GENERIC INITIAL ENVIRONMENTAL EXAMINATION (IEE) CHECKLIST REPORT

for

Construction of 5-Storey Public Indoor Parking Area

Project name or Title

This Generic IEE Checklist Report shall be used as the interim pro-forma EIA
Report requirement for projects types where a customized IEE Checklist Report
Form has not yet been developed but are required IEE Checklist Report Form or
IEE Report per the Revised Procedural Manual for DAO 2003-30

For ECC applications, this IEE Checklist Report shall be submitted with:
Proof of Compatibility with the existing Land Use Plan
Proof of Authority over the Project Site
Accountability Statements of Proponent (see attached form) and the Preparer (if
any, following Annexes 2-22 of Revised Procedural Manual for DAO 2003-30)
Photographs or plates/vicinity map of the project site showing impact areas and
affected areas and communities
Duly Accomplished Project Environmental Monitoring & Audit Prioritization
Scheme (PEMAPS) Questionnaire (see Annex 2-7d of Revised Procedural Manual for DAO
2003-30)
(No other documents shall be required as pre-requisite to ECC applications per DENR MC 2010-14)

Read the questions carefully and write the required information on the blank spaces
provided or otherwise check () the appropriate boxes or parenthesis ( ). Boxes with
check marks () are automatically required. Use additional sheets if necessary and
indicate this in the appropriate space.

Project proponents are strongly discouraged to engage the

services of consultants/facilitators/preparers to accomplish/fill-up
the IEE Checklist Report Form. The Report Forms have been
designed to be user-friendly.

Furthermore, EMB Regional Office is required to complete the

processing of an ECC application using the IEE Checklist Report
within twenty (20) working days upon receipt for completed/duly-
accomplished form.
Misleading or erroneous answers are basis for legal actions and/or denial of ECC
issuance.

PROJECT FACT SHEET

Project Name: Construction of 5-Storey Public Indoor Parking Area

Project Location: _______________________________________________________

Total Project Land Area: 264 sq.m.

Total Project/Building
Footprint Area 200 sq.m.
(Area actually utilized)
Project Proponent: PHAQG Construction Corp.
Normal Road, Baliwasan, Zamboanga City
Office Address:
Contact Person: Christy Rei Gallano
Designation: Vice Chairman for Communication and Processes
Contact Number/s
 Landline : _______________________________________________________
Fax Number: _______________________________________________________
Mobile : 09974913783
E-mail Address: gallano@gmail.com

I. PROJECT DESCRIPTION

1.1 PROJECT LOCATION AND AREA: Street Name, Barangay, and Municipality/City, Province

T. Claudio Street, Barangay Zone IV, Zamboanga City

Zamboanga del Sur, Philippines

See attached vicinity map/s and photographs of the project site and site development/layout plan.

Geographic coordinates of the project area (Preferably use WGS 84 datum,

otherwise specify datum used).
Perimeter/Boundary points
Longitude Latitude
(based on OCT/TCT/etc)
Point A 122.0774 6.9071
Point B 122.0778 6.9073
Point C 122.0780 6.9070
Point D 122.0774 6.9069

1.2 PROJECT COMPONENTS

Area (sq. m.) / Specification/

Facilities No. of Units
Capacity Description / Remarks
Parking Area (Motorcycles)

Administrative Office

Comfort Room

Check Point Area

Fee Collection Area

Support Facilities (e.g. emergency

generators, boilers, etc.)
Admin support (e.g., canteen, office,
clinic, quarters, etc.)
Water source / supply

Waste water management Facility

Solid waste management facility

Drainage system
(Please list facilities by module/grouping. Use additional sheets if needed)

1.3 UTILITIES/REQUIREMENTS (Operation Phase):

Utilities Source Estimated Demand/Consumption

Power/Electricity ZAMCELCO
10 KWh
(Total)
 Power/Electricity
---
(From Renewable Energy --- KWh
Sources)
Water
(Total)
ZCWD
(Fill-up table below if water is 1 Cubic meters/day
not obtained from the local
water utility)
Water
(Rainwater Collection
--- Cubic meters/day
System) ---

Water Source
[ ] ground water [ ] well [ ] spring [ ] others: ____________________________

Surface water river [ ] lake [ ] others: ____________________________

Location of water source

Pasonanca, Zamboanga City
(Sitio/Zone, Barangay, Municipality/City, Province, Region)

Energy/Water Efficiency
Utilities Estimated Savings Proposed Efficiency/Conservation
Measures
Power/Electricity 4 KWh Use electricity at night in 1-3 storey only

