POULTRY FARM PROJECT
Initial Environmental Examination (IEE)
Checklist
| GUIDE FOR PROPONENTS
Below is the IEE Checklist for Poultry Farm Projact with a population ranging from
10,000 to 40,000 heads. Read the questions carefully and provide the appropriate
answers in the spacesiblocks provided. Use additional sheets if necessary and provide
attachments as directed/required.
Misleading statements and erroneous answers provided in the blocks/spaces are basis
for legal actions and revocation of Environmental Compliance Certificate (ECC).
1.0 GENERAL INFORMATION
Project Location SITO MABURAC, BRGY. CAPULAAN, VILLASIS, |
PANGASINAN |
(State complete address: street, barangay, municipality/city, and
province) |
Name of Proponent : MELCHOR Q. CABREROS JR.
Name of Contact Person : MELCHOR -ABREROS JR.
M ity. Net, M. Posadas Ave., San Carlos City, Pangasinan
1g Address Mel's
Telephone Number(s): 0921-3126247 / 075-6348146
Fax Number(s) NA
E-mail Address mel_cabreros@yahoo.com
TIN 924-263-339
1.1 Project Status
Poultry Checkist
DENR-EMB-EIA §|DA.NAFC[Vv ] Proposed/New |
[1 Existing/Operational
Ifexisting, date/year when the project was started:
[1 Expansion of existing operations |
If an expansion, does the existing production have an ECC?
[1 Yes [ ] No
| Ifyes, attach copy of ECC issued. |
1.2 Project Ownership
[Vv] _ Single Proprietorship [ ] Partnership
{1 Corporation { ] Other (cooperative,
association, NGO, etc)
1.3. Mode of Financing |
[1 In-house [ V] Bank (Loan)
[1 Others, pls. specify
1.4 Project Duration
Estimated number of years of project operation: 50 years
1.8 Project Capitalization: P6.5 million
4.6 Purpose of Project
[ V] Contract Growing {1 Contract Breeding |
[1 Commercial Poultry {1 Layer | |
[1 Others, pls. specify
1.7 Market
Name of Firm(s)/Name of Market(s):
Others, pls. Specify: SAN MIGUEL FOODS, INC. |
2.0 PROJECT OPERATIONS
Poulty | |
DENR-EMB-EIA 2 DA-NAFCProject Bird Population: 29,000 BIRDS
Project Description:
A brief but complete description of the proposed undertaking should be |
presented here.
Tu ENT POULTRY IS A 29,000 BROILER CAPACITY FARN UNDER
‘SAN MIGUEL FOODS, INC. (SMFI) / MAGNOLIA BROILER CONTRACT
GROWING. THE PROJECT CONSIST OF 122 M.X. 12.2 M, BROILER
HO! WITH FULLY AUTK ED EQUIPMENT. LOADING OF CHICKS IS
7BATCHES PER YR.
(Use additional sheets if necessary) |
Extent of Operations: |
[ 1 Hatchery |
ey Grow-out
] Processing
fete Feed Milling
[ ] Others, Please specity
2.1 Description of Project Utilities and Infrastructure
Table 2.1 List of Facilities/Equipment
EQUIPMENTIFACILITIES | NO. OF CAPACITY |
UNITS
GENERATOR 2| ww
~
Table 2.2 _List of Existing or Proposed Infrastructure
| i
INFRASTRUCTURE | UNITS] FLOORAREA | BIRD POPULATION
| (square meters) CAPACITY (per
poultry building)
TUNNEL VENT 7 7464 SO. ML 729,000 BIRDS,
POULTRY,
122 MX 12.2 M.
Table 2.3 Description of source of water supply
SOURCE METHOD (well, | NO. OF
surface, LWUA, etc.) | | _ UNITS
DEEP WELL fl
PUMP Hp RATING | DEPTH {in
ZHORSE POWER | 50 FT.
