ueutseBueg ‘sayusoy wo!sviqog “Aaug : ssmuaav VLIATY “W ONIGNADAS : INANOdOUd JO ANVN (Gaafoad axp 04 ssooae yoafoxd Jo somos pus sjapour ap saqesrpur dew yoroys payeny) ueulseBueg ‘sapesoy ‘vou “BIE — :NOLLVOOTLOMLOUd "DOJO TeIep 107 puw suonse [BO] 10y siseq are SIMSUU SHOSUOLID 10 BUIPPOSIN vooeds ayeidordde oxp ur sixp ayeompur pur ‘Aressa9ou J1 siooys [PUOREPPE 28f) “paprsoid sonds op ut Supomsue a10joq AjInyorwo suonsonb oy peoy “iofoud woneonddy qunog J9AwWH puv pueg [PIosUNUOD J0F ysIPJayo Yodoy FAI ap st MOjOg, Guauodorg y20fa1a) VLIATY ‘W ONIGNADaS sod vodey (qa) uoneurmexsy peyuouUOMAUg [eRTUy NOLLVOVIddV LINWd TEAVUD CNV CNVS TVIOWSWWOD TON 2080 [euoIdoy SOIAYAS VAAV CALOLOYd GNV LNAWIOVNVW ‘TV.LNSIWNOUIANA seomosay eINIEN Pue TOUITOTIAUE| Jo uSUNsedaCyENFORM 1 PROPONENT : SEGUNDINO M. REVITA ADDRESS : Brgy. Poblacion, Rosales, Pangasinan PROJECT LOCATION : Brgy. Carmen, Rosales, Pangasinan, SHORT DISCRIPTION OF PROJECT : ion _of. 1 ‘conventional earth moving equipment. 1, Is your project in any of those areas that fall under the category of Environmentally critical project which list appears as Annex A? (/) YES MNO 2. _ Is your project in any of those areas within the identified Environmentally Critical ‘Areas that appear as Annex B? (/) YES (NO Thereby certify that the above information are true to my knowledge and I shall be held liable if found to be untrue. b dea ail SEGI IO M. REVITA Date Projeft Proponent THIS PORTION IS TO BE FILLED BY APPROPRIATE DENR AUTHORITY TO WHOM IT MAY CONCERN: This is to certify that SEGUNDINO M. REVITA is herby exempted from PD 1586 and that therefore, the proponent can proceed with the implementation of the proposed project subject, however, to the conditions enumerated at the back hereof and other appropriate environmental rules and regulations required by both national and local authorities. Given this day of, 2007___at BY AUTHORITY OF DENR SECRETARY, Regional Executive Director (Please DENR seal here)A. GENERAL INFORMATION: 1. Project ownership [/] Single Proprietorship [ ] Corporation [ ] partnership 2. Capitalization and Project Cost Capitalization PHP 200,000.00 Project PHP 100,000.00 3. Project Object/Rationale .) Presentation of project purpose and background (reason why project is proposed) The main objecti ject is suppl and to for ket in and out of ince of b.) Presentation of need for the project at the national, regional & local level. nent with his busi is r ‘Sand_and_Gravel_for local_market, The project purpose is to extract call le the Sand_and its lement ‘production of his associates in view of the growing demand for local market. The ject asi it objective of the will alt ‘of livelihood for the inantl residents of id mmunity as well as to of revenue in the form, to be pai the to the I it units of the Provin: B. PROJECT DISCRIPTION 1. KIND OF MINERAL RESOURCES [ ] Metallic Minerals Specific Minerals {/] Non-metallic Minerals Specific Minet Sand and Gravel 2. Annual Rated Capacity of Extraction: /10,000 cubic meters‘SURNBSIG IO HAST :ONITIIW/DNISSTUC TVAINAN JO COHLAW *€ Pofojdu pompour orp Ayatsq ssnosyp pue Aoads) som [ ] Bury oymerpsH [ J ‘BurBpomp yenuey [ ] Baym yseo uadg [ /] ‘Suysyex pue Burzum Bupipe Jo uopEUIqUIO? ! H TyoUaY Suswy [ J suzum [ | sunpy [ ] ‘NOLLOVULXA FYO JO COHLAN ‘7% (pads) somo [ ] usodep Anquounpog [/ ] sodep o10 Jo adfy x9001q [J usodap a10 Jo odds poy [ ] ysodep aio jo odhy uaa [ ] saYO JO BoUNOs 1 powoy syonzy dumq pomay, sopeo Keg ory o1poeg, (peuao/payuayy SOUNOS/ALIOVAVO SINGIN Pesn 9q 0} quawdinbe jo adAy yey ‘Teonmeyoour J] C Jrrormeqooyy penne [ / J peorueyooyy C J renueyy WoRoENx” Jo poy “¢4. METHOD OF SMELTING OR METAL RECOVERY (include non-metallic) [ ] Amalgamation [ ] Retorting i) Others (specify and discuss briefly the method employed) [/] Not applicable 5. CHEMICALS TO BE USED: Others (specify) 1 Me — ] Soda ash (bone ash) ] 1 Not applicable [ [ C [ { us 6. SOURCE OF UNDERGROUND MINING SUPPORT (Timber and/or Lumber) [ ] Public forestland (name) [_ ] Private forestland (owner) [_ ] Reforestation contract (name of community/family base contract [. ] Timber concession (owner) { ] Lumber firms (owner) C) t Others (specify) Not applicable 7, SOURCE OF WATER SUPPLY: Potabl ist of water ¢ area d from Mill water requirement (please specif) N Not applicabl 8. SOURCE OF POWER SUPPLY: Electric Cooperative (name) Diesel/Gasoline Generator Set Horse power___Model__ Others (specify)9. INCASE OF DYNAMITE IS USED, SPECIFY THE FOLLOWING Number of drill holes, dynamite sticks, and blasting caps to be used per blasting round. Not applicable Source of dynamite and blasting caps Not applicable 10. METHOD OF DISPOSING MUCK WASTES/OVERBURDEN MATERIALS AND ITS CORRESPONDING CONTAINMENT STRUCTURES (specify and discuss briefly the methiodology involved) : Waste_management involving the _utilization of _natural depression _and low-lying areas as waste dump areas will be adopted. desi dump areas will be develo, and_provided with retaining wall/s using waste boulders which shall_be elevated as the need arises to contain the waste materials, 11. METHOD OF DISPOSING MILL PANNERS TAILS AND ITS CORRESPONDING CONTAINMENT STRUCTURES (specify the methodology involved) Not applicableC. Proof of Ownership over the adjacent Land (That is beside the river where oo proposed extraction project located). Status of Land Ownership [ 1 Owned/Title by virtue of OCT or TCT # CLT/Emancipation Patent No. Homestead Patent No. [ ] Owned/Untitled (Tax Declaration) [J Stewardship Contract [1 Waive from the Right owner signifying permission [ ] Other, please specify: 11. Accessibility to the Site (Modes/Routes): Barangay Road: Brgy. Carmen, Rosales, Pangasinan Provincial/National Highway: McArthur Highway Private Road: No, If passing thru a private land, how many landowners? Do you have permits from those landowners to use their and? (Please attached any waiver, lease contract, etc.)(ose peor ss2ooe ay) Aytoads) ang arp Jo ojoyg poyseny Sous omp Jo ampig orums0uRg *Zp(oste peos ssoov axp Aytoads) an1g amp Jo oioyg poyseny ous oMp Jo amrotg oruTBIOUEY “E]DESCRIPTION OF EXISTING ENVIRONMENT (Remarks: To be filled up the Proponent and DENR. Personnel who will conduct the sire evaluation/ ocular inspection of the site) | COMPONENT/PARAMETERS Y__N__ [PROPONENT _ | DENR PHYSICAL ENVIRONMENT a.) What is the general evaluation of The project area <100 mas! 100 — 300 mast 301-500 mas ! 500 - 1,000 masl (To determine elevation, refer to topographic . map where the elevation per contour line is 7 indicated.) ». Slope and topographic of the river bank ‘Terrain is flat or level (0-3% slope) Gently sloping to Rolling (4~ 8%) ! Undulating to Rolling (9 ~ 18%) Slope of the adjacent land within 1 km. Radius from the area: Eastward Westward 0-3% Southward oo rthward % Nocti 03% c.) Estimate volume of sand and : gravel minerals present during 50,000 : cubic the inspection (cum.) strated froma and gravel is Has the area experience any flash flooding! / expected that this during the west season or typhoons? If yes, rg increase as ‘When was the last time the area was flooded? y {the quarry operation, progress. 10‘What kind of access will be traversed? [ /]dirtroad [ ] asphalted [ / ] cemented [| graveled [_ Jothers (please specify) 500meter. cemented road and S00meter. dirt road What are the present uses of the water bodies within or near the extraction? {. ] bathing {_ ] washing [ ] fishing [_ ] recreation (e.g. swimming, bathing, etc.) [others (please specify) What is the present land use of the surrounding area? [_ ] Prime Agricultural Land (production & irrigated) [_] Orchard { JGrassland [| ] Fishpond . [ ] Prime Agricultural Land (idle/abandoned) ; [ ]Marshland/Mangrove [ ] Build-up { ] Watershed Area [/ ] Others (please specify) Quarrying Are there any existing Permittee(s) / extractor(s) within 1 km. radius from the proposed Site? { 1Y¥es [/]No Ifyes, How many? Estimated volume of Extraction/Hectare annual 10,000 cu.meter 4, BIOLOGICAL ENVIRONMENT COMPONENTS/PARAMETER ¥ [WN REMARKS Proponent DENR ‘Are the existing trees and other types of vegetation | / Grasses and different in the site and surrounding within 100 meters types of un-specified radius small tress Are there birds and other forms of wildlife found in | / the area? Are there fishing resources in the water bodies 1 ’ found near or within the extraction site? 4 : MlCOMPONENTS/PARAMETER y Are there existing settlements near the site (at least than 1 km, Radius)? If “YES” how many households? ‘What are the source(s) of income? Livelihood Type: [ / ]Farming {1 Fishing [1 Others, Please specify Quarrying Carpentry Drivers (Jeepney and Tricycle) 1 none ‘NA Tfanswer is “YES” to the above questions, pleases provide examples of the species: Birds and other Wildlife Trees and Other Important Vegetation Fishing Resources NA NA NA 3. SOCIO-ECONOMIC