CHECKLIST FOR ROAD RO-RO TERMINAL SYSTEM

Table of Contents

Title Page No.

I. Introduction
I.1 Background
I.2 Contents of this Guide
II. Scope and Coverage of the IEE Checklist
II.1 Access Roads
II.2 Terminal
II.3 Vessels
III. Instructions on the Preparation and Submission of the IEE Checklist
III.1 Contents of the IEE Checklist
III.2 Instructions on the Preparation of IEE Checklist
III.3 Instructions on the Submission of the IEE Checklist
IV. IEE Checklist for Road Ro-Ro Terminal System
IV.1 General Information
IV.2 Project Description
IV.3 Description of Existing Environment
IV.4 Predicted and Assessed Impacts and Proposed
Enhancement/Mitigation Measures
IV.5 Photographs of Project Site
IV.6 Environmental Management Plan
IV.7 Environmental Monitoring Plan
IV.8 Abandonment Plan
IV.9 Proponent’s Commitments-Accountability Statement
V. Annexes
V.1 Memorandum Circular Number 4, series of 1998
V.2 Memorandum Circular Number 3, series of 2001
V.3 Documents Showing Ownership
V.4 Definition of Terms Used in the IEE Checklist
V.5 Checklist Form for Required Information
V.6 Photographs of Project Site
V.7 EMB Regional Offices Directory

IEE Checklist for Road Ro-Ro Terminal System

I. INTRODUCTION

I.1 Background

The Philippine Environmental Impact Statement System was formally established by virtue of
Presidential Decree 1586. It requires the submission of Environmental Impact Statements (EIS) for
environmentally critical projects and Initial Environmental Examination (IEE) for projects which are
located in environmentally critically areas as provided in its Implementing Rules and Regulations
(IRR) and Presidential Proclamation No. 2146, series of 1981.

In 1996 the Department of Environment and Natural Resources (DENR) issued Department
Administrative Order 37 (DAO 96-37) to further strengthen the EIS System. DAO 96-37 Article III,
Section 9.0 (Contents of the EIS) provides that “Some or all of the foregoing items may, when
appropriate, be presented in a format using the checklist approach.”

Pursuant to DAO 96-37, Memorandum Circular Number 4, Series of 1998, (MC 98-4) was issued by
the Environmental Management Bureau (EMB) to simplify the system. MC 98-4 (Annex V.1) and
up-dated by MC # 01, series of 2000, defined the IEE Checklist as a simplified form in lieu of the
standard EIS document. It provides a list of projects with IEE checklists, the format and contents of
the IEE Checklist and implementing guidelines.

To further assist development of projects in Environmentally Critical Areas (ECAs) while ensuring
that environmental requirements are incorporated in project development, MC 3, Series of 2002
(Annex V.2) by EMB presents an additional list of projects with IEE Checklists and refines the
implementing guidelines for the preparation and submission of IEE Checklists.

I.2 Contents of this Guide

This guide is produced to aid the proponent in preparing and submitting an IEE Checklist for road
RO-RO Terminal System to secure an Environmental Compliance Certificate (ECC) for a project
located in ECAs.

This guide contains the following:

Part II Scope and Coverage of the IEE Checklist

Part III Instructions on the Preparation and Submission of the IEE Checklist
Part IV IEE Checklist For RO-RO Terminal System
Part V Annexes:
V.1 Memorandum Circular Number 4, series of 1998
V.2 Memorandum Circular Number 3, series of 2002
V.3 Documents Showing Ownership
V.4 Definition of Terms
V.5 Checklist Form for Required Information
V.6 Photographs of Project Site
V.7 Directory of EMB Offices

IEE Checklist for Road Ro-Ro Terminal System

II. SCOPE AND COVERAGE OF THE CHECKLIST

This section defines the scope and limitations to be covered and affected by this IEE checklist.

This IEE checklist is intended for projects under the SLDP. Add brief description of the project

Projects with greater and/or lower than the defined scope, the proponent shall be required to submit
an Initial Environmental Examination (IEE) or an Environmental Impact Statement (EIS) document
or secure a Certificate of Non-Coverage (CNC).

