 ENVI RONMENTAL MONI TORING PLAN (EMoP)

Project /
Activity
Location Parameter Frequency
Responsible
Person / Unit

Construction
(enumerate all
works to be
undertaken)

Operation
(enumerate all
production and
maintenance
processes)

Abandonment


PEZA
6.0 PROPONENT'S COMMITMENTS

I/We, am/are committing to . . . . . . .

1. Comply with the following:
PD 984 Pollution Control Law
PD 1586 Philippine Environmental Impact Statement System
RA 6969 Toxic and Hazardous Waste Act of 1990
RA 8749 Clean Air Act of 1999
RA 9003 Ecological and Solid Waste Management Act of 2000
RA 9275 Clean Water Act of 2004
The implementing rules and regulations of the above-cited laws and
Other applicable environmental rules and regulations
2. Comply with all mitigation/enhancement measures identified in this Checklist;
3. Apply for permits from the DENR-EMB and/or LLDA for the operation of emission and effluent sources
4. Designate a Pollution Control Officer (PCO) to handle the environmental management programs
5. Submit regular environmental monitoring reports to DENR-EMB and PEZA
6. Construct, maintain and properly operate adequate and appropriate septic tank and/or wastewater treatment
facility for liquid wastes;
7. Maintain the cleanliness of the general surroundings;
8. Participate or contribute towards a communal cleaning effort;
9. Strictly implement a contingency management plan and safety program;
10. Organize and conduct information, education and communication (IEC) activities on environmental, health
and other civic issues

___________________________________________
Signature over Printed Name of the Managing Head

7.0 ATTACHMENTS/ ANNEXES

Document/ Requirement YES NO
Annex 1 Location map

Annex 2A Site Development Plan

Annex 2B Vicinity Map

Annex 2C Pictures of the Proposed Site

Annex 2D Flowchart of the Process

Annex 2E Wastewater Treatment Facility Lay-out

Annex 2F Drainage Lay-out Plan

Annex 2G Sewage Disposal Lay-out

Annex 3 Impacts and mitigating measures

PEZA Board Approval/Certificate of Registration

Electronic copy of the IEE Checklist

Payment of filing fees with the DENR-EMB Regional Office
P 4,000 for new projects
P 3,000 for expansion projects

Four (4) copies of the IEE Checklist


PEZA
ACCOUNTABI LI TY STATEMENT OF THE PROPONENT

This is to certify that all the information and commitments in the Initial
Environmental Examination (IEE) Checklist are true, accurate and complete. Should I/we
learn of any information, which would make the IEE Checklist inaccurate, I/we shall bring
said information to the attention of the PEZA Environmental Safety Group and the DENR
Regional Office concerned.

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

It witness whereof, we hereby set our hands this ______________ day of
_______________ at _______________.

_______________________
Project Proponent/Managing Head

_______________________
Title/Designation

ACKNOWLEDGEMENT

BEFORE ME this ________ day of ______________________, 20 ______________
at __________________________, personally appeared ____________________________
with Community Tax Certificate No. ___________________ issued on _______________ at
____________________________________________________ in his/her capacity as
_______________________________ of ________________________________________
and acknowledged to me that this IEE Report Checklist is his/her voluntary act and
deed, of the entity he/she represents. This document, which consists of _______________
pages, including the page on which this acknowledgement is written is an Initial
Environmental Examination (IEE) Report Checklist.

Witness my hand and seal on the place and date above written.

___________________
Notary Public

Doc No. ______
Page No. _____
Book No. _____
Series of ______


PEZA
ACCOUNTABI LITY STATEMENT OF THE IEE PREPARER

This is to certify that all the information and commitments in the Initial
Environmental Examination (IEE) Checklist are true, accurate and complete. Should I/we
learn of any information, which would make the IEE Checklist inaccurate, I/we shall bring
said information to the attention of the PEZA Environmental Safety Group and the DENR
Regional Office concerned.

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

It witness whereof, we hereby set our hands this ______________ day of
_______________ at _______________.

_______________________
IEE Preparer

_______________________
Title/Designation

ACKNOWLEDGEMENT

BEFORE ME this ________ day of ______________________, 20 ______________
at __________________________, personally appeared ____________________________
with Community Tax Certificate No. ___________________ issued on _______________ at
____________________________________________________ in his/her capacity as
_______________________________ of ________________________________________
and acknowledged to me that this IEE Checklist is his/her voluntary act and deed, of
the entity he/she represents. This document, which consists of _______________ pages,
including the page on which this acknowledgement is written is an Initial Environmental
Examination (IEE) Checklist.

Witness my hand and seal on the place and date above written.

___________________
Notary Public

Doc No. ______
Page No. _____
Book No. _____
Series of ______

Peza Cheklist IEE

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