Water 0.1 Cubic meters/day Use water if only necessary

1.4 MANPOWER

a. Construction Phase
Manpower Requirement Total
Foreman 1
Engineer 1
Mason 12
Helpers 20
Carpenter 21
Plumber 2
Door & Windows Installer 2
Painter 4

b. Operation Phase
Manpower Requirement Total
Supervisor 1
Cashier/Collector 1
Security Guard 3
 Auditor 1
Finance Head 1
Security Guard Head 1
Janitor 2
Maintenance Personnel 2

1.5 INDICATIVE PROJECT COST

Project Cost (PhP): ____________

II. ENVIRONMENTAL IMPACTS AND MANAGEMENT PLAN

Possible Environmental/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Social Impacts Implementation
LAND
Consistency with land Current land use w/in 1km See attached proof of
use radius compatibility with land use
(as per zoning ordinance):
Residential
Commercial/ Institutional
Industrial
Agricultural/ Recreational
Protected Areas
Others
___________________

Actual land uses w/in 1km

radius:
Residential
Commercial/ Institutional
Industrial
Agricultural/ Recreational
Protected Areas
Others
___________________

Disturbance to wildlife Existing vegetation in the area: Compliance with conditions of Annual inspection of Cost integrated in the
due to vegetation Forestland DENR/LGU SLUP, Tree Cutting area replanted/ construction /operation cost
clearing Marshland Permit, ROW, PCA Permit revegetated
Grassland Limit land clearing as much as
Mangrove possible
Wetland Provide temporary fencing for
Others, specify vegetation that will be retained
____________________ Promote restoration of damaged
or destroyed vegetation where
possible (e.g., tree planting);

IEE Checklist Report for Commercial, Institutional, Land Transport Terminal, Motels, Hotels, Condominiums/Apartelles, and Storage Facilities
Possible Environmental/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Social Impacts Implementation
Change in surface Slope: Provide erosion control and slope Regular inspection of slope Slope/ Erosion Control
landform/ topography/ flat (0-3%) protection measures protection measures in Cost: ___________
terrain/slope gently sloping to rolling (3-18%) Designate a Spoils Storage Area, with erosion-prone areas Others, specify
Soil Erosion steep (>18%) topsoil set aside for later use and allow Regular inspection for new ____________
maximum re-use of spoils eroded areas near the site ____________
Is the project site located in an area Construction during dry season Others (Pls. specify):
identified by Stabilization of embankment with grasses ___________
MGB/PAGASA/PHIVOLCS as or other soil cover
hazard prone? Others, specify
Yes ____________
No Compliance with the DENR Administrative
Order No. 2003-30 and DENR
Administrative Order No. 2000-28,
Implementing Guidelines on Engineering
Geological and Geo-hazard Assessment
(EGGA).

Soil/Land Existing soil type in the area: Implementation of the Ecological Solid Daily inspection of Cost integrated in the
contamination sandy Waste Management Plan (ESWMP) waste/recycling bins for construction /operation
due to improper solid clay Set-up temporary fence around the segregation cost
waste disposal sandy-loam construction area Daily inspection for presence
Others, specify Implement re-use and recycling of waste of mixed garbage in the
____________________ materials facility
Implement proper segregation, collection Weekly inspection of waste
and disposal of domestic wastes in accumulated
designated areas Others, specify
Provide receptacles / bins for solid wastes __________________________
Coordinate with the municipal / city waste _
collectors _______
Engage third party company for waste
collection
Others, specify: ________________

IEE Checklist Report for Commercial, Institutional, Land Transport Terminal, Motels, Hotels, Condominiums/Apartelles, and Storage Facilities
Possible Environmental/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Social Impacts Implementation
Impairment of visual Presence of visually significant Implement landscaping and other Regular inspection of Cost integrated in the
aesthetics landforms/landscape/structures? beautification measures landscaping and other construction/ operation
Devaluation of land Yes Provide adequate buffer beautification activities cost
values No Compensate adjacent property owners Regular monitoring of buffer
Others, specify: ________________ zones
Regularly monitor
presence/absence of
complaints from adjacent

WATER
Increased siltation due Specify nearest/receiving water Set-up proper and adequate sanitary Regular (ocular) inspection of: Cost integrated in the
to project activities body: facilities Drainage / canal systems construction/ operation
Water quality ___________________________ Strictly require the contractor and its Water treatment facility (i.e., cost
degradation _ workers to observe proper waste disposal grease trap, septic tank, etc.)
Others, specify __ and proper sanitation
_____________________ Strictly observe proper waste handling and Quarterly monitoring of the
_ Distance to nearest/receiving disposal following:
______ water body: Provision of wastewater treatment facility pH
0 to less than 0.5 km (e.g. septic tank, oil and water separator, TSS concentration
0.5 to 1 km etc.) BOD
More than 1 km Set up silt trap/stilling ponds to minimize Total Coliform
downstream siltation Color
If nearest/receiving water body is Provision of three-chambered septic tank Oil and Grease
fresh water, specify classification: for domestic sewage
AA Provide ring canals around fuelling tanks/
A motorpool/ maintenance areas
B Others (Pls. specify): ______________
C __________
D