The accompanying IEE Checklist is applicable only for the following Road RO-RO Terminal System
that consists of:

II.1 Access Roads (= or less than 10 kilometers)

Will link the transport of goods from sources to terminals through the vessels.

IEE Checklists for roads higher than the specified limit are available at DENR, so these shall not be
included in the IEE Checklist preparation.

II.2 Terminal Facilities (= and above 1,000 sq. m. to 10,000 sq. m. of floor area)

Will serve as transfer station for grains such as rice and corn from the satellite aggregating centers.

II.3 Vessels

As vessels are not covered by the EIS system, these shall not be included in the IEE Checklist
preparation.

Thus, the IEE Checklist prepared for the Road RO-RO Terminal System shall focus only on the
terminals.

IEE Checklist for Road Ro-Ro Terminal System

III. INSTRUCTIONS ON THE PREPARATION AND SUBMISSION OF THE IEE
CHECKLIST

This section guides the project proponent on how to fill-up and answer the various questions and
information stated in the checklist. This section also informs the project proponent on permit
requirements that need to be attached to the Checklist. Likewise, it directs the proponent where to
submit the IEE Checklist and apply for an ECC, and the system and timeframe for DENR processing.

III.1 Contents of the IEE Checklist

The IEE Checklist is a simplified form designed to assist proponents of selected projects in
complying with the EIS system. The IEE Checklist, to be accomplished and submitted before
undertaking a project, consists of a series of questions that deals with issues and concerns about the
proposed project and its environment. The questions will also provide the proponents with
information on environmental impacts, both positive and negative, which will be caused by the
proposed project. The IEE Checklist has to be submitted by all government and private sector
proponents applying for an ECC covering the abovementioned projects. The information contained
herein will serve as basis for EMB to make decision on the application for ECC.

The IEE Checklist is divided into ten (10) sections:

IV.1 General Information – presents the project title, name and address of project proponent,
proponent's contact person and the location of the project;

IV.2 Project Description – presents the plan/design components and activities during the
construction and operation phases of the project;

IV.3 Description of Existing Environment – describes the existing physical, biological and
socio-economic conditions where the project will be located;

IV.4 Predicted and Assessed Impacts and Proposed Enhancement/Mitigation Measures –

describes the possible impacts that are likely to occur in various stages of the project
development and the corresponding mitigation and enhancement measures to prevent and/or
minimize the occurrence of adverse impacts and strengthen the positive effects of the project;

IV.5 Photographs of Project Site – presents photos of project location;

IV.6 Environmental Management Plan – matrix of identified impacts and the recommended
enhancement/mitigation measures;

IV.7 Environmental Monitoring Plan – matrix of monitoring program detailing parameters,

location of sampling stations, etc.;

IV.8 Abandonment Plan – details what are the proposed activities after completion of
construction and the termination of the project.

IV.9 Accountability Statement

IV.10 Attachments

1. Location map with important landmarks and access points

2. Lay-out of ro-ro terminal facility
3. Land title /proof of land jurisdiction/ownership/occupancy acquisition

IEE Checklist for Road Ro-Ro Terminal System

 4. Zoning Clearance
5. Site development plan and other essential facilities
6. Listing of manpower requirement
7. Schedule of development activities from pre-construction, construction and operation
phase
8. Water Permit
9. Design and process flow diagram of sewage treatment plant
10. Sewage design layout
11. Drainage lay out plan
12. Geologic Information Report
13. Topographic map
14. Water sampling sites

III.2 Instructions on the Preparation of the IEE Checklist

1. For the Section IV.1 General Information, write a check mark () on the title or description
of the document to be submitted. The listed documents are MUST requirements and should
be submitted. Otherwise, the application will not be accepted.

2. The IEE Checklist can be prepared by the proponent or any of his/her authorized
representative(s) per EMB Memorandum Circular No. 04, Series of 1998, (17 August 1998).
The proponent's signature in the report shall be sufficient. The proponent may seek the help
of the DENR personnel by clarifying questions in the IEE Checklist.

