Cemetery, Funeral Parlors, Crematorium, And Columbarium

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    CEMETERY, FUNERAL PARLORS, CREMATORIUM, AND COLUMBARIUM PROJECTS

    INITIAL ENVIRONMENTAL EXAMINATION (IEE) CHECKLIST REPORTFor

    Project name or Title

    This IEE Checklist Report shall be used for proposed CEMETERY, FUNERAL PARLORS,CREMATORIUM, AND COLUMBARIUM PROJECTSto be located within Environmentally

    Critical Areas (ECA).

    Please check applicable project category:

    Projects Project Size

    ParameterCorresponding Project

    Size/Threshold

    Cemetery area to bedeveloped

    5.0 hectares

    Funeral parlors, crematorium,columbarium

    total/gross floorarea includingparking and otherareas

    1 hectare

    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 providedor otherwise check () the appropriate boxes or parenthesis ( ). Boxes with check marks ()are automatically required. Use additional sheets if necessary and indicate this in theappropriate space.

    Project proponents are strongly discouraged to engage theservices of consultants/facilitators/preparers to accomplish/fill-upthe IEE Checklist Report Form. The Report Forms have beendesigned to be user-friendly.

    Furthermore, EMB Regional Office is required to complete the

    processing of an ECC application using the IEE Checklist Reportwithin twenty (20) working days upon receipt for completed/duly-accomplished form.

    Misleading or erroneous answers are basis for legal actions and/or denial of ECCissuance.

    PROJECT FACT SHEET

    Project Name:_______________________________________________________

    Project Location: _______________________________________________________

    Total Project Land Area: _______________________________________________________

    Total Project/Building

    Footprint Area

    (Area actually utilized)

    _______________________________________________________

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    Project Proponent: _______________________________________________________Office Address: _______________________________________________________Contact Person: _______________________________________________________Designation: _______________________________________________________Contact Number/s

    Landline :

    Fax Number:

    Mobile :

    E-mail Address:

    _______________________________________________________

    _______________________________________________________

    _______________________________________________________

    _______________________________________________________

    I. PROJECT DESCRIPTION

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

    _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

    Attach 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(based on OCT/TCT/etc)

    Longitude Latitude

    1.2 PROJECT COMPONENTS

    Cemetery and Funeral Homes

    (Use additional sheets if needed)

    _____________________________________________________________________________________

    Facilities No. of Units Area (sq. m.) /Capacity

    Specification/Description / Remarks

    1. Area for internment, vaults,columbarium, etc.

    2. Commercial Area (e.g.restaurants, food outlets, etc.)

    3. Crematorium

    4. Wake Chapel, viewing area,

    and similar facilities5. Support facilities (e.g. morgue,

    embalming facility, showroom,etc.)

    6. Amenities (e.g. rest room, etc.)

    7. Open/Common Spaces (e.g.reception area, garden, parks,etc.)

    8. Parking area

    9. Waste water ManagementFacility

    10. Solid waste management

    facilities11. Drainage System

    12. Others, specify_____________________

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    1.3 UTILITIES/REQUIREMENTS (Operation Phase):

    Utilities Source Estimated Demand/Consumption

    Power/Electricity(Total)

    KWh

    Power/Electricity

    (From Renewable EnergySources)

    KWh

    Water(Total)(Fill-up table below if water isnot obtained from the localwater utility)

    m/day

    Water(Rainwater CollectionSystem)

    m/day

    Water Source

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

    [ ] Surface water [ ] river [ ] lake [ ] others: ____________________________

    Location of water source____________________________________________________________________________

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

    Energy/Water Efficiency

    Utilities Estimated Savings Proposed Efficiency/ConservationMeasures

    Power/Electricity KWh

    Water m/day

    1.4 MANPOWER

    a. Construction Phase

    ManpowerRequirement

    Expertise/Skills Total

    b. Operation Phase

    ManpowerRequirement

    Expertise/Skills Total

    1.5 INDICATIVE PROJECT COST

    Project Cost (PhP): ____________

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    II. ENVIRONMENTAL IMPACTS AND MANAGEMENT PLAN

    Possible Environmental/Social Impacts

    Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/Implementation

    Cost of Mitigation/ Monitoring

    LAND

    Consistency with landuse

    Current land use w/in 1km radius(as per zoning ordinance):

    Residential

    Commercial/ Institutional

    Industrial

    Agricultural/ Recreational

    Protected Areas

    Others, specify___________________

    Actual land uses w/in 1km radius:

    Residential

    Commercial/ Institutional

    Industrial

    Agricultural/ Recreational

    Protected Areas

    Others, specify

    ___________________

    See attached proof of compatibility withland use

    Disturbance to wildlifedue to vegetationclearing

    Existing vegetation in the area:

    Forestland

    Marshland

    Compliance with conditions of DENR/LGUSLUP, Tree Cutting Permit, ROW, PCAPermit

    Limit land clearing as much as possible

    Annual inspection of areareplanted/ revegetated

    Cost integrated in theconstruction /operation cost

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    Possible Environmental/Social Impacts

    Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/Implementation

    Cost of Mitigation/ Monitoring

    Grassland

    Mangrove

    Wetland

    Others, specify____________________

    Provide temporary fencing for vegetationthat will be retained

    Promote restoration of damaged ordestroyed vegetation where possible (e.g.,tree planting);

    Change in surfacelandform/ topography/terrain/slope

    Soil Erosion

    Slope:

    flat (0-3%)

    gently sloping to rolling (3-18%) steep (>18%)

    Is the project site located in an areaidentified by MGB/PAG-ASA/PHIVOLCS as hazard prone?

    Yes

    No

    Provide erosion control and slopeprotection measures

    Designate a Spoils Storage Area, withtopsoil set aside for later use and allowmaximum re-use of spoils

    Construction during dry season

    Stabilization of embankment with grassesor other soil cover

    Others, specify____________

    Compliance with the DENR AdministrativeOrder No. 2003-30 and DENR

    Administrative Order No. 2000-28,Implementing Guidelines on EngineeringGeological and Geo-hazard Assessment(EGGA).

    Regular inspection of slopeprotection measures inerosion-prone areas

    Regular inspection for neweroded areas near the site

    Others, specify___________

    Slope/ Erosion ControlCost: ___________

    Others, specify____________

    Soil/Land contaminationdue to improper solid

    waste disposal

    Existing soil type in the area:

    sandy

    clay

    sandy-loam

    Others, specify________________

    Implementation of the Ecological SolidWaste Management Plan (ESWMP)

    Set-up temporary fence around theconstruction area

    Implement re-use and recycling of wastematerials

    Implement proper segregation, collection

    Daily inspection ofwaste/recycling bins for

    segregation

    Daily inspection for presenceof mixed garbage in thefacility

    Weekly inspection of waste

    Cost integrated in theconstruction /operation cost

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    Possible Environmental/Social Impacts

    Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/Implementation

    Cost of Mitigation/ Monitoring

    and disposal of domestic wastes indesignated areas

    Implement proper collection, labeling andstorage of hazardous waste

    Provide receptacles / bins for solid wastes

    Coordinate with the municipal / city wastecollectors

    Engage third party company for wastecollection

    Others, specify________________

    accumulated

    Others, specify_____________________

    Impairment ofvisual aesthetics

    Devaluation of landvalues

    Presence of visually significantlandforms/landscape/structures?

    Yes

    No

    Implement landscaping and otherbeautification measures

    Provide adequate buffer

    Compensate adjacent property owners

    Others, specify________________

    Regular inspection oflandscaping and otherbeautification activities

    Regular monitoring of bufferzones

    Regularly monitorpresence/absence ofcomplaints from adjacentproperty owners

    Cost integrated in theconstruction/ operation cost

    WATER

    Increased siltation dueto project activities

    Water qualitydegradation

    Others, specify_________________

    Specify nearest/receiving waterbody:

    ____________________________

    __

    Distance to nearest/receiving waterbody:

    0 to less than 0.5 km

    Set-up proper and adequate sanitaryfacilities

    Strictly require the contractor and itsworkers to observe proper waste disposaland proper sanitation

    Strictly observe proper waste handling anddisposal

    Regular (ocular) inspection of:

    Drainage / canal systems

    Water treatment facility (i.e.,grease trap, septic tank, etc.)

    Regular (ocular) inspection ofwaterbody for:

    Turbidity and/or silted

    Cost integrated in theconstruction/ operation cost

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    Possible Environmental/Social Impacts

    Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/Implementation

    Cost of Mitigation/ Monitoring

    0.5 to 1 km

    More than 1 km

    If nearest/receiving water body isfresh water, specify c lassification:

    AA

    A

    B

    C

    D

    If nearest/receiving water body iscoastal or marine water, specifyclassification:

    SA

    SB

    SC

    SD

    Current Water Use:

    Fishery

    Tourist Zone / Park

    Recreational

    Industrial

    Agricultural

    Provision of wastewater treatment facility(e.g. septic tank, oil and water separator,etc.)

    Set up silt trap/stilling ponds to minimizedownstream siltation

    Others, specify___________

    Provision of three-chambered septic tankfor domestic sewage

    condition

    Floating wastes or debris

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    Possible Environmental/Social Impacts

    Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/Implementation

    Cost of Mitigation/ Monitoring

    Distance of project area to thenearest 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

    Competition in wateruse

    Depletion of waterresources

    Size of population using receivingsurface water:

    1,000 persons

    >1,000 and 5,000persons

    >5,000person

    Available/nearest water source.