IEE Checklist Report for Commercial, Institutional, Land Transport Terminal, Motels, Hotels, Condominiums/Apartelles, and Storage Facilities
Possible Environmental/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Social Impacts Implementation

If nearest/receiving water body is

coastal or marine water, specify
classification:
SA
SB
SC
SD

Current Water Use:

Fishery
Tourist Zone / Park
Recreational
Industrial
Agricultural

Distance of project area to the

nearest well used:
0 to less than 0.5 km
0.5 to 1 km
More than 1 km

Use of the nearest well:

Drinking/Domestic
Industrial
Agricultural

IEE Checklist Report for Commercial, Institutional, Land Transport Terminal, Motels, Hotels, Condominiums/Apartelles, and Storage Facilities
Possible Environmental/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Social Impacts Implementation
Competition in water Size of population using receiving Implement rainwater harvesting and Regularly monitor Cost integrated in the
use surface water: similar measures as an alternative source presence/absence of construction/ operation cost
Depletion of water 1,000 persons of water complaints
>1,000 and 5,000persons Observe water conservation measures; Regular coordination with
>5,000person Careful selection of project site to avoid concerned agencies
disruption of traditional water uses Regularly monitor
Available/nearest water source. Obtain Water Permit from NWRB occurrences of water
Deepwell Improve efficiency of water supply and shortages
Water district/LGU distribution system Others, specify
Surface water Others, specify ____________
Others, specify ________________________
________________________

Increased occurrence Is the project site located in an area Use appropriate design for project facilities Regularly monitor Cost integrated in the
of flooding identified by MGB/PAGASA as Implement appropriate drainage system presence/absence of construction/ operation cost
flood prone? Regularly remove debris and other complaints
Yes materials that may obstruct water flow Regular coordination with
No Use appropriate technology (e.g. raised concerned agencies
hand-pumps) to protect drinking water from Regularly monitor increased
flood contamination frequency of flooding
Others, specify: Others, specify
_______________________________

_________________

IEE Checklist Report for Commercial, Institutional, Land Transport Terminal, Motels, Hotels, Condominiums/Apartelles, and Storage Facilities
Possible Environmental/ Baseline Environment
Social Impacts
AIR/NOISE
Air quality degradation Distance to nearest community:
0 to less than 0.5 km
0.5 to 1 km
More than 1 km
Nuisance due to noise Distance to nearest community:
generation 0 to less than 0.5 km
0.5 to 1 km
More than 1 km
Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/
Implementation Monitoring
Properly operate and maintain all Regularly monitor Cost integrated in the
emission sources (e.g. vehicles, pumps, presence/absence of construction/ operation
generator, etc.) complaints cost
Install when applicable, the
appropriate air pollution control device/s Regular (ocular) inspection
Strictly enforce good of:
housekeeping practices Absence of white or
Control vehicle speed to lessen black smoke from
suspension of road dust vehicles, heavy
Conduct water spraying to equipment and
suppress dust sources and generator
minimize discomfort to nearby Presence of truck cover
residents during deliveries
Use covered vehicles to deliver
materials that may generate dust
Other, specify
____________________________
Properly operate and maintain all Regularly monitor Cost integrated in the
Noise sources (e.g. vehicles, pumps, presence/absence of construction/ operation
generator, etc) complaints cost
Install when applicable, the appropriate Regular monitoring
noise control device/s (e.g., mufflers,
silencer, sound barriers, etc.)
Implement appropriate operating hours
Provide adequate buffer and/or planting
of trees
Others, specify
_____________________________
IEE Checklist Report for Commercial, Institutional, Land Transport Terminal, Motels, Hotels, Condominiums/Apartelles, and Storage Facilities