3. To use the Checklist, the proponent may put a check mark () in the appropriate box. If
your answer does not fall in any of the pre-determined responses, check () OTHERS and
indicate your specific answer in the blank space provided or use additional sheets as
necessary. If some questions are not applicable to your project, write N/A on the blank space
or column.

4. To facilitate and assist the proponent in answering Section 5.0 of this checklist, a menu is
provided to serve as guide and reference. However, it should be noted that this only serves as
a menu checklist hence, the proponent is highly encouraged to identify additional impacts
and mitigation/enhancement measures other than those provided.

The proponent may put a check mark () to the columns of Y or N on the pre-determined
and identified Mitigation/Enhancement measures column. The proponent may choose the
mitigating measures appropriate to the impacts identified for the proposed project. He/She
may write clarificatory words/phrases in the column of REMARKS.

5. Answers to the questions are not strictly confined to the pre-determined responses. The
proponent may elaborate and use as many additional sheets as needed to be able to provide
adequate answers to the required information. Maps, pictures, drawings (e.g. charts, tables,
diagrams, sketches) and other visual aids are deemed to provide better description of the
project in the Checklist. These will help EMB in understanding the proposed project, and
make decision on application for ECC.

III.3 Instructions on the Submission of the IEE Checklist

1. Upon completion of the IEE checklist, the project proponent shall submit one (1) set of the
Checklist to the EIA Section of the EMB Regional Office where the project is to be located.
A duly accomplished Checklist Form for Required Information (Annex V.5) shall
accompany the IEE Checklist submission.

IEE Checklist for Road Ro-Ro Terminal System

 2. Upon the presentation/submission of the Checklist, the Screening Officer shall immediately
determine its completeness and conformance with the DENR prescribed requirements.
Immediate determination shall mean completion of the Procedural Review within the same
day of IEE checklist submission.

3. The Screening Officer shall indicate, through a check/tick mark under the Yes, No or Not
Applicable column, the presence or absence of a particular information required.
4. The determination of the completeness of the IEE Checklist will be based on the sufficiency
of responses to all questions or checklist and information provided in the matrix.

5. If the IEE Checklist is complete, it will be formally accepted. The proponent will be
furnished a copy of the accomplished procedural form duly signed by the Screening Officer.

6. If the Checklist is incomplete, it shall be immediately returned to the proponent for revision
or submission of the missing requirement/information. The reason for non-acceptance shall
be stated in writing at the appropriate place in the form.

7. If the IEE Checklist has complied with all the DENR prescribed requirements, the proponent
shall submit 3 copies of the documents to EIA Section of the concerned EMB Regional
Office.

The proponent shall pay the amount of P3,000.00 at the Cashier Section of concerned EMB
Regional Office upon submitting the required number of copies to the Record Section of the
same office.

Processing time = 1 day

8. The project proponent or his duly recognized representative shall be the one who will follow-
up the said application to the respective EMB Regional Office. The processing time including
the issuance and/or denial of the ECC will take a maximum of 30 days.

9. The EIA Section of EMB Regional Office, in the course of substantial review, may conduct
site visit or ocular inspection in coordination with the project proponent

10. If the EMB finds that the IEE Checklist has substantially addressed all the significant impacts
and relevant issues by way of mitigation and enhancement measures, it shall recommend the
issuance of the ECC. The EMB Regional Office may call for a technical conference to
explain to the project proponent the relevance of the ECC and the various conditions stated
therein for compliance by the project proponent.

