Resorts and Other Tourism/Leisure Projects

INITIAL ENVIRONMENTAL EXAMINATION (IEE) CHECKLIST REPORT

For

Project name or Title

This IEE Checklist Report shall be used for proposed Resorts and Other Tourism/Leisure Projects to
be located within Environmentally Critical Area (ECA).

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 completed/duly-accomplished form.

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/Building ___________________________________________________

Footprint Area
(Area actually utilized)
Project Proponent: ___________________________________________________
___________________________________________________
Office Address:
Contact Person: ___________________________________________________
Designation: __________________________________________________
Contact Information

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 Telephone Number: __________________________________________________
Fax Number: __________________________________________________
Mobile Number: __________________________________________________
E-mail Address: __________________________________________________

I. PROJECT DESCRIPTION

1.1 PROJECT LOCATION AND AREA: Street Name, Barangay, and Municipality/City, Province

_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

See attached vicinity map/s and photographs of the project site and site development/layout plan.

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

1.2 PROJECT COMPONENTS

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

Capacity Description / Remarks

1. Rooms
2. Villas
3. Public washrooms/toilets
4. Swimming pools

5. Function/Convention Hall
6. Lobby/Reception Area
7. Restaurant
8. Parking area
9. Water sports facilities
10. Wharf / Jetty
11. Mini zoo/Park
12. Ecological trail
13. Garden/Landscaping
14. Waste water Treatment Facility
15. Solid waste management
facilities
16. Drainage system

17. Others, specify

(Use additional sheets if needed)

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 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)

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

Water m3/day

1.4 MANPOWER

a. Construction Phase
Manpower Requirement Expertise/Skills Total

b. Operation Phase
Manpower Requirement Expertise/Skills Total

1.5 INDICATIVE PROJECT COST

Project Cost (PhP): ____________

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 II.ENVIRONMENTAL IMPACTS AND MANAGEMENT PLAN

Possible Environmental/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Social Impacts Implementation
LAND
 Consistency with land Current land use w/in 1km radius
(as per zoning ordinance):
 See attached proof of compatibility with
use 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
____________

 Disturbance to wildlife
Existing vegetation in the area:  Compliance with conditions of DENR/LGU  Annual inspection of area  Cost integrated in the
due to vegetation  Forestland SLUP, Tree Cutting Permit, ROW, PCA replanted/ revegetated construction /operation cost
clearing Permit
 Marshland
 Limit land clearing as much as possible
 Grassland
 Provide temporary fencing to vegetation
 Mangrove that will be retained
 Promote restoration of damaged or
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Possible Environmental/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Social Impacts Implementation
destroyed vegetation where possible (e.g.,
 Wetland
tree planting);
 Others, specify
_____________

Slope:
 Change in surface  Provide erosion control and slope  Regular inspection of slope  Slope/ Erosion Control
landform/ topography/  flat (0-3%) protection measures protection measures in Cost: ___________
terrain/slope erosion-prone areas
 gently sloping to rolling (3-18%)  Designate a Spoils Storage Area, with  Others, specify
topsoil set aside for later use and allow  Regular inspection for new _________
 Soil Erosion  steep (>18%)
maximum re-use of spoils eroded areas near the site
 Construction during dry season  Others, specify
_________
 Stabilization of embankment with grasses
or other soil cover
 Others, specify
_________
Is the project site located in an area
identified by MGB/PAG-ASA/
PHIVOLCS as hazard prone?  Compliance with the DENR Administrative
 Yes Order No. 2003-30 and DENR
Administrative Order No. 2000-28,
 No Implementing Guidelines on Engineering
Geological and Geo-hazard Assessment
(EGGA).

