1st 2nd 3rd 4th

Screening

FORM 1-C : PROCEDURAL EVALUATION (SCREENING) FOR

Environmental Performance Report and Management Plan (EPRMP-IEE
Limits)
Project Title : ___________________________________________________________________________
Project Location:_________________________________________________________________________
Project Proponent : ______________________________________________________________________
Address: ______________________________________________________________________________
Tel.No. ____________ Fax No. _______ Contact Person : ______________________________________
EIS Consultant :__________________________________._______________________________________
Address: _______________________________________________________________________________
Tel. No._____________ Fax: __________ Contact Person : ______________________________________
Date Submitted for Screening : _____________________________________________________________
Status of Application : ( ) Existing w/ previous ECC
ECC # __________________ Issuing Office: ________________________
ECC Scope : _________________________________________________
__________________________________________________________
( ) Existing w/o ECC but started implementation prior to 1982
Date of Implementation : _____________________________________
( ) Existing w/o ECC but started implementation after to 1982
Date of Implementation : ______________________________________
Project Group Based on Tresholds only:
( ) Single, Group 2 in ECA ; Project Code _________________
( ) Group IV / Co-located
( ) Group V / Unclassified _______________________________
Project Size : Floor Area :
_______________________________________________
Lot Area :
_______________________________________________
Production/Storage Capacity ____________________________________
PSIC Code (based on DTI Registration) : ________________________________________

Checklist of EPRMP Requirements

EPRMP Requirements

Casehandlers Evaluation
Pag
e

Acceptable
?

Remarks

Project Fact Sheet

TABLE OF CONTENTS
EXECUTIVE SUMMARY

Brief Project Description

Brief Summary of Projects EIA Process
Brief description of the existing project vis--vis the proposed
expansion or changes
Summary on the EIA Findings on the Key Significant Impacts of
the Project and corresponding EMP highlights
Summary of the Environmental Monitoring Plan on the most
significant impacts and key measures

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DRAFT MAIN EPRMP

1.
BASIC PROJECT INFORMATION
2.
DESCRIPTION OF THE PROJECTS EIA
PROCESS
2.0
2.1
2.2
2.3
2.4

Terms of Reference of the EIA Study

EIA Team (Proponent & Preparer Team members, module of
involvement, expertise)
EIA Study Schedule
EIA Study Area (project area up to extent of coverage of study)
EIA Methodology (per module)

2.5

EIA Public Participation (if any)

3.

PROJECT DESCRIPTION

3.1

Basic Project Background and Information

3.2 Project Rationale
3.3 Complete project location (barangay, municipality, province, etc)
with geographic coordinates.
3.4 Project Site Considerations

3.5

Description of Project Phases & Activities

3.6 Resource & Utility Requirements, Manpower, Cost

Screening for (Project Title/Proponent): ______________________________________

1st 2nd 3rd 4th

Screening

EPRMP Requirements

Casehandlers Evaluation
Pag
e

Acceptable
?

Remarks

3.7 Waste Generation & Built-in Management Measures

Summary of Comparison of the new and old projects

4.

BASELINE
ENVIRONMENTAL CONDITIONS FOR CRITICAL
ENVIRONMENTAL PARAMETERS, IMPACT
ASSESSMENT & MITIGATION (limit to relevant
modules)
4.0
4.1
4.2
4.3

5.

The Land
The Water
The Air
The People

ENVIRONMENTAL
PERFORMANCE BASED ON THE ORIGINAL
ECC-COVERED ENVIRONMENTAL
MANAGEMENT PLAN

5.1.
5.2.

Impact(s) Mitigation Plan (IMP)

Environmental Monitoring Plan (EMoP) and other Monitoring

Modes

5.3.

Information, Education and Communication (IEC) and Social

Development Program (SDP) or Community Assistance Program
(CAP)

5.4.

Environmental Risk Management and Emergency Response

Programs (ERP)
5.5.
Abandonment/Rehabilitation Programs
5.6.
Institutional Set-up

5.7.

Achievements/Awards and Outstanding Accomplishments on the

Environment

6.0 ENVIRONMENTAL RISK ASSESSMENT

7.0 ENVIRONMENTAL RISK CATEGORIZATION
(PEMAPS)
8.0 ENVIRONMENTAL MANAGEMENT PLAN (EMP)
FOR CURRENT PROJECT & PROPOSED
MODIFICATION/ EXPANSION including EMF and
EGF
9.0 BIBLIOGRAPHY
10.0
ANNEXES
Commitments or Agreements
Accountability Statements of Preparers & Proponent
Photographs or plates of the project site, impact areas an affected
areas and communities
Copy of Previous ECC (if any)
If w/ ECC, Copy of the latest Self Monitoring Report (EIA Module
Only) & SMR Evaluation Results by EMB (if any)

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ACTION TAKEN: (Please check to indicate corresponding action taken)

Document accepted; please submit _____ copies

EIARC Needed? ( ) Yes ( ) No Expertise Needed: __________________________
Processing Fee : PhP 3,000 (Pay at EMB Cashier) Review Fund: Based on WFP (Pay at
NRDC)

Document not accepted

O.R. No.
Date

NOTED BY:
(signature over printed name)
SCREENING OFFICER

PURA VITA G. PEDROSA____

Screening for (Project Title/Proponent): ______________________________________

1st 2nd 3rd 4th

Screening
(signature over printed name)
___________________________
SCREENING OFFICE
Date

Screening for (Project Title/Proponent): ______________________________________