FISHERY/AQUACULTURE PROJECT

INITIAL ENVIRONMENTAL EXAMINATION (IEE) CHECKLIST REPORT

for

Project name or Title

This IEE Report Checklist Report is applicable to the following: Project Type Fishery / Aquaculture Inland Based Coastal Area Parameter Total water spread area to be utilized Total water spread area to be utilized Threshold 1 hectare but < 25 hectares 1 hectare but < 100 hectares

Read the questions carefully and write the required information on the spaces provided or otherwise check () the appropriate boxes or parenthesis ( ). Use additional sheets if necessary and indicate this in the appropriate space. Misleading or erroneous answers are basis for legal actions and/or denial of ECC issuance.

EXECUTIVE SUMMARY PROJECT FACT SHEET PD SUMMARY

Project Name: ______________________________________________________________ _________________________________________________________

Project Site Location: Project Status: Nature of Project: Production Rate: Total Project Area: Project Components: Manpower Requirement: Project Cost: Project Proponent: Office Address:

______________________________________________________________ ____________________________________________________________ _________________________________________________________ ____________________________________________________________ ________________________________________________________ ______________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________

________________________________________________________________

Contact Person/Designation: Contact Information:

_________________________________________________________

PROCESS DOCUMENTATION
EIA Team: Specialist Areas of Expertise Module

IEE Checklist Report for Fishery/Aquaculture Project

EIA Study Schedule (for primary data): Activity Date Season

EIA Study Area: Direct Impact Areas: (Complete Barangay, and Municipality/City) ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ Indirect Impact Areas: (Complete Barangay, and Municipality/City) ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________

EIA Methodology:
EIA Study Module METHODOLOGY Type of Data (please Source of Data/Remarks check) (e.g. LGU) Primary* Secondary

Land (Vicinity of Project Area) Land Use Classification Terrestrial Biology Water Oceanography Water Quality Freshwater or Marine Ecology Air (Vicinity of Project Area) Meteorology/Climatology Air Quality and Noise People * Section or page number where the primary data can be found

I. PROJECT DESCRIPTION
1.1 PROJECT LOCATION AND AREA: Street Name, Barangay, and Municipality/City (Vicinity Map showing sitio, barangay, municipality, province and region boundaries and total project area to be covered. Attach location and vicinity maps and photographs of the project site as ANNEX 1.) ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ Geographic coordinates of project area: Longitude : ___________________ Latitude : ___________________ 1.2 PROJECT RATIONALE: Cite and focus on the need for the project based on national and local economic development and in terms of contribution to sustainable development agenda and current development thrusts of the Philippines. ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ _________
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1.3 PROJECT ALTERNATIVES: Reasons for selection of preferred option (please check): Technology Facility Siting Development Design Process/Technology Selection Resource Utilization Others Commercial Environmental Others

1.4 PROJECT COMPONENTS No. of Units / Size Equipment/Support Facility Feeders Weighing Scales Aerators Pumps Harvest Equipment Personnel Complement/s Vehicles Supply Gates/Canals Drainage Gates/Canals (Use additional sheet, if necessary.) Support Facilities: No. of Units Pollution Control Device Facilities Being Served Specification/Details

(Use additional sheet, if necessary.) 1.5 PROCESS/ TECHNOLOGY OPTIONS Culture Species: Type of Aquaculture: Level of Culture: PRODUCTION PROCESS 1. Hatchery ______________________________ Pond Extensive Cage Pen Intensive

Semi-intensive DETAILS

2. Nursery

IEE Checklist Report for Fishery/Aquaculture Project

3. Rearing Operation

(Use additional sheet, if necessary.)

Water Supply Community Water Demand : [ ] dry season ____ m /sec [ ] rainy season ______ m /sec [ ] annual _____ 3 m /sec Water Source [ ] surface water S/W Type : [ ] river (Name: _____________) [ ] rainwater collector [ ] ___________ [ ] ground water G/W Type: [ ] well [ ] spring [ ] others: ____________________________ Location of water source ____________________________________________________________________________ (Sitio/Zone, Barangay, Municipality/City, Province, Region) Water source flow: a) dry season flow: _______ m 3/sec b) rainy season: _______ m 3/sec Percent & Flow of water source to be tapped: a) dry season: ___ % (_____ m3/sec) b) rainy season: ___% (___ m 3/sec) c) annual: ___% (___ 3 m /sec) Location of communal water box/faucet area: ____________________________________________________________ (If water box/faucet area is to be provided) (Lot Number, Street, Sitio/Zone, Barangay, Municipality/City, Province, Region) Communal box/faucet surface area: _____ m 2 ______ m Pipe length from source to water box: _____ m Volume :_______ m3 Distance of box from source:
3 3