 Soil/Land contamination
Existing soil type in the area:  Implementation of the Ecological Solid  Daily inspection of  Cost integrated in the
due to improper solid  sandy Waste Management Plan (ESWMP) waste/recycling bins for construction /operation cost
segregation
waste disposal
 clay  Set-up temporary fence around the
construction area  Daily inspection for presence
 sandy-loam
 Implement re-use and recycling of waste
of mixed garbage in the
facility
 Others, specify materials
 Weekly inspection of waste
____________  Implement proper segregation, collection accumulated
and disposal of domestic wastes in
designated areas  Others, specify
__________
 Implement proper collection and
processing of animal waste into organic

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Possible Environmental/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Social Impacts Implementation
fertilizer
 Implement proper collection, labeling and
storage of hazardous waste
 Provide receptacles / bins for solid wastes
 Coordinate with the municipal / city waste
collectors
 Engage third party company for waste
collection
 Others, specify
________________

 Impairment of visual
Presence of visually significant
 Implement landscaping and other  Regular inspection of  Cost integrated in the
landforms/landscape/structures? construction/ operation cost
aesthetics beautification measures landscaping and other
 Yes beautification activities
 Devaluation of land  Provide adequate buffer
values  No  Regular monitoring of buffer
 Compensate adjacent property owners
zones
 Others, specify  Regularly monitor
________________ presence/absence of
complaints from adjacent
property owners
 Encroachment into
Is the project area near protected  Obtain appropriate permits/clearances  Regular coordination with  Cost integrated in the
areas or ecologically-sensitive from concerned agencies concerned agencies construction/ operation cost
protected areas or areas?
ecologically-sensitive
 Yes
 Provide adequate buffer
areas
 No
 Others, specify
________________

WATER

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Possible Environmental/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Social Impacts Implementation
 Increased siltation due
Specify nearest/receiving water  Set-up proper and adequate sanitary Regular (ocular) inspection of:  Cost integrated in the
body:
to project activities ___________________________
facilities  Drainage / canal systems construction/ operation cost

 Water quality  Strictly require the contractor and its  Water treatment facility (i.e.,
degradation Distance to nearest/receiving water workers to observe proper waste disposal grease trap, septic tank, etc.)
body: and proper sanitation
 Others, specify
 0 to less than 0.5 km  Strictly observe proper waste handling and
____________ disposal Quarterly monitoring of the
 0.5 to 1 km
 Provision of wastewater treatment facility following:
 More than 1 km (e.g. septic tank, oil and water separator,  pH
etc.)
If nearest/receiving water body is  Set up silt trap/stilling ponds to minimize
 TSS concentration
fresh water, specify classification: downstream siltation  BOD
 AA  Installation of drainage canals  Total Coliform
 A  Others, specify ___________  Color
 B  Oil and Grease
 C
 D

If nearest/receiving water body is

coastal or marine water, specify  Provision of three-chambered septic tank
classification: for domestic sewage
 SA  Provide ring canals around fuelling tanks/
motorpool/ maintenance areas
 SB
 Limit, where possible, the extent of
 SC
impervious (paved) areas
 SD

Current Water Use:

 Fishery
 Tourist Zone / Park
 Recreational
 Industrial
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Possible Environmental/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Social Impacts Implementation

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

 Competition in water
Size of population using receiving
 Implement rainwater harvesting and similar  Cost integrated in the
use
surface water:
measures as an alternative source of water  Regularly monitor construction/ operation cost
 ≤ 1,000 persons

presence/absence of
 Depletion of water Observe water conservation measures complaints
resources  >1,000 and ≤ 5,000persons  Careful selection of project site to avoid  Regular coordination with
 >5,000person disruption of traditional water uses concerned agencies
 Obtain Water Permit from NWRB  Regularly monitor
Available/nearest water source. occurrences of water
 Improve efficiency of water supply and shortages
 Deepwell distribution system
 Others, specify
 Water district/LGU  Use drought resistant species which
________________
require less water input and hence have
 Surface water
less impact on water tables
 Others, specify  Others, specify
_________________ ______________________

 Increased occurrence
Is the project site located in an area
 Use appropriate design for project facilities  Regularly monitor  Cost integrated in the
identified by MGB/PAG-ASA as presence/absence of construction/ operation cost
of flooding flood prone?  Implement appropriate drainage system complaints
 Yes  Regularly remove debris and other  Regular coordination with
concerned agencies
 No materials that may obstruct water flow
 Regularly monitor increased
 Use appropriate technology (e.g. raised
frequency of flooding

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Possible Environmental/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Social Impacts Implementation
hand-pumps) to protect drinking water from
flood contamination
 Others, specify
___________
 Others, specify
___________________

