SUBDIVISIONS AND HOUSING PROJECTS

INITIAL ENVIRONMENTAL EXAMINATION ( IEE ) CHECKLIST REPORT

for

Project name or Title

Subdivisions and Housing Projects

Projects Project Size Corresponding Project
Parameter Size/Threshold
Subdivision and housing projects,
resettlement projects, economic
and socialized housing project, total land area, including all
Regardless of area
open market housing and other common and other areas
similar (horizontal) land
development projects

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

Project proponents are strongly discouraged to engage the services of

consultants/facilitators/preparers to accomplish/fill-up the IEE Checklist
Report Form. The Report Forms have been designed to be user-friendly.

Furthermore, EMB Regional Office is required to complete the processing of

an ECC application using the IEE Checklist Report within twenty (20) working
days upon receipt for duly-accomplished forms with complete attachments

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

PROJECT FACT SHEET

Project Name:
_______________________________________________________
Project Location: _______________________________________________________

Total Project Land Area: _______________________________________________________

Total Project Area

(Area actually utilized)
Project Proponent:

1 IEE Checklist Report for Subdivisions and Housing Projects

 Office Address: _______________________________________________________
Contact Person: _______________________________________________________
Designation: _______________________________________________________
Contact Number/s
Landline : _______________________________________________________
Fax Number: _______________________________________________________
Mobile : _______________________________________________________
E-mail Address: _______________________________________________________

I. PROJECT DESCRIPTION

1.1 PROJECT 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 and survey plan
approved by Geodetic Engineer.

Geographic coordinates of the project area (Preferably use WGS 84 datum, otherwise specify datum used).
Perimeter/Boundary points
Longitude Latitude
(based on OCT/TCT/etc)

2 IEE Checklist Report for Subdivisions and Housing Projects

 1.2 PROJECT COMPONENTS

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

Capacity Description / Remarks

1. Residential lots
2. Commercial Area (e.g. banks,
restaurants, outlets, stores,
etc.)
3. Institutional Area (e.g. offices,
schools, etc. – please specify)
4. Amenities (e.g. swimming
pools, gym, Chapel, club
house, etc.)
5. Open/Common Spaces (e.g.
reception area, garden, parks,
etc.)
6. Road system
Primary/Main road
Secondary road
Alley
7. Common Parking area
8. Water supply system
9. Drainage system
10. Support facilities (e.g.
emergency generators, guard
houses/posts, etc.)
11. Waste Water Management
Facility
12. Solid waste management
facilities
13. Others, specify
____________________
(Use additional sheets if needed)
_____________________________________________________________________________________

1.3 UTILITIES/REQUIREMENTS (Operation Phase):

Utilities Source Estimated Demand/Consumption

Power/Electricity KWh
(Total)
Power/Electricity KWh
(From Renewable Energy
Sources)
Water m³/day
(Total)
(Fill-up table below if water is not
obtained from the local water utility)
Water m³/day
(Rainwater Collection
System)

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

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

Location of water source

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

3 IEE Checklist Report for Subdivisions and Housing Projects

Energy/Water Efficiency
Utilities Estimated Savings Proposed Efficiency/Conservation
Measures
Power/Electricity KWh

Water m³/day

1.4 MANPOWER

a. Construction Phase
Manpower Expertise/Skills Total
Requirement

b. Operation Phase
Manpower Expertise/Skills Total
Requirement

1.5 INDICATIVE PROJECT COST

Project Cost (PhP): ____________

4 IEE Checklist Report for Subdivisions and Housing Projects

TAL IMPACTS AND MANAGEMENT PLAN

/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of M

Implementation and frequency

Current land use w/in 1km radius  See attached proof of compatibility with
(as per zoning ordinance): land use
 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
______________

Existing vegetation in the area:  Compliance with conditions of DENR/LGU  Annual inspection of area  Cost
 Forestland SLUP, Tree Cutting Permit, ROW, PCA replanted/ revegetated const
 Marshland
Permit

 Grassland
 Limit land clearing as much as possible

 Mangrove
 Provide temporary fencing to vegetation
that will be retained
 Wetland  Promote restoration of damaged or
 Others, specify destroyed vegetation where possible (e.g.,
____________________ tree planting);

ecklist Report for Subdivisions and Housing Projects

/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of M
Implementation and frequency
Slope:  Provide erosion control and slope  Regular inspection of slope  Slope
 flat (0-3%) protection measures protection measures in Cost:
 gently sloping to rolling (3-18%)  Designate a Spoils Storage Area, with erosion-prone areas  Othe
 steep (>18%) topsoil set aside for later use and allow  Regular inspection for new ____
maximum re-use of spoils eroded areas near the site
Note: if project site is located in  Compliance to the standard criteria for  Others, specify
an erosion prone area greater sanitary landfill development DAO 49 and ___________
that 18% slope submit: 50.
IEER
EGGAR
 Construction during dry season Requirements under EGGAR