Possible Environmental/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/
Social Impacts Implementation Monitoring
PEOPLE
Displacement of Provide relocation/disturbance Regularly monitor Cost integrated in the
residents in the project compensation packages presence/absence of construction/ operation
site and within its Prioritize local residents for employment complaints cost
vicinity Promptly pay local taxes and other Regular coordination
Displacement of financial obligations with LGU
Indigenous People Size of population of host Regular coordination with LGU Others, specify
Enhanced employment barangay: Prior consultation & coordination to _________________
and/or livelihood 1,000 persons minimize disruption on daily domestic
opportunities >1,000 and 5,000persons activities & respect for IP rights and
Reduced employment >5,000person cultural practices
and/or livelihood Ensure participation of IPs in
opportunities Classification of host barangay: consultations and dialogues
Increased revenues for Urban Provide appropriate traffic/warning
LGU Rural signs,lighting, etc
Disruption/Competition Others: specify _________________
in delivery of public Available services within/near the
services (e.g., host barangay:
education, peace and Schools (e.g. elementary, high
order, etc.) school, college)
Enhanced delivery of Health facilities (e.g., clinics,
public services (e.g., hospitals, etc.)
education, peace and Peace and order (e.g., police
order, etc.) outpost, brgy. Tanod, etc.)
Increase in traffic Recreation and sports facilities
volume and worsening Others, specify:
of traffic flow
Impacts on community ___________________________ Regular coordination with LGU Presence/Absence of Cost integrated in the
health and safety _ Provide appropriate warning signs, complaints construction/ operation
Others, specify lighting and barricades, whenever Regular coordination cost
_____________________ practicable with LGU
_ Observe proper housekeeping
______________________

IEE Checklist Report for Commercial, Institutional, Land Transport Terminal, Motels, Hotels, Condominiums/Apartelles, and Storage Facilities

Possible Environmental/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/
Social Impacts Implementation Monitoring
Provide on-site medical services for any Regular submission of reports
emergency. to concerned agency
Participate in public awareness programs Others, specify
on health and safety _________________
Implement appropriate safety programs for
both community and workers
Strictly comply with fire, safety and similar
regulatory requirements
Strictly comply with requirements of RA
6969
Others, specify
__________________________
IEE Checklist Report for Commercial, Institutional, Land Transport Terminal, Motels, Hotels, Condominiums/Apartelles, and Storage Facilities
III. ABANDONMENT /DECOMMISSIONING/REHABILITATION POLICIES AND
GENERIC GUIDELINES (if Applicable)
Project Life or Service: 20 years
Provide description of the Abandonment activities, such as, dismantling and waste
disposal.
Parking structures are unique facilities, designed to withstand extremely
harsh conditions including weather extremes, water infiltration, thermal expansion
and contraction, and vehicular traffic. The service life of a parking structure is
measured by an engineers expertise in understanding concrete durability, and the
design of systems, such as precast concrete and cast-in-place post-tensioned
concrete, that are used in building parking structures. Understanding life-cycle
costs enables engineers to assist owners with parking structure maintenance
programs. Operation and maintenance costs include cleaning, lighting,
maintenance, repairs, security, access control (e.g., entrance gates), fee
collection (for priced parking), enforcement, insurance, labor and
administration. Parking facilities require resurfacing and repaving every
5-10 years, and parking structures require major reconstruction or
replacement after 20-40 years
After the construction of the indoor parking, dismantling of
temporary structures and equipment will be immediately done. Clearing
of debris and solid waste materials generated from the during
construction phase within and outside the recently done indoor parking
project will also start. Residual waste materials will be dump to the
controlled dumpsite or sanitary landfill of the municipality. Any changes
to be made on the project, the concerned agency will be officially
informed. The project will be turned-over to the concerned beneficiaries
upon completion of the project.

IV. INSTITUTIONAL PLAN FOR EMP IMPLEMENTATION

Organization Chart:
Attach drawing/plan of waste water treatment facility (with dimensions and
descriptions)
Attach drawing/plan of air pollution source and control installations (with
dimensions and descriptions)
 SWORN STATEMENT OF ACCOUNTABILITY OF THE PROPONENT

This is to certify that all the information and commitments in this Initial
Environmental Examination (IEE) Checklist Report are accurate and complete to
the best of my knowledge.

By the authority vested in me by the ___(Company Name) as

___(Position/Designation), I hereby commit to ensure implementation of all
commitments, mitigating measures and monitoring requirements indicated in this
IEE Checklist Report as well as the following:
Conform with pertinent provisions of applicable environmental laws
e.g., R.A. No. 6969 (Toxic Substances and Hazardous and Nuclear
Wastes Control Act of 1990), R.A. No. 9003 (Ecological Solid
Waste Management Act of 2000), R.A. No. 9275 (Philippine Clean
Water Act of 2004), and R.A. No. 8749 (Philippine Clean Air Act of
1999).
Abide and conform to LGU development plans and guidelines.
Promptly pay local taxes and other financial obligations.
Regularly submit reports to concerned agencies.

I hereby bind myself to answer any penalty that may be imposed arising
from any misrepresentation or failure to state material information in this IEE
Checklist.

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

______________________.

__________________________
NAME OF PROPONENT HEAD
(Position)
(Company Name)

SUBSCRIBED AND SWORN TO before me this _____ day of ____________ 201__, affiant
exhibiting his/her Community Tax Certificate No. ___________________ issued at
______________________ on __________________________.

Doc. No. ____________________

Page No. ____________________
Book No. ____________________
Series of ____________________