Processing time:

Review 1 = 5 days
Inspection & report writing = 7 days
Review 2 = 5 days
Report writing /recommendations = 3 days
Comments and Approvals = 7 days
Issuance / release of ECC = 3 days

IEE Checklist for Road Ro-Ro Terminal System

IV. IEE CHECKLIST FOR ROAD RO-RO TERMINAL SYSTEM

IV.1 GENERAL INFORMATION:

Using the following matrix, please provide the information required in the space allocated:

Project Name/Title ______________________________________________

Name of Project Proponent/ :_______________________________________

Contact Person/Designation :_______________________________________
Address :_______________________________________
(complete address street/sitio/ barangay, city/municipality, province)
Telephone No. :_______________________________________
Fax No. :_______________________________________
E-mail address :_______________________________________

Project Location :_______________________________________

(complete address street, sitio, barangay, city/municipality, province)

(Attach location map with important landmarks and access points indicated as Annex.
Indicate primary and secondary impact areas )

Total Project cost:

Land P _________________________
Building P _________________________
Equipment P _________________________
Access road P _________________________
Water Supply P _________________________
Others, specify ____________ P ____________________

Total project cost P _________________________

Project Ownership
[ ] Single Proprietorship
[ ] Partnership/Joint Venture
[ ] Corporation
[ ] Others, please specify ___________________________

List of Owners (For Joint venture / Partnership/Corporation)

______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

Project Financing
[ } Private sector owners
[ ] Loan from Bank
[ ] Government agency

IEE Checklist for Road Ro-Ro Terminal System

IV.2 PROJECT DESCRIPTION

Project Objectives

The project will provide seamless travel to ensure efficient transport of goods and people.

Type of Terminal Facility

(Attach lay-out of ro-ro terminal facility)

Specify component of terminals and capacity

[ ] Terminal structures ______________________________________
[ ] Terminal area utilities ____________________________________
[ ] Navigation aids equipment ____________________________
[ ] Passenger terminal and office building ___________________
[ ] Marshalling area___________________________
[ ] Gasoline station ____________________________________
[ ] Others, specify ___________________________________

Features of terminal structures

[ ] Construction of causeway with ______ m length and ______ m width
[ ] Additional lane with _______ m length
[ ] RORO ramp berthing area
[ ] Others, specify _____________

Types of vessels that can berth

[ ] RORO vessels with maximum capacity ________________

[ ] Others, specify ____________________

Services that are offered

[ ] Collection, storage and disposal of solid wastes

[ ] Supply water for passengers and crew
[ ] Others, specify _________________________

Impact Area

Adjoining land uses/ structures to project

[ ] Residential area
[ ] Commercial/Industrial area
[ ] Mixed residential;/commercial area
[ ] Low-cost housing
[ ] Mangroves
[ ] Fishponds/fish cages
[ ] Beach areas
[ ] Others, specify

Surface Development/ Land Area Allocation

 Total land area (sq. m / hectare) ____________________

 Land area to be occupied by project _______________________________________
 Open parking/parking building ___________________________________
 Landscaping __________________________________________________
Land Ownership

IEE Checklist for Road Ro-Ro Terminal System

 [ ] Ownership of the land by virtue of OCT/TCT #
______________________________
[ ] Lease of land by virtue of _________ ______________________________________
[ ] Pending application for _________________________________________________
[ ] Others, please specify __________________________________________________
(Attach land title /proof of land jurisdiction/ownership/occupancy acquisition as Annex)

General Land Classification

[] Industrial
[] Commercial
[] Residential
[] Mixed residential / industrial
[] Others, specify _____________________

Project Facilities

(Attach site development plan and other essential facilities)

Facility Area (sq. m )/ Capacity/ No.

Manpower and employment

(Attach listing of manpower requirement)

 How many people will be employed by the proposed project?

During pre-construction/construction stage: ____________
During operation and maintenance stage: ____________
Total ____________

Project Schedule
(Attach schedule of development activities from pre-construction, construction and operation
phase)

Total Cut Soil Volume

 Will there be soil excavation in the proposed project? [ ] Yes [ ] No

 If Yes, indicate estimated volume of cut soil. _________________
 Proposed use of cut soil:
[ ] Backfill material in the cut areas
[ ] Backfill for other areas requiring backfill material
[ ] For sale to other users
[ ] Others, please specify ___________________________