AIR / NOISE

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Possible Environmental/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Social Impacts Implementation
 Air quality degradation
Distance to nearest community:
 Properly operate and maintain all emission  Regularly monitor  Cost integrated in the
 0 to less than 0.5 km sources (e.g. vehicles, boiler, generator, presence/absence of construction/ operation cost
etc) complaints
 0.5 to 1 km
 Install when applicable, the appropriate air Regular (ocular) inspection of:
 More than 1 km
pollution control device/s  Absence of white or black
 Strictly enforce good housekeeping smoke from vehicles,
practices equipment, generator,
etc.
 Control vehicle speed to lessen
suspension of road dust  Presence of truck cover
during deliveries
 Conduct water spraying to suppress dust
sources and minimize discomfort to nearby
residents
 Use covered vehicles to deliver materials
that may generate dust
 Other, specify
_________________

 Nuisance due to
Distance to nearest community:
 Regular clean-up of animal houses  Regularly monitor  Cost integrated in the
generation of  0 to less than 0.5 km presence/absence of construction/ operation cost
obnoxious/unpleas
 Use of environment-friendly deodorizer or complaints
ant odor
 0.5 to 1 km odor masking substances
 More than 1 km  Spraying natural / microbial disinfectants

Is the wind direction blowing

 Provide adequate buffer and/or planting of
towards the nearest community trees
most of the year?  Others, specify
 Yes ___________

 No

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Possible Environmental/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Social Impacts Implementation
 Nuisance due to noise
Distance to nearest community:
 Properly operate and maintain all noise  Regularly monitor  Cost integrated in the
generation  0 to less than 0.5 km sources (e.g. vehicles, boiler, presence/absence of construction/ operation cost
generator, etc) complaints
 0.5 to 1 km
 Regular monitoring of buffer
 Install when applicable, the appropriate
 More than 1 km
noise control device/s (e.g., mufflers, zones
silencer, sound barriers, etc.)
 Implement appropriate operating hours
 Provide adequate buffer and/or planting of
trees
 Others, specify
_______________________

PEOPLE

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Possible Environmental/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Social Impacts Implementation
 Displacement of
Size of population of host barangay:
 Provide relocation/disturbance  Regularly monitor  Cost integrated in the
residents in the project  ≤ 1,000 persons compensation packages presence/absence of construction/ operation cost
complaints
site and within its
 >1,000 and ≤ 5,000persons  Prioritize local residents for employment
vicinity  Regular coordination with
  Promptly pay local taxes and other LGU
 Displacement of >5,000person
financial obligations
Indigenous People  Regular coordination with LGU
 Others, specify
Classification of host barangay: _________________
 Enhanced employment  Prior consultation & coordination to
and/or livelihood
 Urban
minimize disruption on daily domestic
opportunities  Rural activities & respect for IP rights and
 Reduced employment cultural practices
and/or livelihood Available services within/near the  Ensure participation of IPs in consultations
opportunities host barangay:
and dialogues
 Increased revenues for  Schools (e.g. elementary, high
 Provide appropriate traffic/warning signs,
LGU school, college)
lighting, etc
 Disruption/Competition  Health facilities (e.g., clinics,
 Others, specify
in delivery of public hospitals, etc.)
________________
services (e.g.,  Peace and order (e.g., police
education, peace and outpost, brgy. Tanod, etc.)
order, etc.)
 Enhanced delivery of
 Recreation and sports facilities

public services (e.g.,  Others, specify

education, peace and ____________
order, etc.)
 Increase in traffic
volume and worsening
of traffic flow

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Possible Environmental/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Social Impacts Implementation
 Impacts on community  Regular coordination with LGU  Regularly monitor  Cost integrated in the
presence/absence of construction/ operation cost
health and safety  Provide appropriate warning signs, lighting
complaints
 Others, specify and barricades, whenever practicable
 Regular coordination with
____________  Observe proper housekeeping LGU
 Provide on-site medical services for any  Regular submission of reports
emergency. to concerned agency
 Participate in public awareness programs  Others, specify
on health and safety ____________
 Implement appropriate safety programs for
both community and workers
 Strictly comply with fire, safety and similar
regulatory requirements
 Strictly comply with requirements of RA
6969
 Others, specify
______________

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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:

IV.1. Abandonment Plan (if Applicable)

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Attach drawing/plan of waste water treatment facility (with dimensions and
descriptions)

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 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 to 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 to 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 ____________________

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