ate PIGGERY FARM PROJECT ial Environmental Examination (IEE) Checklist GUIDE FOR PROPONENT Below is the IEE Checklist for Piggery Farm Project with a population from 50 to 500 Pigs. Read the questions carefully and provide the appropriate answers in the spaces/blocks 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). Project Proponent: _JAMS HOG FIELD CO.,LTD. Project Location: BRGY GUESET, BUGALLON, PANGASINAN. (Sieet, Barangay, Municipalty, Province/City) Name of Proponent: ENGR. FERDINAND M.MOLANO ‘Address: MATALAVA WEST, LINGAYEN, PANGASINAN (Stale Complete Address: Street, Barangay, Municipality, Province/Giy) Telephone Number(s) Fax Number(s) email A. GENERAL INFORMATION 1, Project Ownership WSingle Proprietorship / Corporation / Partnership / Others (cooperative, association, NGO, etc.) 2. Project Capitalization : PhP 1,017,640.17 Equity PHP. External Financing: PhP4. Project Objectives/Rationale Present a brief but complete description of the proposed undertaking. Include ‘among others the reasons why the project is proposed. The ject was initiated by the nt as an additional income For the family and to create employment and PROFILE OF THE PROPOSED SITE. Land Land Area Covered by the Project, 18.28 Baus for Land Ownortip: (Atlch cbcunonie er each Marked Bovepare} [Y]octct [ ] Lease Contract [Others Land Use Classification of the Project Site [ ]Commercial [| ] Agro-Industrial [ ]industrial [V ] Agricultural Altach Location Clearance duly issued by MPDC/HLURB Accessibility to the site (Modes/Routes) Barangay Road: Fronting the site Provincia/National High-Wey. About 1.5 Kilometer Private Road: Right of way (Please identity the access) See attached site development plan Picture of the site:mein yynog ‘M8IA YUONPROJECT COMPONENTS Hog Population _200 Broken down as: ‘Sows Boars Piglets Fatteners Extent of Operations: Breeding [1] Fattening / Finishing Staughtering [—] Processing | Marketing x 1. List of EquipmentFaciities: EquipmentiFaciities No of Units Piggery Building 4 200 Heads: Electric Pump a Hp ‘Oxidation Pond 1 Gxtxt.5 | ‘Septic Vautt 2 Chambers ‘About 33 cum. | 2. Infrastructure: | Infrastructure (attach property scaled site development plan) Infrastructure Units: Floor Area Piggery Building 7 300 sq.m. Feeds Storage 7 356g. m.3. Utilities 3.1 Power Utilities ‘Sourceftethod Guha Uttty | No.of Units | (Generator Set andlor | (uy or Watts) ‘Local Power supply) [Lighting 5 PANELCO 200 W. ‘Con. Outiet 4 PANELCO 200 W Elect. Pump 1 PANELCO 745.7 W | j 32 Water Utities Water Utilities | No.of Units | Source/Method of ‘Out Put ‘Water oxtraction (galhour) DEEP WELL 7 Electric Pump 475 4, Waste Production “Type of Waste Description/Source: Volume m/day | Wastewater Cleaning of pens and 510 cumiday | ‘bathing of pigs l ‘Solid Waste Packaging materials MINIMAL ! Dust Particulate | Dust from feed handling MINIMAL ‘Others (pls. specify) DESCRIPTION OF ENVIRONMENTAL SETTING Physical Environment 1.1 Terrain (%Slope) VJ Flat or Level (0-3) Level to Undulating (3-8) Undulating to Rolling (18-30) Rolling to moderately steep (18-30) Moderately steep to slighty mountainous (30-50) Very mountainous (Above 50)~ — 1.2 Nearest Waterbodies Please Chock | Name of | Location (epecify | Current Distance Body of Water | Water Body | complete address | Usago of | fromthe In the Vicinity of as sitio, barangay, | Water Body | Proposed Proposed Site town and (domestic, | Project Area province Industrial, | (kilometers) agricuttural ‘Creek | NONE Bray. Gueset_ | agricuttural | ""50 River ‘Sea Others (Specify water body) water body) Immediate Adjoining Areas 1.3 Immediate Point of Waste Discharge: Two chamber septic tank 1.4 Ultimate Destination of Discharge: Oxidation pond-creek (Specify Piease Check Appropriate Land Use in the Vicinity of the Proposed Site Location (epecity sitio, ‘Barangay, town and Province) Distance from Project Area (in| kilometers) Agricutural Brgy. Gueset 20 meters: NA “Agro-Industriai et Brgy. Gueset 500 meters: Institutional N/A ‘Commercial NA ‘Open Space NA ‘Others (pis. speciy) Biological Environment Please Check the Presence of the Following Ecosystom in the Vicinity of the Proposed Site Location (specity sitio, ‘barangay, town and province) Distan ce from Project area (in Forest Land Brgy. Gueset ‘500 meters. Wet Land. N/A. ‘Coastal/Marine NA. ‘Mangrove. NA, Protected Area NA. Other(pis. Specify) No. of Trees to be affected during project implementation _NONE_‘Socio-Economic environment 41 Existing Settlements within the Project Area | Description Unit Mitigating Plan Total Households that willbe | NONE WA Dislocated Families that wil be Relocated _| NONE. WA No. of Individuals from the Area that will Benefit (as employees / laborers) 42 Are there facilities within the 500-meter radius of the project site? No[V]Yes[ ] it yes, please check appropriate box/boxes. [ ] Barangay Clinic {1 Schools | [| Municipal Hospital (1 Public Market [1 Others ‘4.3 Is there any public opposition against the project? [LV 1No [ 1Yes (Attach documents to support your answer) 4.4 Pre-Construction / Construction Phase ‘Answer ‘Components! Parameter Yes | No gating | Enhancemer Impacts | gone ahous come from the inspecting ‘ior compe By the proponent) ‘Wil there be land clearing? ‘Wil there be vegetation | Gearing. ‘Will there be tree cutting? Wil there be topsoil removal? Replacement ‘Wil there be excavation ‘works and cut & fil activities? Wil there be other cearthmoving activites ‘Wil there be any slope modification or ground leveling?‘Answer Mitigating? Yes | No Enhancement Graueccry Impacts | (Recommendation sould ‘come rom tho Inspecting (cor for comptance by th proponont) Willie be inveased The project trafic movement inthe V | steisa area? remote area Wil tire be an inoease ih economic activity in the area? Wil tire be an inrease in| V7 Employment {valabity of employment? ofbrgy folks Wil there be displacement of T people in the area? i Wil the displacement invave 7 relocation of affected v | parties? | ‘4.5 Operation and Maintenance Phases ‘Components! Impacts | Describe your Mitigating? Parameter | Yos | No. Enhancement Measure Physical Treatment Water polation v ruisance | Tromten—| boges and Wastewater teaching canbe Toray Treaintnt Ones ‘Oder Chemical | Danestan Treatment | canals to ‘nnimze Air pottution | f°? crc oner fond nuisance sdctves | minimis oo— — ‘Components’ | Answer Impacts | Describe your Mitigating! Parameter [Yeo Enhancement Measure Green Zone | Piantng of Establishment. | tees along the parimetor of fo project | Chew | Generation of | t#netit | hazardous: ‘Contractor : cas | ie | Moray P| Conatucton of (for Livestock | mortality pit! Moraites) ‘Cher Air Pollution ‘Cyclone Oust | ‘Cotecton (from Feedmil) = 4.6 Attach scheme of treatment for the proposed wastewater faciity/plans with dimensions and description of each of the treatment units. 4.7 Attach Location Plan for composting / Landfill Area4.8 Attach Equipment Lay-out of the Feedmill Plant, Air Pollution Control Facilities and Mortality Pit detail. —. ATTACHMENTS. 1. Governing permits / clearance (attach photocopies of documents) PERMITS/CLEARANCES YES NO (ATTACHED? Business Permit ‘Sanitary Permit Building Permit ‘Water Rights Permit (NWRB) Endorsement from LGU. Locational clearance/ certificate of Locational Viability (HLURB Clearance) 2. Other attachments ATTACHED? DESCRIPTION “Transfer certificate of Title Project Vicinity Map/Sketch ‘Site Development ‘Map/delineation of primary & secondary impacts areas ‘Endorsement from the LGU (Barangay/Municipal Certificate) ‘Construction Schedule in GANTT Chart Form,F. _ ENVIRONMENTAL MANAGEMENT PLAN Project: JAMS HOG FIELDS CO.,LTD. Bray. Gueset, Bugalion, Pangasinan 00 Impact Mitigation Period of Responsible Parly Enhancement Measure. Implementation Proper maintenance of | Throughout project ife ‘The proponent septic vault/ earth pond and regular removal of sludge. Proper sanitation that ‘Throughout project ie The proponent includes proper cleaning and disinfection Planting of trees around | Throughout project life The proponent the project site G. _ RESULT OF SITE VERIFICATION REPORT / RECOMMENDATION Checked/Surveyed by: Conforme: ProponentACCOUNTABILITY STATEMENT This is to certify all information and commitments in this Initial Environmental Examination (IEE) Checklist are true, accurate and complete. Should we lear of any information which would make the IEE Checklist inaccurate, we shall bring said information to the attention of the Environmental Management Bureau. Ue hereby bind myself/ourselves jointly and solidarily for any penalties that may be imposed arising from any misrepresentation or failure to state material information in the IEE Checklist. a 50s i Molano Project Proponent (Signature over printed name) Owner (Tile/Designation) (Date) ACKNOWLEDGMENT BEFORE ME this 6th day of _Meréh 2008 at (place) San Fernando City ; personally appeared (name) with’ Community Tax Certificate No. issued on (date) eucaasaaseaaen at nation) (place). in histher capacily as ( of (name of slitution) ‘and acknowledged to me that this is hisiher voluntary act and deed at the entity he/she represents. This document, which consists of pages, including the page on which this acknowledgement is written, is an Initial Environmental Examination Checklist. Witness my hand and seal on the place and date above written, ahs Page No. 233, Book No, HIV 1 Series of 2008, a 4