Table 2.4
Description of power supply source
1 j
‘SOURCE METHOD (Generator set | NO. OF UNITS | OUTPUT (Hp or
and/or Local Power Supply) Watts)
PANELCO
2.2 Description of waste generated during project operation
|
Table 2'5 Types of waste generated by the project
WASTE,
Waste Water (GENERATED DURING CLEAN-
UP OF POULTRY HOUSES / |
| WASHING OF UTENSILS)
Solid Waste BIRDS MANURE. i
Dust Particulate
Others |
TYPES OF DESCRIPTION/SOURCE VOLUME(m day)
Poutry Checklist |
DENR-EME-EIA & DA.NAFC| 2.2.1. Attach treatment scheme for the proposed wastewater treatment
facility with dimensions and descripticn of each of the treatment
units, if applicable.
2.3 Manpower Requirement of the Project
2.3.1. No. of employees to be hired by the project
During the construction phase: 30 MANPOWER
During the operational phase: 4 MANPOWER
3.0 DESCRIPTION OF THE PROJECT ENVIRONMENT |
Attach the following:
> Vicinity Map;
Picture of the proposed site (Provide captions and brief description ofthe area);
> Site development plan showing the location of the followng: |
+ Birdhouses;
‘+ Mortality pits; |
+ Composting area; |
> _ If with a Feedmill, identify location of air pollution control structures.
3.1 Description of the project site |
Area covered by the project: 1.464 (m*)
Table 3.1 description of the existing land use of the immediate/adjoining
area within the 200-meter radius from project periphery. (Check dominant land
use and indicate estimated density locators.)
23 d Zz 2 Z 2
z z
cuz | & gs z $e z
orection | ; 3 & 5 5 £5 E
323 2 3g a 8
es 5 Es g 23 3 ||
gs 8 = g = || ey
North = Vv T
‘South z v |
East Vv 1 LL
West Vv iH |
Remarks: beet
Poutry Cheeksst
DENR-EMB-EIA S OA.1IAFCTable 3.2 __Description of existing land use of the immediate/adjoining area
beyond the 200-meter radius from project periphery. (Check dominant land use
and indicate estimated density locators.)
seo ca lee) oe all ¢
53? g ee 2 gE =
Direction | Ba 3 i 5g 3 58 2g
gee | 3 es 3 23 Z
ee 8 2 g = F
North | i
South
East Vv i
West alee:
Remarks:
| I
3.2 | Description of the terrain (% slope) |
[ ] Flat or Level (0-3) |
Vo] Level to Undulating (3-8)
t ] Undulating to rolling (18-30)
[ ] Rolling to moderately steep (18-30)
[ ] Moderately steep to slightly mountainous (30-50)
{1 Very mountainous (above 50) |
3.3 Identification of water bodies adjacent to the site |
[Please Check | Name of | Location (Specify Current Distance
Body of Water in | the Water | complete address as Usage of from the
the Vicinity of the Body sitio, barangay, town | Water Body Proposed
Proposed Site and province) (domestic, Project.
industrial, | Area (in
agricultural) | kilometers)
Water Body | NA 1
Creek if T
River ial [
Sea | |
‘Others (pls. | |
specify)
Poutty Checklist
DENR-EMB-EIA & DA-NAFCyw vw
|
|
3.4, Identification of existing ecosystem |
ECOSYSTEM DISTANCE FROM THE | DIRECTION in N,S.E,W
PROJECT AREA
kilometers)
3.5 Project's Social Acceptability
3.5.1. Is there any complaint/opposition to the project?
[Vy] No
C t
Yes
If yes, what is the nature of the complaintopposition to the
project?
i
I
3.5.2 Has the issue/complaint been resolved? N/A |
C 1
No l
| Manner of Resolution:
Date of Resolution:
Poutty Checkist
DENR-EMB-EIA& DA-NAFC
J
Yes |4,0 DESCRIPTION OF IMPACT AND MITIGATING MEASURES |
4.1. Pre-Construction/Construction Phase
Please Mitigating/Enhancement
Check : Measure
Appropriate | Describe (Recommendation to
Components/Parameters | “"anewer | the impact | come from the inspecting
Yes | No area office for compliance by
the proponent) _
Will there be land clearing? | 7 CONDUCT VEGETATION
1484(m?) | ACTIVITIES / PLANTING
OF INDIGENOUS TREE
SPECIES / ORNAMENTAL
PLANTS AS MUCH AS
POSSIBLE
Will there be vegetation | V REPLANTING ie
clearing? REVEGETATION AS
= (m*) | SOON AS POSSIBLE
Will there be tree cutting? |
Will there) be to soil v ]
removal? Replacement? (mm?) |
Will there be excavation | V7 “STOCKPILE CUT SOIL IN
works and cut & fill 1464(m?) ASAFE PLACE) AREA)
activities? - USE SOIL AS FIRM
GRADSING — MATERIAL
OR FIRM LAYER
Wil there be other
earthmoving activities? (m’)
Will there be any slope Vv
modification or ground
leveling?