Pipe Material: [ ] GI pipes [ ] PVC [ ] bamboo___________

Overflow of Concrete Water Box: ____ m (height) Target overflow: dry season____ m 3/sec; rainy season ____m3/sec

Power Supply

Sources of Power Supply Local Electric Utility Generator Others, please specify

Yes

No

Estimated Daily Kilowatt consumed:

(Use additional sheet, if necessary)

IEE Checklist Report for Fishery/Aquaculture Project

Waste Management System Mode of Treatment2

Type of Source of Waste Waste Liquid2 Air Dust Noise Solid2 (Use additional sheet, if necessary.) 1.6 PROJECT SIZE Total Land Area to be occupied: Is the area owned or leased: If leased, period covered:

Volume Per Day

___________________________________________________ _________________________________________________ ____________________________________________________

(Attach proof of jurisdiction over the project area, as ANNEX 3)

Expected production volume per growing season: _______________ Harvest Size: ___________________ Harvest Weight: _________________

DEVELOPMENT PLAN, DESCRIPTION OF PROJECT PHASES AND CORRESPONDING TIMEFRAMES Pre-Operation/ Construction phase3 Construction Schedule ACTIVITY Plans/Design Permits/ Clearances Site Preparation Civil Works Finishing Site Clearance Installation Commissioning & Start-up Operation

TIMEFRAME (no. of days)

(Use additional sheet if necessary. Include civil works undertaken as part of the project, e.g., Construction of office for operation, administration, canteen, and other amenities.) Operation Phase Provide brief discussion on the project operation: __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________

IEE Checklist Report for Fishery/Aquaculture Project

Insert Process Flowchart.

Abandonment Phase and schedule Decommissioning Activities Waste Generated Mode of Disposal Restoration Plan

Removal wastes

EMB authorized
recyclers

Landfill Others, please

specify_____

Dismantling of
structures and equipment

EMB authorized
recyclers

Landfill To be donated Others, please

specify_____

(Use additional sheet, if necessary.) 1.8 MANPOWER Manpower Requirement Expertise/Skills No. of Women No. of Men Total

IEE Checklist Report for Fishery/Aquaculture Project

1.9 INDICATIVE PROJECT COST Project Ownership

Single Proprietorship Corporation Partnership Others __________________

Project Cost : PhP ___________

IEE Checklist Report for Fishery/Aquaculture Project

I.

ENVIRONMENTAL IMPACTS AND CLIMATE CHANGE RISK MANAGEMENT PLAN

Environmental Impact Management Plan Project Phase / Possible Baseline Data Activities Environmental/ Parameter Social Impacts
Pre-construction phase Site Selection and Ecological problems Current water use: Planning/ resulting from Commercial/ Institutional Design clearing for Industrial conversion of coastal wetlands to fishponds Agricultural/ Recreational Protected Ares Construction Phase Installation of Equipment / Construction

Preventive/ Mitigating Measures

Monitoring Parameters/ Implementation

Cost of Mitigation/ Monitoring (Assumed to be integrated in project cost per project phase)

Prohibition of ponds
in areas of ecological significance

Limitation of area
converted to fishponds

Soil erosion and

siltation during construction

Water Quality Data in the affected water body:

Pond construction
during dry season

Presence of slope
protection in erosionprone areas

Slope/ Erosion Control

integrated in Construction Cost:

TSS: _______ Oil and grease:

____________

Stabilization of
embankment with grasses or other soil cover

Presence of new
eroded areas near the site

Designate a Spoils
Storage Area, with topsoil set aside for later use and allow maximum re-use of spoils

Noise generation
from heavy equipment & generator

Noise level in the area: PD 984

Undertake proper
maintenance of equipment and use mufflers

0-30 dB 31-70 dB 71-80 dB

Tolerable noise levels No cost for scheduling; in residential areas Mufflers/silencers integral Presence of schedule component of equipment
of equipment movement and purchase/maintenance

Schedule equipment

Genset housing integrated in

IEE Checklist Report for Fishery/Aquaculture Project

movement during construction activities 81-85 dB non-peak hours of # public complaints 86-90 dB daytime vehicular received by traffic 91-95 dB Proponent/ Contractor Minimize night-time 96-107 dB construction Others, specify________ activities Frequency : ___________ Provide housing for

Construction Cost:

Provide

gensets, if near residences silencers/mufflers for heavy equipment

Operation Phase Pond operation

Water pollution from

discharge of pond effluents with drain water

Water Quality Data in the affected water body:

Release of drain
water into receiving waters after prior treatment or adequate dilution; more frequent water change and flushing

TSS: _________ g/NCM Oil and grease BOD: _________ g/NCM DO: _________

Water Quality Data in the affected water body:

TSS Oil and grease BOD DO

IEE Checklist Report for Fishery/Aquaculture Project

 Reduction of water
supplies for competing uses such as irrigation or domestic use.