Establish MMT. EMF and EGF  Stabilization of embankment with grasses

(FOR FURTHER EVALUATION or other soil cover
AND CLARIFICATION)  Others, specify
____________

Compliance with Easement requirements (3

meters for urban, 20 meters for agriculture,
etc.) and ROW

 Compliance with the DENR Administrative

Order No. 2003-30 and DENR
Is the project site located in an area Administrative Order No. 2000-28,
identified by Implementing Guidelines on Engineering
MGB/PAGASA/PHIVOLCS as Geological and Geo-hazard Assessment
hazard prone? (EGGA).
 Yes
 No
on Existing soil type in the area:  Implementation of the Ecological Solid  Daily inspection of  Cost
 sandy Waste Management Plan (ESWMP) waste/recycling bins for const
 clay  Set-up temporary fence around the segregation

 sandy-loam construction area  Daily inspection for presence

 Implement re-use and recycling of waste of mixed garbage in the
 Others, specify
materials facility
____________________
 Implement proper segregation, collection  Weekly inspection of waste
and disposal of domestic wastes in accumulated

ecklist Report for Subdivisions and Housing Projects

/ Baseline Environment
Presence of visually significant
landforms/landscape/structures?
 Yes
 No
e Specify nearest/receiving water
body:
____________________________
Distance to nearest/receiving water
body:
 0 to less than 0.5 km
 0.5 to 1 km
 More than 1 km
If nearest/receiving water body is
fresh water, specify classification:
 AA
ecklist Report for Subdivisions and Housing Projects
Preventive/ Mitigating Measures Monitoring Parameters/ Cost of M
Implementation and frequency
designated areas  Others, specify
 Provide receptacles / bins for solid wastes ____________________
 Coordinate with the municipal / city waste
collectors
 Engage third party company for waste
collection
 Others, specify
________________
 Implement landscaping and other  Regular inspection of  Cost
beautification measures landscaping and other const
 Provide adequate buffer beautification activities
 Compensate adjacent property owners  Regular monitoring of buffer
zones
 Others, specify
 Regularly monitor
________________
presence/absence of
complaints from adjacent
property owners
 Set-up proper and adequate sanitary Regular (ocular) inspection of:  Cost
facilities  Drainage / canal systems const
 Strictly require the contractor and its  Water treatment facility (i.e.,
workers to observe proper waste disposal grease trap, septic tank, etc.)
and proper sanitation
 Strictly observe proper waste handling and Quarterly monitoring of the
disposal following:
 Provision of wastewater treatment facility  pH
(e.g. oil and water separator, etc.)  TSS concentration
 Set up silt trap/stilling ponds to minimize  BOD
downstream siltation
 Total Coliform
 Provision of three-chambered septic tank
 Color
for domestic sewage
/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of M
Implementation and frequency
 A  Others, specify  Oil and Grease
 B ___________
 C
 D

If nearest/receiving water body is

coastal or marine water, specify
classification:
 SA
 SB
 SC
 SD

Current Water Use:

 Fishery
 Tourist Zone / Park
 Recreational
 Industrial
 Agricultural

Distance of project area to the

nearest 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

ecklist Report for Subdivisions and Housing Projects

/ Baseline Environment
Size of population using receiving
surface water:
 ≤ 1,000 persons
 >1,000 and ≤ 5,000persons
 >5,000person
Available/nearest water source.
 Deepwell
 Water district/LGU
 Surface water
 Others, specify
_________________________
Preventive/ Mitigating Measures Monitoring Parameters/ Cost of M
Implementation and frequency
 Implement rainwater harvesting and similar  Cost
measures as an alternative source of water  Regularly monitor const
 Observe water conservation measures presence/absence of
complaints
 Careful selection of project site to avoid
disruption of traditional water uses  Regular coordination with
concerned agencies
 Obtain Water Permit from NWRB
 Regularly monitor
 Improve efficiency of water supply and occurrences of water
distribution system shortages
 Others, specify  Others, specify
________________________ ____________