    Deepwell

    Water district/LGU

    Surface water

    Others, specify___________________

    Implement rainwater harvesting and similarmeasures as an alternative source of water

    Observe water conservation measures;

    Others, specify____________________

    Regularly monitorpresence/absence ofcomplaints

    Regular coordination withconcerned agencies

    Regularly monitoroccurrences of watershortages

    Others, specify

    ________________

    Cost integrated in theconstruction/ operation cost

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    Possible Environmental/Social Impacts

    Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/Implementation

    Cost of Mitigation/ Monitoring

    Increased occurrenceof flooding

    Is the project site located in an areaidentified by MGB/PAG-ASA asflood prone?

    Yes

    No

    Use appropriate design for project facilities

    Implement appropriate drainage system

    Regularly remove debris and othermaterials that may obstruct water flow

    Others, specify___________________

    Regularly monitorpresence/absence ofcomplaints

    Regular coordination withconcerned agencies

    Regularly monitor increasedfrequency of flooding

    Others, specify_________________

    Cost integrated in theconstruction/ operation cost

    AIR / NOISE

    Air quality degradationDistance to nearest community:

    0 to less than 0.5 km

    0.5 to 1 km

    More than 1 km

    Properly operate and maintain all emissionsources (e.g. generator, etc)

    Install when applicable, the appropriate airpollution control device/s

    Strictly enforce good housekeepingpractices

    Other, specify_______________________

    Regularly monitorpresence/absence ofcomplaints

    Regular (ocular) inspection of:

    Absence of white or blacksmoke from vehicles

    Cost integrated in theconstruction/ operation cost

    PEOPLE

    Displacement ofresidents in the projectsite and within its

    vicinity

    Displacement ofIndigenous People

    Enhancedemployment and/or

    Size of population of host barangay:

    1,000 persons

    >1,000 and 5,000persons

    >5,000person

    Classification of host barangay:

    Urban

    Provide relocation/disturbancecompensation packages

    Prioritize local residents for employment

    Promptly pay local taxes and otherfinancial obligations

    Regular coordination with LGU

    Prior consultation & coordination to

    Regularly monitorpresence/absence ofcomplaints

    Regular coordination withLGU

    Others, specify_________________

    Cost integrated in theconstruction/ operation cost

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    Possible Environmental/Social Impacts

    Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/Implementation

    Cost of Mitigation/ Monitoring

    livelihoodopportunities

    Reducedemployment and/orlivelihoodopportunities

    Increased revenuesfor LGU

    Disruption/Competit

    ion in delivery ofpublic services(e.g., education,peace and order,etc.)

    Enhanced deliveryof public services(e.g., education,peace and order,etc.)

    Increase in trafficvolume and worseningof traffic flow

    Rural

    Available services within/near thehost barangay:

    Schools (e.g. elementary, highschool, college)

    Health facilities (e.g., clinics,hospitals, etc.)

    Peace and order (e.g., policeoutpost, brgy. Tanod, etc.)

    Recreation and sports facilities

    Others, specify_________________

    minimize disruption on daily domesticactivities & respect for IP rights andcultural practices

    Ensure participation of IPs inconsultations and dialogues

    Provide appropriate traffic/warningsigns, lighting, etc

    Others, specify_________________

    Impacts on communityhealth and safety

    Others, specify_________________

    Regular coordination with LGU

    Provide appropriate warning signs, lightingand barricades, whenever practicable

    Observe proper housekeeping

    Provide on-site medical services for anyemergency.

    Participate in public awareness programson health and safety

    Regularly monitorpresence/absence ofcomplaints

    Regular coordination withLGU

    Regularly monitor submissionof reports to concernedagency

    Others, specify_________________

    Cost integrated in theconstruction/ operation cost

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    Possible Environmental/Social Impacts

    Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/Implementation

    Cost of Mitigation/ Monitoring

    Others, specify________________________

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    III. ABANDONMENT /DECOMMISSIONING/REHABILITATION POLICIES ANDGENERIC GUIDELINES (if Applicable)

    Project Life or Service: ___________ years

    Provide description of the Abandonment activities, such as, dismantling and wastedisposal.

    ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

    IV. INSTITUTIONAL PLAN FOR EMP IMPLEMENTATION

    Organization Chart:

    IV.1. Abandonment Plan (if Applicable)

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    Attach drawing/plan of air pollution source and control installations (withdimensions and descriptions)

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    SWORN STATEMENT OF ACCOUNTABILITY OF THE PROPONENT

    This is to certify that all the information and commitments in this Initial EnvironmentalExamination (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 aswell as the following:

    Conform to pertinent provisions of applicable environmental laws e.g., R.A.

    No. 6969 (Toxic Substances and Hazardous and Nuclear Wastes Control Actof 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 plan 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 anymisrepresentation 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 exhibitinghis/her Community Tax Certificate No. ___________________ issued at ______________________on __________________________.

    Doc. No. ____________________Page No. ____________________Book No. ____________________Series of ____________________