COMPONENTS/PARAMETER Y Are there existing settlements near the site (at | / least than 1 km. Radius? If“YES” how many households? ‘What are the source(s) of income? Livelihood Type: [ Others, Please specify in Drivers Gecpney and Tricycle) Carpentry _ Proponent DENR NAeI quouodoag, VIIATY W onfaNnnoas __(SWa- O4NID) aNIG +4q podaaing pus paytiea 1320050 wonsadsut oxp Jo uopepoUoSy/syEUIAY TeHORIPPY 2 2 Ajoods aseajg ‘somo [ J spout J aiqendsoy [J sefpua[ J siMBO PMD PHL | Tedeyoysoyomyy [J loows[ J POD aseafd amronnseyuy [efo0s Sunsrxe azo ary5. IMPACT ASSESMENT AND MITIGATION Put an (+) sign if the impact is positive and (.) for the negative in the Y/N Column) ‘Note: No pre-construction period on the SSM project. PROJECT ACTIVITIES AFFECTING: PHYSICAL N IMPACT MITIGATION/ENHANCEMENT ENVIRONMENT DESCRIPTION MEASURES T Land Will the proposal result in: A. Compaction, covering : Soil erosion, sedimentation | Mined out area should be backfilled Excavation or displacement and landslides with over burden materials of the soil beyond within the site compacted and to be planted with conditions? trees, specific grasses, or creeping vines, to avoid dust pollution, erosion, sedimentation landslide. B. A change in the topography Open cast mining often | Rehabilitation of the area shall be or ground surface relief features of the site inconsistent with the natural surrounding conditions? C. Unstable earth conditions? D. Changes in the soil or geologic substructures? E. The continuation of or increase in wind or water erosion of soil, either on or of the site? changes in erosion that may modify the channel of a river or stream or bed of a lake? results to the change in the topographic features of the area, During the mining operation benches may result to unstable earth condition. Loose sand and gravel and other mineral materials within the quay maybe easily be carried by surface run-off into lower land. mined-out. ‘be eroded is great. are contained. under taken once the pit has been Working area shall be maintained at a height of 3 meters and with of 5 ‘meters making the pit slope. Flowing water or surface run-off shall be diverted away from the quarry. Waste dump and other areas where the tendency for materials to The waste dump as much as possible shall be located within a natural depression and when necessary a toe dam shall be constructed along its lower periphery to insure that the loose material win the dump areaPHYSICAL ENVIRONMENT IMPACT DISCRIFTION MITIGATION/ENHANCEMENT MEASURES 2.AIR Will the project result in: a. Air/dust pollution emission or deterioration of ambient air? 3. WATER a. Changes in current or the course or direction of water movement? b. Alteration to the course of flow or 100-year flood waters? ©. Discharge into any surface water body pollutants that would alter water quality? Dust generated by the quarrying operation shall be minimum. There is a need to regularly sprinkle the access road with water to ‘suppress the generation of dust. The concentration of air pollutants shall be at the very low level because of the open air characteristic of the operation and the emission of relatively small volume of exhaust ‘gasses. To ensure that the volume of asses generated is within the emission standard, the standard, the quarry equipment shall be properly 15PHYSICAL ENVIRONMENT IMPACT DESCRIPTION MITIGATION/ENHANCEMENT MEASURES: d. Alteration of the direction or rate of flow waters. ©. Change in the quality of ‘waters through interception of an aquifer by cuts or excavation? f. Substantial reduction in the amount of water otherwise available for public water supplies? 4, PLANT LIFE Will in proposal result in a. Removal of any vegetative cover or other vegetation associate with critical wild life habitant. b. Changes in the diversity of species, or number of any species of plants (including trees, shrubs, grass, crops, micro flora and aquatic plants? The only vegetation that maybe affected by the proposed activities are grasses of different kind and other second growth that have grown over the sand and gravel deposit. Removing these grasses overall, there will be no impact on plant life. None among the number of any species of plants were diversified hence none among them are present at the project site. 166. SOCIO-ECONOMIC A. Increase existing noise levels? considered as inhabitant area. Noise emitted by the earth moving equipment. ~ PHYSICAL IMPACT MITIGATION/ENHANCEMENT ENVIRONMENT DESCRIPTION MEASURES . Reduction of the number ‘None among any of the | Since none among any of the unique of any unique, rare of number of unique, rare|/ rare or endangered species of endangered species of endangered species of plants | plants were present in the area, no plants? were cut back or diminution | mitigation measure should take into hence these plants were not | account. present and or affected by the project. 