Streamflow measurement/ Careful siting of

mean monthly data: _____________________ _______

Streamflow
measurement/ mean monthly data

Water resource
use/balance _____________________ _______

ponds to avoid disruption of traditional water uses; careful planning and design

Water resource
use/balance

Restriction of water
circulation, obstruction to navigation by fishpens/cages, reduction of stream capacity from siltation

Streamflow measurement/ Careful planning and

mean monthly data: _____________________ _______ design; regulation of aquaculture activity; zonation of waterbody to delineate culture areas, navigation lanes, etc.

Depletion of local fish Baseline data of

populations by stocking of wild fry/fingerlings in ponds freshwater / marine environment

Use of hatcheryproduced fry/fingerlings for stocking in ponds

Baseline data of
freshwater / marine environment

Spread of disease
and parasites from exotic cultured species or from escape of pond fish to the wild

Diseases and parasites

currently occurring in the area

Avoidance of exotic Occurrence of

introductions; regular monitoring for diseases and parasites; use of sterile hybrids for culture (e.g. all male tilapia) diseases and parasites within the project affected area

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IEE Checklist Report for Fishery/Aquaculture Project

 Increased public
health risks due to the increased incidence or introduction of waterborne or water related diseases.

Vector eradication
program; public health and information program; disease prophylaxis and treatment

Flooding/Drought

Streamflow
measurement/mean monthly data ____________________

Improve efficiency of
water supply/irrigation systems

Physico-chemical characteristics of springs and wells Bacteriological characteristics of wells and springs Identify sources of threat/hazards

Consider design criteria for

drainage and flood control facilities to take into account climate change to date and projections; preparedness systems to ensure their effectiveness in a changing climate

Water resource Inventory of wells and

use/balance ____________________ springs ____________________

Protect water
recharge areas to preserve quality and quantity

Design warning and

Increase, when
practical, storage capacities of water supply structures for resilience to greater variations and extremes

Review monitoring systems

for water levels, flows, water quality rainfall and temperatures to ensure that trends can be detected, and that sudden episodes (pollution, flood, drought) are documented;

In critical areas,
develop flood plan maps, including climate change projections, and zoning measures to limit/restrict development activities

Review and document the

changes in weather events (precipitation, floods, storms, river flow and other hydrological data) with a view to identifying the most vulnerable components of the water sector;

Seek to improve short-term

weather and seasonal climate forecasting and their use to improve short-term adaptive capacity.

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IEE Checklist Report for Fishery/Aquaculture Project

 Generation of solid
waste from the project activities/ operations

Volume of solid waste generated from current sources

Implementation of
the Ecological Solid Waste Management Plan (ESWMP);

Presence of
waste/recycling bins for segregation

Implementation cost of
ESWMP:

Re-use and
recycling

Absence of mixed
garbage in the facility Frequency :

Monthly Quarterly Semi-Annual Annually Others,

specify_______

Climate Change Risk Management Plan

Project Phase / Activities Climate Change Risk Baseline Data Parameter

Adaptation Measures

Monitoring Parameters/ Implementation

Cost of Adaptation/ Monitoring (Assumed to be integrated in project cost per project phase)

Occurrence of
flooding

Historical data on flooding Protect water recharge areas to preserve quality Maximum height of flood and quantity recorded _______ cm. (last five years, indicate years) Increase, when practical,
storage capacities of water supply structures for resilience to greater variations and extremes

drainage and flood

Review monitoring systems for water levels, flows and water quality rainfall

In critical areas, develop

flood plan maps, including climate change projections, and zoning measures to limit/restrict development activities

control facilities to take into account climate change to date and projections; Others, specify___________ ________________ ________________ ___

Construction of flood
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 Others,
Drought

control structures and rainwater harvesting system specify________________ ______________________

Historical data on drought Highest temperature recorded _____ 0C (last five years, indicate years )

Water conservation techniques e.g. catchment basins/rain water harvesting system Tree planting to alleviate temperature increases Improving water use efficiency, planning for alternative water sources (such as treated wastewater or desalinated seawater), and making changes to water allocation Implementation of drain water system and other water conservation techniques e.g. catchment basins Others, specify______________ ____________________ Heat wave action plan Information program for employees Weather advisories to alert the public about dangerous heat

Effectiveness of water conservation techniques Percent survival of trees planted Improvement on water use efficiency Regular inspection of water harvesting system facilities to ensure sustained availability of water Others, specify___________ ________________ ________________ ___

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Heat waves/extreme temperatures

Record on heat waves __________________

Review and monitor changes in weather pattern Effectiveness of heat wave action plan Ambient