Is the project site located in an area

identified by MGB/PAGASA as
 Use appropriate design for project facilities  Regularly monitor  Cost
presence/absence of const
flood prone?  Implement appropriate drainage system
complaints
 Yes  Regularly remove debris and other
 Regular coordination with
materials that may obstruct water flow
 No concerned agencies
 Use appropriate technology (e.g. raised  Regularly monitor increased
hand-pumps) to protect drinking water from frequency of flooding
flood contamination
 Others, specify
 Others, specify
_________________
________________________

n Distance to nearest community:
 0 to less than 0.5 km
 0.5 to 1 km
 More than 1 km
 Properly operate and maintain all emission  Regularly monitor  Cost
sources (e.g. vehicles, generator, etc) presence/absence of const
complaints
 Install when applicable, the appropriate air
pollution control device/s
Regular (ocular) inspection of:
 Strictly enforce good housekeeping
 Absence of white or black
practices
smoke from vehicles,
 Control vehicle speed to lessen generator, etc.

ecklist Report for Subdivisions and Housing Projects

/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of M
Implementation and frequency
suspension of road dust  Presence of truck cover
 Conduct water spraying to suppress dust during deliveries
sources and minimize discomfort to
residents
 Use covered vehicles to deliver materials
that may generate dust
 Other, specify
____________________________

e Distance to nearest community:
 0 to less than 0.5 km
 0.5 to 1 km
 More than 1 km
 Properly operate and maintain all noise  Regularly monitor  Cost
sources (e.g. vehicles, generator, etc) presence/absence of const
complaints
 Install when applicable, the appropriate
noise control device/s (e.g., mufflers,  Regular monitoring of buffer
silencer, sound barriers, etc.) zones
 Implement appropriate operating hours
 Provide adequate buffer and/or planting of
trees
 Others, specify
_____________________________

Size of population of host barangay:  Provide relocation/disturbance  Regularly monitor  Cost

ct  ≤ 1,000 persons compensation packages presence/absence of
complaints
const

 >1,000 and ≤ 5,000persons  Prioritize local residents for employment

 Promptly pay local taxes and other  Regular coordination with
 >5,000person
financial obligations LGU

Classification of host barangay:  Regular coordination with LGU  Others, specify

nt _________________
 Urban  Prior consultation & coordination to
minimize disruption on daily domestic
 Rural activities & respect for IP rights and
cultural practices
Available services within/near the
host barangay:  Ensure participation of IPs in consultations

ecklist Report for Subdivisions and Housing Projects

/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of M
Implementation and frequency
or  Schools (e.g. elementary, high and dialogues
school, college)  Provide appropriate traffic/warning signs,
n  Health facilities (e.g., clinics, lighting, etc
hospitals, etc.)  Others, specify
 Peace and order (e.g., police ________________
outpost, brgy. Tanod, etc.)
 Recreation and sports facilities
 Others, specify
_______________________

y  Regular coordination with LGU  Regularly monitor  Cost

 Provide appropriate warning signs, lighting presence/absence of
complaints
const
and barricades, whenever practicable
 Observe proper housekeeping  Regular coordination with
LGU
 Provide on-site medical services for any
 Regularly monitor submission
emergency.
of reports to concerned
 Participate in public awareness programs agency
on health and safety
 Others, specify
 Implement appropriate safety programs for _________________
both community and workers
 Strictly comply with fire, safety and similar
regulatory requirements
 Others, specify
________________________

ecklist Report for Subdivisions and Housing Projects

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

Project Life or Service : ___________ years

Provide description of the Abandonment activities, such as, dismantling and waste
disposal.
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

IV. INSTITUTIONAL PLAN FOR EMP IMPLEMENTATION

Organization Chart:

4.1. Abandonment Plan (if Applicable)

12 IEE Checklist Report for Subdivisions and Housing Projects

Attach drawing/plan of sewerage treatment facilities (with dimensions and
descriptions)

13 IEE Checklist Report for Subdivisions and Housing Projects

 SWORN STATEMENT OF ACCOUNTABILITY OF THE PROPONENT

This is to certify that all the information and commitments in this Initial
Environmental Examination (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 as well as the following:
 Conform with pertinent provisions of applicable environmental laws
e.g., R.A. No. 6969 (Toxic Substances and Hazardous and Nuclear
Wastes Control Act of 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 with LGU development plans 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
any misrepresentation 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
exhibiting his/her Community Tax Certificate No. ___________________ issued at
______________________ on __________________________.

Doc. No. ____________________

Page No. ____________________
Book No. ____________________
Series of ____________________

14 IEE Checklist Report for Subdivisions and Housing Projects