3. ANIMAL LIFE . Change in the diversity No change occurred during | Since none among the species are of species or numbers of or before the execution of the | said to be affected, no matrix of any species of animals project. This is not suitable | mitigation is need to satisfy this including reptiles, fish for any category of live | situation. and shellfish benthos species of animals and organisms, insects or insects or micro fauna, micro fauna? Reduction on the number No reduction of number of | The area is not suited or said to have of any unique, rare or unique, rare or are | pond so there is no need for any endangered species of endangered species _of | mitigation/ enhancement measure. animals? animals since that species were not intent to pond on the area. ). Deterioration of existing There is no deterioration of | The area is said so as not inhabitant fish or wildlife habitat? existing fish or wild habitats | area and there is no need for any since the area is not | matrix of mitigation or enhancement measure. Equipment should be used with a silencer influent to minimize noise in the area. 7PHYSICAL ENVIRONMENT. DESCRIPTION MITIGATION/ENHANCEMENT MEASURES: b. Exposure of people or Property to geologic hazards such as earthquakes, landslides, mudslides, ground failure, or similar hazards? 7. TRANSPORTATION/ CIRCULATION Will the proposal results in : a. Substantial impact upon existing transportation system. b, Alteration to waterborne rail or air traffic? . Increase in traffic hazards to motor vehicle, bicyclist, or pedestrians? ‘7.PUBLIC SERVICES Will the proposal have an unplanned effect upon or result in a need for new or altered governmental services in any of the following areas: Fire Protection? Police Protection Schools The area has taken its distance measurably away from any geological hazards that may cause earthquakes and slides or other similar hazards. The area had not taken affect ant of the —_ exiting transportation system. It's definitely a distant apart. No alteration to waterbome rail or air traffic had taken place in the execution during or before of the project. No immanent risk to affect or increase traffic hazards to motor vehicles, bicycles or pedestrian. The area has tent None among the list of governmental areas as here instated Since the area had taken its function not to due cause any geological animalization, any mitigation or enhancement measure was definitely needed to satisfy this category. Since the area is said to not affect any —_—_substanti existing transportation system, there is no need to apply any enhancement measure and / or mitigation. Since the activity on the area does not tend to affect or cause alterations to waterborne, rail, or traffic no mitigation or enhancement measure need to apply. Since the area is to have not cause any hazards to traffic or vehicles, no matrix of mitigation and Since none among any of the governmental services are present nor threatened to be affected,PHYSICAL IMPACT MITIGATION/ENHANCEMENT ENVIRONMENT DESCRIPTION MEASURES Parks or other recreational Re subject to affect or cause | Mitigation/enhancement — measure activities to affect any since the | needs not to apply. Maintenance of public facilities including other governmental services? 9. ARCHEOLOGICAL/ HISTORICAL Will the proposal result in an alteration of a significant archeological or historical site, structure, object, or building? 