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Republic of the Philippines

Department of Environment and Natural Resources


Environmental Management Bureau
Bayombong, Nueva Vizcaya
SURVEY REPORT
(POA Permit)
1.

Name of Firm/Establishment : Saint Mary's University High School and Science High School
Department
Tel. No.
: (078) 321-2221

2.

Plant Address/ Location


Tel. No.

3. Main Office Address

: Brgy. Don Tomas Madella, Bayombong, Nueva Vizcaya


: (078) 321-2221
: Saint Marys University, Brgy. Don Mariano Marcos, Bayombong,
Nueva Vizcaya
: (078) 321-2221

Tel. No.
4. Date and Time of Survey

5. Name(s) Position (s) of Responsible Person (s) Contacted


D.General Information:
Nature of Business

: Mrs. Me L. Galate
Pollution Control Officer 1

: Private Educational Institution

Date established

: 1934

Capitalization

: Private

Primary Land Use of Adjoining Areas:


( )
Agricultural land
( ) Heavy Industrial
( )
Light Industrial
( ) Commercial

( / ) Residential

Raw materials and Corresponding quantity (ies) :


Plant Operation:
Average
:
1 hrs./day
5 hrs.
Maximum
:
Seasonal Variation:
Peak season :
Full Season :
Number of Plant Employees:
Regular: 47 (for SMU high school only)
Contractual: 3 (including casual employee)
Source of Water Supply:
( / ) Deep Well
( ) MWSS
( ) Local WD
( ) Others, specify
Source of Waste Water:
Domestic m3/day
: 0.1m3/day
Process m3/day
:
Cooling m3/day
:
Others specify
:
Point(s) of Discharge or Receiving Body of Water: None (waste water goes to septic tank (for
Toilets).
E. Process Flow sheet and Brief Description of Process:
Schematic Diagram of Process (es) and equipment involved indicating raw materials input and
finished product output. (Use additional sheet if necessary). One (1) unit standby generator
(Silent type). (Please refer to the attached specification of the machine).
F. Brief Description of process (es). Use additional sheet if necessary. Please refer to Normal and
Emergency Feeder Single Line Riser Diagram and Power House Layout.

POLLUTION SOURCES INVENTORY FORM

NAME OF FIRM/ESTABLISHMENT : SAINT MARY'S UNIVERSITY HIGH SCHOOL AND SCIENCE HIGH
SCHOOL DEPARTMENT.
PLANT ADDRESS: BRGY. DON TOMAS MADELLA, BAYOMBONG, NUEVA VIZCAYA
OFFICE ADDRESS/MAILING ADDRESS: SAINT MARYS UNIVERSITY HIGH SCHOOL AND SCIENCE
HIGH SCHOOL, BRGY. DON TOMAS MADELLA, BAYOMBONG, NUEVA VIZCAYA.
NAME OF OWNER/MANAGER: REV. FR. RENILLO H. STA. ANA, CICM
A. GENERAL INFORMATION:
NATURE OF BUSINESS

: PRIVATE ACADEMIC INSTITUTION

DATE ESTABLISHED

PRIMARY LAND USE OF ADJOINING AREAS


:
( ) HEAVY INDUSTRIAL
( ) INDUSTRIAL
( / ) RESIDENTIAL
( ) COMMERCIAL
( ) AGRICULTURAL
FINISHED PRODUCTS AND CORRESPONDING QUANTITIES: NOT APPLICABLE.
PLANT OPERATION:
Average
:
2 Hrs./day
Maximum
:
8 Hrs./day
Seasonal Variation: N.A
NO. OF PLANT EMPLOYEES:

5 Days/week
5 Days/week
Regular
Contractual
Others

: 47 (for SMU High school only)


: 3 (including casuals)
:

PROCESS FLOW SHEET AND BREIF DESCRIPTION OF PROCESS


(Use Additional Sheet if necessary). NOT APPLICABLE.
SCHEMATIC DIAGRAM OF PROCESS AND EQUIPMENT INVOLVED INDICATING RAW
MATERIALS INPUT AND FINISHED PRODUCT OUTPUT. NOT APPLICABLE.
FINDINGS/OBSERVATIONS:

MRS. ME L. GALATE
Person Contacted
Surveyed/Inventoried by:

_____________________
Date and Time

A. POLLUTION SOURCE AND CONTROL INSTALLATION:


POLLUTION SOURCE EQUIPMENTS: ONE (1) UNIT STANDBY GENERATOR (SILENT TYPE).
PLEASE REFER TO THE ATTACHED SHEET FOR MACHINE SPECIFICATION.
POLLUTION CONTROL CORRESPONDING
NO.
TYPE
SIZE
RATED
DATE
NO. TYPE SIZE RATED
DATE
CAPACITY INSTALLED
CAPACITY INSTALLED
1 Unit Standby
generator
Set

2.4x.83x 100 KVA


1.7 m2

October
2014

Operation
Average

Operating hours/day

Operating days/week

# of shift/day

8 hrs./day

5.5 days/week

none

6days /week

none

Maximum

Operation/Production/Capacity:
Average Daily Production
Output
Total Water Consumption
this Quarter (cubic
meters)

Total Output this Quarter


No available data for water
consumption. Deep well as
water source and run by
electricity (pls. see campus
layout)

Total Electric Consumption this


Quarter (KwH) including
electric consumption of water
pump from deep well.