Air Emissions
 Will there be air emissions? [ ] Yes [ ] No

IEE Checklist for Road Ro-Ro Terminal System

  What is the source of air emissions?
[ ] Shipping vessels
[ ] Automotives/ cars
[ ] Public transport vehicles (tricycles, taxis, FX)
[ ] Generator set
[ ] Wastewater treatment plant
[ ] Port machinery and equipment, specify _________________________
[ ] Others, specify, ____________________

 If with genset, indicate capacity, model, and APCD

Water Resources and Infrastructures

a. Approximate Water demand (in cu.m. per day)

b. Water supply/sources

[ ] Existing public water supply

[ ] Surface water

Water Source Name of Waterbody Location Distance (km) Extraction Volume

(m3/day)
1. Creek
2. Spring
3. Stream
4. River
5. Others, specify

[ ] Deep well

Water Source No. of Wells/ Hand Location Depth Discharge Rate

Pump/ Tanks (lps)
1. Deep well with
manual hand pumps
2. Deep well with
electric or motor pump
(Submit application for Water Permit filed with National Water Resources Board as Annex)

[ ] Rainwater

Collection and Storage No. of tanks/reservoir Capacity

1. Collected in storage tanks
2. Collected in Reservoir

c. Water Treatment

 If your water supply sources are surface water, deep well or rainwater, will there be
water treatment? [ ] Yes [ ] No

 If yes, what type of water treatment?

[ ] chlorination [ ] filtration Others, specify : _______________
d. Wastewater Treatment Plant

IEE Checklist for Road Ro-Ro Terminal System

 (Attach design and process flow diagram of sewage treatment plant as Annex)

 Will there be a wastewater treatment plant? [ ] Yes [ ] No

 What is its design capacity? _______ cu.m. per day peak flow rate? ________ cu.m. per
day
 What is the volume of wastewater to be treated?

Sewage Disposal System

(Attach sewage design layout as Annex)

 Sewage system
[ ] Individual septic tank
[ ] Communal septic tank
[ ] Centralized septic tank

 Sewage disposal
[ ] Discharge to an existing public sewerage system
[ ] Treated in a community disposal plant or communal septic tank
[ ] Treated in individual septic tanks with disposal by absorption field or leaching pit
[ ] Others, please specify: _______________________________________ ___

Drainage System
(Attach drainage lay out plan as Annex)

Solid Waste Collection and Disposal System

 Estimated volume of solid wastes generated by each section of port terminal facility

 Will there be waste sorting/ segregation prior to disposal? [ ] Yes [ ] No

 Segregation system
[ ] Temporary storage area for segregated wastes outside project site
[ ] Temporary storage areas for segregated wastes inside project site

 Recyclable/reusable materials
[ ] Biodegradable wastes sold to buyers
[ ] Biodegradable wastes composted by proponent
[ ] Other recyclable wastes sold to buyers

 Collection system
[ ] Building/project maintained garbage collection system
[ ] Integrated into municipal garbage collection system
[ ] Private/commercial garbage collection system

 Disposal system for non-recyclable solid wastes

[ ] Open dumpsite outside of the project area
[ ] Municipal/city landfill area
[ ] Others, specify: _______________________

 Proposed location of the final waste disposal site: ____________________________

IV.3 DESCRIPTION OF EXISTING ENVIRONMENT

IEE Checklist for Road Ro-Ro Terminal System

 Components/Parameters Yes No Remarks
1. Slope and topography of the area covered by the
project

 Terrain is flat ( 0-3% slope)