10. MANDATORY FINDING OF SIGNIFICANCE a. Does the proposal have the potential to degrade the quality of the environment, substantially reduce the habitant of a fish population to drop below self: sustaining levels, threaten to eliminate a plant or animal community reduce the range of a rare or endangered plant or animal or eliminate important examples of the major periods of the Philippine Islands history of pre-history. b. Does the project have Potential to achieve short term, environmental goals? (@ short term impact of the environment is that oceurs in a relatively brief definitive period of time, while Jong term impact will endure well into the future, location of the project is not intended for any government structures, The area has been notified for industrial Purposes. No _archeological/historical site, structure, object or building is/are present or existing in the project area. Squalor the quality of the environment has a very less tendency this would happen considering that the project area had been put up not to eliminate, cause to ruin any among "the preserve Philippine Islands history of pre-history and any among the endangered plants and animals and habitant of fish population and any other treated elements. The project ensures a long term goals and is also studied and grasp views and responsibilities of any impact there to happen during the extent of operation Since no archeological historical buildings or structure were present in the area, there is no need to apply any mitigation or enhancement measure. Since the project does not affect or cause to affect any of the Philippine Islands history of Pre-history, no need for any enhancement measures. Based of the physical features of the project, it has been intended and had taken its part to accommodate its responsibilities to whatever may ‘come in the extent of its operation thereby a possibility of knowing and evaluating whatever measure there needed to eliminate or prevent the future disturbances,PHYSICAL ENVIRONMENT IMPACT DESCRIPTION MITIGATION/ENHANCEMENT MEASURES . Does the projects have impact that are individually limited, but cumulatively considered? (a project may impact on two or more separate resources is relatively small but where the effect of the total of those impacts of the environment is significant). d. Does the project have environmental effect that will cause substantial adverse, effects ‘on human beings, either directly or indirectly? The project has eventually segregated to other sources whereby imitation of, operation hasbeen considered not to cause any adverse effect on environment impact. The project has been enormously beneficial and not to cause any improbable cause to human beings, apart from the emitted by the car moving equipment or noted. No other source of elements hhas been conceptualized to cause adverse effect on human beings. The project had taken and accepted its limitation considerably not to cause any adverse effect or environmental impact, any mitigation process or enhancement ‘measures had been presented. Since the only thing matter’s the project is the ‘noise that is uncontrollable by nature, and those noise can’t be controlled nor avoid, any mitigation or enhancement measure can’t be applied though, it is by nature’s effect. 20PROPONENTS COMMITMENTS ‘Are you committing yourself to... 1. Comply with the existing environment rules and regulations, guidelines and criteria? 2. Comply with all mitigation and enhancement measures that had been identified in this report. 3. Undertaken supplemental panting of trees, bamboo, ventiver grass or any of the above to present bank erosion. 4. Participate or support multi-partite monitoring efforts. 5. Put up or established Environmental monitoring of P for the use of multi-partite term. 2ACCOUNTABILITY STATEMENT This is to certify that all information, data and commitments in this initial Environmental Examination (IEE) Report are true, accurate and complete. Should we eam information to the attention appropriate DENR Regional Office. I hereby bind myself to any penalty that may imposed arising from any misrepresentation or failure to state material information I this IEE report, In witness whereof, I hereby set my hand this ~ day of WeorpeN 2007 at POSAe (wr Pangasinan. A SEGUNPINO M. REVITA Prdject Proponent ACKNOWLEDGEMENT BEFORE ME this 2,1); day of November , 2007 at — Rosales, Pangasinan, personal appeared SEGUNDINO M. REVITA with Community Tax Certificate No. 14668506 issued on Jan. 15, 2007 at Rosales, Pangasinan, and acknowledgement to me that this Initial Environment Examination is his voluntary act and deed of the entity he presents. This document, which consist of 22 pages incliding the page on which the acknowledgement is written, is an Initial Environmental Examination Report Checklist. Witness my hand and seal on the place and date writen above. SEVILLE raat EVILLEGA - CI RI Doc.No. __ /Y2— “ NOTARY:PUBLIC > 20 Page No. OTR Na ; 5304 Book No. Series No. 2007 22