Will there be an increased v
traffic movement in. the |
area? oh
Will there be an increase Vv
economic activity in the
area?
‘Will there be an increase in |
availability of employment? |
Will there be displacement
of people in the area? es
Does the displacement will )
involve relocation of |
affected parties? i |
Pout Checkist
DENR-EMB-EIA & OB-NAFC4.2) Operation Phase
|
‘Components!
Parameters,
Please Check
Appropriate
‘Answer
Describe
the
impact
Yes | No
area
Mitigating/Enchancement Measure
Wastewater
Physical |
Treatment
Physical Biological
Tertiary
Treatment {
Others, pls.
specify (use
additional sheet if
necessary
‘Odor
Chemical
Treatment l
Feed Additives
Green Zone | V
Establishment
Others
L
Solid Waste
Production |
‘Composting V
Landfill \
Contractor Buying
Mortality Pit (for | V7
livestock
moralities)
|
Air Pollution from
feedmill
Cyclone Dust !
Collection
Bag House
Poutty Checkist |
DENR-EMB.EIA § OA-HAFC‘odN-VO 8 W13-ENNZO
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[hereby commit to undertake the following:
a
PPoutty Checklist
‘Comply with existing environmental rules and regulations, guidelines and
criteria
Construct, maintain and properly operate adequate and appropriate
treatment facilities for my liquid waste and air emissions, if there are any;
Construct, maintain and properly operate an adequate and appropriate
storage and disposal facilities for solid wastes;
Institute measures to ensure and maintain the cleanliness of my project's
general surroundings to prevent occurrence of nuisance;
Extend social benefits to the community;
Pay environmental tax or fee should this be deemed necessary by the
appropriate authority to maintain an environmental-friendly area; and,
Initiate the formation of Multipartite Monitoring Team (MMT) and establish
an Environmental Monitoring Fund and fl sccordns with the provisions
of DAO 96-37. f
/ ff yh
MevcHon _G- CABNERO OA
Project Proponents Signature over printed Name
Vener Vad Voxtiny
Title/Designati
Ie,
Date
(OENR-EMB-EIA & DA-NAFC6.0 ATTACHMENTS
1 Goveming Permits and Clearance (Attach photocopies of documents)
PERMITS/CLEARANCES "| ATTACHED?
_ | __YES NO
| Business Permit —— 2 |
Sanitary Permit
| Building Permit i
Endorsement from LGU/Brgy. iv
| Locational clearance/certificate of Locational Viability (HLURB |
Clearance) |
2. Other Attachments
ij DESCRIPTION | _ ATTACHED?
Yes | NO
| Transfer Ceftificate of Title
Project Vicinity Map/Sketch
| Site Development
_ Endorsement from the LGU (Barangay/Municipal Certificate)
' Construction Schedule in GANTT Chart Form j |
Poulty Checktst
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ANSWALVLS ALITIEVLNNOSOVACKNOWLEDGMENT
dayot flo ,20% at Son Cay
ironies STyeaTe
appeared 1! ifue A80eRS with Community Tax Cortiicate issued on ¢ x
Before me personally
at Si Civles GY), in hismer capacity as Pre pe ren of
and acknowledged to me that this IEE Checklist is his voluntary
Sct and deed, and the voluntary act and deed of the entity he/she represents. [This
document which consists of including the page on which this
acknowledgement is written, is an initial Environmental Examination Report
Doc. No. _¢/
Page No. _| g
Book No.
Series of
Poulty Checkst
DENR-EMB-EIA 8 DA.NAFC