 Gently sloping or undulating (3-8% slope)
 Rolling to moderately steep ( 18- 30% slope)
2. Are there areas in the site where there are Cause of erosion:
possible occurrences of soil erosion? If so, what [ ] heavy rains
is the status? [ ] unstable slopes
 Slight [ ] others, specify _________
 Moderate
 Severe
4. Is the project in a naturally protected area?
 Enclosed bay
 Behind an island
8. Does siltation occur far from estuaries or river
mouth?
9. Are there large tracts of non-alienable land Indicate area of available land.
available for future expansion and development?
13. Hydro-topological Conditions Submit topographic map indicating
 Presence of coral reefs presence of : coral reef , beach sand
 Narrow beach sand strip strip,etc.
 Wide beach sand strip
 Presence of trees close to water edge
 Presence of sandbar formations
 Grass-covered plain
 Bare land/ few vegetative growth
 Navigable to small boats
 Not navigable to large vessels
14. Environmental Issues (please rank from most
critical to least critical)
 Densely populated riverbanks
 Existing causeway navigable
 Existing causeway need to be rehabilitated
 Traffic congestion
 Relocation of affected residents
 Proposed site a reclaimed area
17. Public transportation system
[ ] Jeepneys [ ] Taxis
[ ] Buses [ ] Tricycles
[ ] Ships [ ] Bancas/ canoes
[ ] Motorized bancas
[ ] Others, specify __________________
19. Is the surface water
 Not polluted
 Polluted
 Highly polluted
20. What are the present uses of the water body
within or near the project site?
 Bathing
 Washing
 Fishing
 Source of drinking water
 Recreation (swimming, boating, etc)
 Commercial navigation
 Irrigation
 Sanitation
 Others, specify _______________________

IEE Checklist for Road Ro-Ro Terminal System

 Components/Parameters Yes No Remarks
21. What is the present land use of the area? Indicate the present land use within:
 Grassland  50 m radius ___________________
 Commercial, industrial  100 m radius __________________
 Residential
 Port and teminal
 Mangrove  200 m radius __________________
 Fishpond/ fish cages
 Others, specify _______________________
22. What is the present water quality in the Map out sampling sites
waterbody assessed?
- pH ___________________________
- Total suspended solids _________ mg/L
- Total coliform ________________ no.
- Oil and grease _________________ mg/L
- color _________________________
- turbidity ____________________
23. Has there been any oil spill incidents within the Indicate date oil spill occurred.
last five years?
25. Will the proposed project be located in a If yes, present result of the soil stability
reclaimed area? study in Annex.
28. Are there existing environmental problems Indicate if there are incidence of the
within 500 m impact area? following:
[ ] Water pollution
[ ] Air pollution
[ ] Noise pollution
[ ] Soil erosion
[ ] Flooding
[ ] Others, specify: _____________

29. Are there existing trees and other types of If yes provide examples:
vegetation in the site?

30. Are there birds and other forms of wildlife found If yes provide examples:
in the area and which has significant value?

31. Are there existing settlements in the proposed If yes, indicate the number:
project site that will be affected? Households: _____
Legitimate landowners: ___
Tenants: ____________
Squatters: ___________
32. What is the total population of the barangay
where the project will be located __________

33. Average family size

34. What are the major sources of livelihood and Percentage of population living on:
percentage of population?
 Farming _____________________ % ________________________________
 Fishing _____________________ % ________________________________
 Vending/buy and sell ___________ % ________
 Sari-sari store _________________ %
 Employment __________________ %
 Others, specify: ________________

35. What are the top 5 leading causes of morbidity

and mortality in the community within the past
five years? Chief Causes of Mortality

Chief Causes of Morbidity

IEE Checklist for Road Ro-Ro Terminal System

 Components/Parameters Yes No Remarks
__________________________________________
__________________________________________
__________________________________________
__________________________________________
__________________________________________

36. Are there local organizations in the area? Please give examples:
________________________________
________________________________
________________________________

37. Are there existing social infrastructures in the [ ] Schools

barangay? [ ] Communications
[ ] Health centers
[ ] Hospitals
[ ] Churches/chapel
[ ] Others, specify
____________________
38. Does the community approve/oppose the Indicate reasons for approval:
project? ________________________________
Size of respondents ______________________ ________________________________
% Approve ______________________ ________________________________
% Opposed/Disapproved __________________ ________________________________
Indicate reasons for disapproval:
________________________________
________________________________
________________________________
________________________________

IV.4 PHOTOGRAPHS OF PROJECT SITE

Attach following photographs of project site:

 Front view
 Left side view
 Right side view
 Back/ rear view

IEE Checklist for Road Ro-Ro Terminal System

IV.5 ENVIRONMENTAL MANAGEMENT PLAN

Please indicate applicable impacts and mitigating measures.