Installation of adequate ventilation system integrated in Construction Cost: __________ _________________________

conditions Adequate financial and human public health resources, including training, surveillance and emergency response, and prevention and control programs Installation of green roof Others, specify_________ Establishment of adequate barriers/buffer zone Development of emergency response and disaster preparedness plan Lightning arresters installation Others, specify ____________________ ____________________

temperature monitoring. Others, specify___________ ________________ ________________ ______

Storm surge/Typhoon

Historical record of cyclone occurrences Number of occurrence _______( indicate years) Highest Wave height recorded _____ (indicate year) Average number/year of typhoons entered in the area (5 year data, indicate years)_____________ _________________ _________________ Historical record of tsunami occurrence ____________________

Constant communication with concerned agency Regular monitoring of early warning device and preparedness system to ensure effectiveness Others, specify ________________ ________________

Tsunami

Development of tsunami preparedness plan Installation of tsunami warning device

Constant communication with concerned agency Regular monitoring of early warning device and preparedness system to ensure effectiveness Others, specify ________________ ________________

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IEE Checklist Report for Fishery/Aquaculture Project

Attach map showing specifically identified of air and water sampling points
(Use Additional Sheets if applicable) III. INSTITUTIONAL PLAN FOR EMP IMPLEMENTATION Organization Chart:

3.1. Abandonment Plan (if Applicable)

Project Life : ___________ years

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

3.2. PEMAPS(include as an attachment)

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IEE Checklist Report for Fishery/Aquaculture Project

Attach drawing/plan of air pollution source and control installations (with dimensions and descriptions)

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IEE Checklist Report for Fishery/Aquaculture Project

SWORN STATEMENT OF ACCOUNTABILITY OF THE PROPONENT

This is t o certif y that all the inf ormation and commitments in thi s Initial Environmental Examination (IEE) Checklist for the (state name of project)______________ PROJECT are accurate and complete to the best of our knowledge, and that an objective and thorough assessment of the Project was undertaken in accordance with the dictates of professional and reasonable judgment. Should I/we learn of any information which would make this IEE Checklist inaccurate, I shall immediately bring the said information to the attention of DENR-EMB Region _____. I hereby certify that no DENR-EMB personnel was directly involved in the preparation of this IEE Checklist other than to provide procedural and technical advice consistent with the guidelines in the DAO 2003-30 Revised Procedural Manual. 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 __________ ______________________. ____________________ NAME OF PROPONENT HEAD (Position) (Company Name) at

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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IEE Checklist Report for Fishery/Aquaculture Project

SWORN STATEMENT OF ACCOUNTABILITY OF THE PROPONENT

T h i s i s t o ce r t if y t hat a l l the inf o r ma ti on a nd c o mm i t men ts in th i s Initial Environmental Examination (IEE) Checklist for the (state name of project)______________ PROJECT are accurate and complete to the best of our knowledge, and that an objective and thorough assessment of the Project was undertaken in accordance with the dictates of professional and reasonable judgment. Should I/we learn of any information which would make this IEE Checklist inaccurate, I shall immediately bring the said information to the attention of DENR-EMB Region _____. I hereby certify that no DENR-EMB personnel was directly involved in the preparation of this IEE Checklist other than to provide procedural and technical advice consistent with the guidelines in the DAO 2003-30 Revised Procedural Manual. 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 __________ ______________________. ____________________ NAME OF PROPONENT HEAD (Position) (Company Name) at

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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IEE Checklist Report for Fishery/Aquaculture Project

SWORN STATEMENT OF ACCOUNTABILITY OF PREPARERS (If applicable)

This is to certify that all information in Initial Environmental Examination Checklist REPORT for the (state name of project) PROJECT are accurate and complete to the best of our knowledge, and that an objective and thorough assessment of the Project was undertaken in accordance with the dictates of professional and reasonable judgment. Should we learn of any information which would make IEE Checklist REPORT inaccurate, we shall immediately bring the said information to the attention of the DENREMB Region ___. We hereby certify that no DENR personnel was directly involved in the preparation of this IEE Checklist REPORT other than to provide procedural and technical advice consistent with the guidelines in the DAO 03-30 Revised Procedural Manual. We hereby bind ourselves jointly and solidarily to answer any penalty that may be imposed arising from any misrepresentation or failure to state material information in this IEE Checklist REPORT. In witness whereof, I hereby set my hand this ____ day of __________ at ______________________. Name 1. 2. 3. Field of Expertise Signature

SUBSCRIBED AND SWORN TO before me this _____ day of ____________ 2006, affiants exhibiting their Community Tax Certificate information, as follows: Name 1. 2. 3. Community Tax Certificate Information CTC No. Place of Issue Date of Issue

Doc. No. Page No. Book No. Series of

____________________ ____________________ ____________________ ____________________

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IEE Checklist Report for Fishery/Aquaculture Project