6,048 KwH

Republic of the Philippines


Department of Environment and Natural Resources
Environmental Management Bureau
Bayombong, Nueva Vizcaya
SURVEY REPORT
(POA Permit)
1.

Name of Firm/Establishment : Saint Mary's University Grade School Department


Tel. No.
: (078) 321-2221

2.

Plant Address/ Location


Tel. No.

3. Main Office Address

: Brgy. Don Domingo Madella, Bayombong, Nueva Vizcaya


: (078) 321-2221
: Saint Marys University, Brgy. Don Mariano Marcos, Bayombong,
Nueva Vizcaya
: (078) 321-2221

Tel. No.
4. Date and Time of Survey

5. Name(s) Position (s) of Responsible Person (s) Contacted


DI.General Information:
Nature of Business

: Mrs. Me L. Galate
Pollution Control Officer 1

: Private Educational Institution

Date established

: 1928

Capitalization

: Private

Primary Land Use of Adjoining Areas:


( )
Agricultural land
( ) Heavy Industrial
( )
Light Industrial
( ) Commercial

( / ) Residential

Raw materials and Corresponding quantity (ies) :


Plant Operation:
Average
:
2 hrs./day
10 Hrs/. Wk
Maximum
:
8 Hrs./day
40 Hrs. /Wk
Seasonal Variation:
Peak season :
Full Season :
Number of Plant Employees:
Regular: 34 (for the SMU Grade school only)
Contractual: 3 (including casual employee)
Source of Water Supply:
( / ) Deep Well
( ) MWSS
( ) Local WD
( ) Others, specify
Source of Waste Water:
Domestic m3/day
: 0.1m3/day
Process m3/day
:
Cooling m3/day
:
Others specify
:
Point(s) of Discharge or Receiving Body of Water: None (waste water goes to septic tank)
E. Process Flow sheet and Brief Description of Process:
Schematic Diagram of Process (es) and equipment involved indicating raw materials input and
finished product output. (Use additional sheet if necessary). One (1) unit standby generator
(Silent type). (Please refer to the attached specification of the machine).
F. Brief Description of process (es). Use additional sheet if necessary. Please refer to Normal and
Emergency Feeder Single Line Riser Diagram and Power House Layout.

POLLUTION SOURCES INVENTORY FORM

NAME OF FIRM/ESTABLISHMENT : SAINT MARY'S UNIVERSITY HIGH GRADE SCHOOL DEPARTMENT.


PLANT ADDRESS: BRGY. DON DOMINGO MADELLA, BAYOMBONG, NUEVA VIZCAYA
OFFICE ADDRESS/MAILING ADDRESS: SAINT MARYS UNIVERSITY GRADES SCHOOL DEPARTMENT,
BRGY. DON MARIANO MARCOS, BAYOMBONG, NUEVA
VIZCAYA.
NAME OF OWNER/MANAGER: REV. FR. RENILLO H. STA. ANA, CICM
A. GENERAL INFORMATION:
NATURE OF BUSINESS

: PRIVATE ACADEMIC INSTITUTION

DATE ESTABLISHED

PRIMARY LAND USE OF ADJOINING AREAS


:
( ) HEAVY INDUSTRIAL
( ) INDUSTRIAL
( / ) RESIDENTIAL
( ) COMMERCIAL
( ) AGRICULTURAL
FINISHED PRODUCTS AND CORRESPONDING QUANTITIES: NOT APPLICABLE.
PLANT OPERATION:
Average
:
2 Hrs./day
Maximum
:
8 Hrs./day
Seasonal Variation: N.A
NO. OF PLANT EMPLOYEES:

5 Days/week
5 Days/week
Regular
Contractual
Others

: 34 (for the Grade school only)


: 3 (including casuals)
:

PROCESS FLOW SHEET AND BREIF DESCRIPTION OF PROCESS


(Use Additional Sheet if necessary). NOT APPLICABLE.
SCHEMATIC DIAGRAM OF PROCESS AND EQUIPMENT INVOLVED INDICATING RAW
MATERIALS INPUT AND FINISHED PRODUCT OUTPUT. NOT APPLICABLE.
FINDINGS/OBSERVATIONS:

MRS. ME L. GALATE
Person Contacted
Surveyed/Inventoried by:

_____________________
Date and Time

A. POLLUTION SOURCE AND CONTROL INSTALLATION:


POLLUTION SOURCE EQUIPMENTS: ONE (1) UNIT STANDBY GENERATOR (SILENT TYPE).
PLEASE REFER TO THE ATTACHED SHEET FOR MACHINE SPECIFICATION.
POLLUTION CONTROL CORRESPONDING
NO.
TYPE
SIZE
RATED
DATE
NO. TYPE SIZE RATED
DATE
CAPACITY INSTALLED
CAPACITY INSTALLED
1 Unit Standby
generator
Set

2.4x.83x 100 KVA


1.7 m2

October
2014

Operation
Operating hours/day

Operating days/week

# of shift/day

8 hrs./day

5.5 days/week

none

6days /week

none

Average
Maximum

Operation/Production/Capacity:
Average Daily Production
Output
Total Water Consumption
this Quarter (cubic meters)

Total Output this Quarter


No available data for water
consumption. Deep well as
water source and run by
electricity (pls. see campus
layout)

Total Electric Consumption this


Quarter (KwH) including electric
consumption of water pump from
deep well.

5,499 KwH

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