Impacts Mitigating Measures Responsible Person/Unit

IV.6 ENVIRONMENTAL MONITORING PLAN

Fill up Table below based on Environmental Management Plan in Section 5.

Parameter Frequency Responsibility

IV.7 ABANDONMENT PLAN

 After Construction of Proposed Project

 Are there any structures that need to be demolished for the proposed project?
[ ] Yes [ ] No
 What are the plans for the demolished structures?
[ ] Recycle in the proposed project
[ ] Use as backfill materials in project site
[ ] Use as backfill materials in other land site
[ ] Use in other projects by contractor
[ ] Sell to buyers

 What are the plans for construction debris after construction of project?
[ ] Use as backfill materials in project site
[ ] Use as backfill materials in other land site
[ ] Use in other projects

IEE Checklist for Road Ro-Ro Terminal System

 ACCOUNTABILITY STATEMENT

This is to certify that all the information and commitment in this Environmental Impact Statement
(EIS) Checklist are true, accurate and complete. Should I/we learn of any information which would
make the EIS more accurate, I/we shall bring the said information to the appropriate DENR/EMB
Regional Office.

I/We hereby bind myself/ourselves jointly and solidarily for any penalties that may be imposed
from any misrepresentations or failure to state material information in the EIS.

In witness whereof, I/we hereby set our hands this ______ day of _________________________
at ____________________________.

___________________________________
Name of Project Proponent

___________________________________
Title / Designation

ACKNOWLEDGMENT

Before me this _____day of ________, _____at _________________ personally appeared

________________with Community Tax Certificate issued on ___________ at
_________________, in his/her capacity as _______________________of
___________________and acknowledged to me that this EIS Checklist is his voluntary act and deed,
and the voluntary act and deed of the entity he/she represents. |This document which consists of
__________ including the page on which this acknowledgement is written, is an Environmental
Impact Statement.

___________________________
Notary Public
Doc. No. ______
Page No. ______
Book No. ______
Series of _______

IEE Checklist for Road Ro-Ro Terminal System

 V. ANNEXES

IEE Checklist for Road Ro-Ro Terminal System

 Annex 3.1

Memorandum Circular Number 4,

series of 1998

IEE Checklist for Road Ro-Ro Terminal System

 Annex 3.2

Memorandum Circular Number 3

Series of 2001

IEE Checklist for Road Ro-Ro Terminal System

 Annex 1

Documents Showing Ownership

IEE Checklist for Road Ro-Ro Terminal System

 Annex 2

Definition of Terms of IEE Checklist

IEE Checklist for Road Ro-Ro Terminal System

 DEFINITION OF TERMS

For the purpose of this IEE Checklist and whenever any of the following words and terms are
used herein, shall have the meaning described in this section:

PROJECT NAME refers to official name of project.

PROJECT LOCATION refers to location of the project. Proponent should provide
complete physical description of the location of the project
(e.g., barangay/sitios affected, etc.) as well as its political
boundaries (e.g., sitio, barangay, city/municipality,
province, etc.)
PROJECT DESCRIPTION provides short description of the proposed project (e.g.
the objectives of the project, components of the SLDP,
project equipment and facilities, process description, etc.)
NAME OF PROPONENT refers to the owner of the project (e.g., name of
individuals, designated representative of a corporation,
etc.).
CONTACT PERSON refers to person/s who is authorized to transact business
with DENR/EMB on behalf of the Proponent (e.g., Owner,
President of a corporation, project engineer, etc.)
ADDRESS refers to official address of proponent and contact
person/s. The address of contact person/s should also be
given if different from that of the proponent.
IMPLEMENTATION SCHEME descriptions of how the project will be implemented (e.g.,
by contractor, by proponent, etc.). If the project is to be
implemented by entities other than the proponent, the
name/identity of that entity/s should be provided, if
available. Otherwise, the mode of selection should be
described (e.g., by bidding, by negotiation, etc.).

