EIA - IEC PRE TECHNICAL SCOPING SCREENING FORM - v01 1

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Department of Environment and Natural Resources

ENVIRONMENTAL MANAGEMENT BUREAU


Region VII

IEC & PRE-TECHNICAL SCOPING SCREENING FORM

I. PROJECT BACKGROUND/INFORMATION
1. PROJECT GENERAL INFORMATION
1.1. TITLE & CATEGORY
Project Title
Project Type
1.2 PROJECT LOCATION
Province
City
Barangay
1.3 PROPONENT
Name
Postal Address
Contact Person
Contact No./Mobile No.
Email Address
1.4 EIA PREPARER
Name
Postal Address
Contact Person
Contact No./Mobile No.
Email Address

II. EVALUATION OF SUBMITTED DOCUMENTS


COMPLIANCE
ATTACHMENT REMARKS
(✓OR  )
1. LETTER REQUEST FOR PUBLIC SCOPING
(within 3 months from the conduct of social
preparation)
2. PROOF OF CONDUCT OF INFORMATION AND
EDUCATION CAMPAIGN (IEC)
2.1. Conducted within 3 months prior to request for
Public Scoping
2.2. Copy of IEC Materials (Refer to DAO 2017-15
Section 6)
2.3. Proof of receipt of IEC materials by LGU and
other stakeholders
2.4. Documentation of Focused Group Discussion
(FGD) conducted:
2.4.1. LGU
2.4.2. LGU Province (if applicable)
2.4.3. Barangay/s
2.4.4. Government Agencies with related
mandates on the type of project
2.4.5. Households, business activities, and
industries that will be displaced
2.4.6. People whose socio-economic welfare and
cultural heritage are projected to be
affected by the project
2.4.7. Local Institutions (Schools, Churches,
Hospitals, etc.)
3. INITIAL PERCEPTION SURVEY RESULTS
At the minimum indicating the (using accepted
methodology):
3.1. Baseline knowledge about the project
3.2. Concerns/questions about the project
description of the project alternatives
3.3. Concerns about the environmental impacts of
the project
4. PROJECT DESCRIPTION FOR PUBLIC SCOPING
(from DAO 2017-15 Section 7.1c)
4.1. Project Information
4.1.1. Project Name/Title
4.1.2. Project Location
4.1.3. Project Type
4.1.4. Geographical Coordinates of the Project
Location
4.2. Project Proponent [indicate incorporators,
subsidiaries (for corporations)]
4.2.1. Proponent Contact Number
4.2.2. Project Email Address
4.2.3. Proponent Mailing Address
4.3. Need for the project, its goals & objectives
4.4. Alternatives being considered by the project
proponent on the following:
4.4.1. Project Type, Components, and Size
4.4.2. Process/Technology (including toxic
chemicals that will be used or produced and
may be released to the environment)
4.4.3. Resource Utilization (water, energy, etc.)
4.5. Proposed location of the project
facilities/components and alternatives
considered in the decision (Site Development
Plan / Project Layout)
4.6. A Map (e.g., Google) showing the project site/s
and the proposed EIA Study Area
4.7. Aerial photos of the project site taken not more
than 90 days from submission, at the minimum,
showing households, business activities and
industries that will be displaced as well as local
institutions (schools, churches, hospitals, etc.)
4.8. Projected timeframe of project phases
4.9. Project Cost
ADDITIONAL REQUIREMENTS IN THE PROJECT
DESCRIPTION PER DENR MEMORANDUM ORDER 2023-01
DATED JAN 13, 2023
4.10. Proximity and potential environmental impacts
of the project on Protected Areas (PA) and
Ramsar sites (see Annex A for the format) within
10 kilometers
• To list down all PAs and Ramsar Sites within the
province/s where the project is covered
• Distance is based on nearest points of the
perimeters of the PAs and Ramsar sites
• To indicated potential environmental impacts of
the project if located within 10 kilometers from
the PA and Ramsar Site
4.11. Spot map with distance to all Protected Areas
(PA) and Ramsar sites within the province
• To indicate all PAs and Ramsar Sites within the
province/s where the project is covered
• Distance is based on nearest points of the
perimeters of the PAs and Ramsar sites
• Use Geoportal PH (Areas of the PAs and Ramsar
Sites are already plotted)
4.12. Water and power source to be used in the
proposed project
4.13. The Names of the EIA Preparer/s of the EIA
Study
4.13.1. EIA Preparer Address
4.13.2. EIA Preparer Email
4.13.3. EIA Preparer Contact Number
4.13.4. If an EIA Team, list all names of EIA
Team Members
5. PROPOSED LIST OF INVITEES FOR PUBLIC SCOPING
5.1. LGU
5.2. LGU Province (if applicable)
5.3. Barangay/s
5.4. Government Agencies with related mandates on
the type of project
5.5. Households, business activities, and industries
that will be displaced
5.6. People whose socio-economic welfare and
cultural heritage are projected to be affected by
the project
5.7. Local Institutions (Schools, Churches, Hospitals,
etc.)
6. DRAFT PRESENTATION OF THE PROJECT FOR THE
PUBLIC SCOPING (PowerPoint Presentation)
7. DRAFT INVITATION LETTER FOR PUBLIC SCOPING
AND IEC MATERIALS IN PREPARATION FOR THE
PUBLIC SCOPING
8. 3D ANIMATION OF THE PROPOSED PROJECT
(if available; to visualize what will happen to the site)
9. DRAFT PUBLIC SCOPING PROGRAM
10. SIGNED WFP AND OFFICIAL RECEIPT FROM PCAPI
FOUNDATION INC. – REGION 7 (payment)
Additional Requirements per DENR Memorandum Order 2023-01 dated Jan 13, 2023
11. COMMITMENT TO PERFORM AVOIDANCE,
MITIGATION, REHABILITATION, AND
COMPENSATORY ACTIVITIES FOR THE
ENVIRONMENTAL IMPACT CAUSED BY THE
PROJECT
12. SOCIAL DEVELOPMENT PLAN (SDP) / CORPORATE
SOCIAL RESPONSIBILITY (CSR) SHALL INCLUDE THE
PROTECTION OF SUCH PAS AND/OR RAMSAR SITES
ANNEX A:
LIST OF ALL PROTECTED POTENTIAL ENVIRONMENTAL IMPACTS
AREAS/RAMSAR SITES DISTANCE OF
(WITHIN the Province where the PROJECT LAND AIR WATER PEOPLE
project is located)

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