7/31/2019 I 04 a2 ChecklistATCCompliance

1/9

CHECKLIST

THE CLOSURE AND REHABILITATION OF

OPEN DUMPSITES AND CONTROLLED DUMPSITES

To be prepared by the authorized representative of the LGU. Please fill up the information on the space provided andput a () on the appropriate items. This checklist should bear signature of the preparer.

A. General Information

1. Location of the Dumpsite(Brgy./Sitio/City/Municipality/Province)

2. Authority to Close Code:

Date issued:3. Estimated capacity before closure

(m3)

4. Estimated present capacity (m3)

5. Estimated height of dump wastes(m)

6. Lay-out of the disposal site [ ]Attached as Annex 1

7. Type of Dumpsite operation prior toclosure

Remarks:

[ ] open dumpsite (active)

[ ] open dumpsite (abandoned)

[ ] controlled dump facility (with NTP)

[ ] controlled dump facility (without NTP)

8. Managed/operated by [ ] local government

[ ] private

__________________________pls. specify

[ ] others

1

7/31/2019 I 04 a2 ChecklistATCCompliance

2/9

__________________________pls. specify

9. Waste Disposed daily ___________metric tons (MT) or

___________cubic meters (m3)

10.Types of wastes disposed

11.Site condition [ ] flat land

[ ] hilly

[ ] quarry/mines

[ ] swampy area

[ ] others

________________________please specify

12.Prior land use condition [ ] agricultural

[ ] residential

[ ] industrial

[ ] others

________________________please specify

13.Waste covered [ ] yes

[ ] no

14.Type of cover material

2

7/31/2019 I 04 a2 ChecklistATCCompliance

3/9

7/31/2019 I 04 a2 ChecklistATCCompliance

4/9

2. Site Grading and Stabilization ofCritical Slope

(Photo documentation should beattached)

[ ] compaction of exposed wastes

[ ] benching

[ ] modified present slope

[ ] side slope at 1 vertical to 3 horizontal orgentler

[ ] steep slope

__________________specify estimates

[ ] retaining wall

[ ] embankment

(To be filled up by the Regional Office)

Findings:

3. Application and maintenance of soilcover [ ] availability of intermediate soil/inert

cover material

[ ] compaction

[ ] final soil cover

(To be filled up by the Regional Office)

Findings:

4. Drainage Control System

(specify in the site lay-out)

[ ] construction of canals/ditches

[ ] natural drain available

4

7/31/2019 I 04 a2 ChecklistATCCompliance

5/9

(To be filled up by the Regional Office)

Findings:

5. Leachate Management [ ] installation of leachate collection pipes

[ ] installation of collection pond

[ ] leachate treatment

[ ] evaporation

[ ] re-circulation

[ ] surface water discharge

[ ] natural attenuation

(To be filled up by the Regional Office)

Findings:

6. Gas Management [ ] installation of gas vents

___number of gas vents installed

___type of gas vent installed

(To be filled up by the Regional Office)

Findings:

7. Fencing and Security [ ] fence constructed/available

5

7/31/2019 I 04 a2 ChecklistATCCompliance

6/9

8. Operating hours [ ] daytime

[ ] nighttime

9. Burning @ dumpsite [ ] yes (indicate reason)

____________________________________________________________________________________________________________

[ ] no

10. Signage [ ] yes

[ ] noC. Post Closure Land Use (The closure management of the open dumpsite or the

controlled dumpsite should be returned to some form of productive use.)

1. Land Utilization [ ] Integrated Waste Management Facility

___________________pls. specify details

[ ] Public open space

[ ] Park[ ] Parking Area or Roads

[ ] Recreational Use

[ ] Golf Course

[ ] Grazing Area or Agriculture

[ ] Building/Housing Units

[ ] Commercial/Industrial Facility

[ ] Others____________________pls. specify

6

7/31/2019 I 04 a2 ChecklistATCCompliance

7/9

2. Implementation Schedule [ ] Attach as Annex 2

D. General Condition of the disposal site and its surroundings(To be filled up by the Regional Office)

1. LandslideRemarks:

[ ] noticeable[ ] medium[ ] none

2. Soil subsidenceRemarks:

[ ] noticeable

[ ] medium

[ ] none

3. Vector and wild animalsRemarks:

[ ] noticeable

[ ] medium

[ ] none

7

7/31/2019 I 04 a2 ChecklistATCCompliance

8/9

4. Odor, landfill gas andsmoke

Remarks:

[ ] noticeable

[ ] medium

[ ] none

5. Leachate quantityRemarks:

[ ] noticeable

[ ] medium

[ ] none6. Location of water intake

Remarks:

[ ] Upstream[ ] Downstream[ ] none

7. Location of drinking waterwell

Remarks

[ ] 500m[ ] none

8. Geological condition Remarks:[ ] limestones[ ] alluvial[ ] others

9. Are there any publiccomplaint

Remarks:

[ ] yes

___details of complaint[ ] none10.Distance to the nearby

residential areaRemarks:

[ ] 500m[ ] none

8

7/31/2019 I 04 a2 ChecklistATCCompliance

9/9

Prepared by:

Designation:

LGU/Office:

Inspected/Validated by:

Name:

Designation:

9