PROJECT COST refers to TOTAL project costs expressed in Philippine

Peso.
FUNDING AGENCY/IES refers to mode of financing or source of funds (e.g., bank
loan, etc.). If funding is provided by outside source, the
name of the project or description of the source and the
name of the funding agencies should be provided (e.g.
loan from DBP, etc.)
FERRY DISTANCE LINK refers to those pair of ports located at two neighboring
islands, which are accessible to each other within a sailing
time of two to three hours.
RO-RO FERRY NETWORK refers to short-sea shipping (coastal) and will involved

IEE Checklist for Road RO-RO Terminal System

 initially a minimum of two parts (unloading and receiving),
one short-sea shipping route and serviced by at least two
RO-RO ferries, interconnectivity of road network to
terminal.

RORO TERMINAL refers to a new terminal or an improvement/conversion of

existing port/terminal to RORO road.
ROAD CONNECTIVITY are limited to roads within the RORO terminal for
marshalling and staging purposes.
SOURCE OF WATER refers to source of water for roads and bridges (e.g., name
of rivers, etc.) and its location.
AVERAGE DISCHARGE RATE,
DRY SEASON refers to actual flow measurements averaged over the
entire dry season expressed in liter per second (e.g.,
stream flow for rivers and creeks)
AVERAGE DISCHARGE RATE,
WET SEASON refers to actual stream flow measurements averaged over
the entire wet season expressed in liters per second (e.g.,
stream flow for rivers and creeks)
DIVERSION/ABSTRACTION,
MAXIMUM refers to maximum withdrawal or diversion of water (used
as design criteria) expressed in liters per second
SERVICE AREA, DESIGN refers to TOTAL service area used as design criteria
expressed in hectares
DESCRIPTION/NAME refers to the name or description of project components.
All components of the roads and bridges systems
(including support facilities) should be included.
LOCATION refers to locations or markings used in the map to indicate
position of the component or facility. Indicate numbers if
there is more than one (also see note below)
FERRY DISTANCE LINK refers to those pairs of ports located at two neighboring
islands, which are accessible to each other within a sailing
time of two to three hours.
ROAD RORO TERMINAL SYSTEM refers to short-sea shipping (coastal) and will involve
initially a minimum of two parts.
DIMENSION/CAPACITY refers to the dimension and capacity of the component.
Units of measurements (e.g., meters, liters, etc.) should
be included. Components with different capacities or
dimensions should be separately listed (e.g., division
boxes with different dimensions should be separately
listed)
BODIES OF WATER refers to creeks, rivers, canals, lake, sea, etc.

IEE Checklist for Road RO-RO Terminal System

ROAD RORO TERMINAL may be a new port/terminal or an improvement/conversion
of existing port/terminal to RORO road.

NATIONAL PARKS, WATERSHED refers to forested areas, protected areas, areas where
AREAS, SANCTUARIES OR endangered/threatened species have been sighted, etc.
SIMILAR AREAS

INDIGENOUS COMMUNITY(IES) refers to any indigenous community located within 10 km

of the project site. As per definition of RA 8371 (IPRA),
an indigenous community refers to a group of people who
have possessed customs, traditions and other distinctive
cultural traits different from that of the majority of the
Filipinos.
VULNERABLE GROUP/S refers to the elderly, youth, young children, physically
challenged and other such sectors
SITES WITH CULTURAL/
HISTORICAL SIGNIFICANCE archaeological sites, churches, burial sites, monuments,
sites of historical battles, etc.

IEE Checklist for Road RO-RO Terminal System

 Checklist Form for Required Information

Checklist Form for Required Documents

IEE Checklist for Road RO-RO Terminal System

Pertinent supporting documents should be completely complied/attached as listed below)

Criteria Yes Not

Applic-
able
1. Letter of request
2. Locational clearance
3. Colored pictures with captions
4. CENRO certification as to land classification
5. Proof of social acceptability
 Barangay resolution
 City/municipal resolution
 Endorsement letter of local NGOs and Pos
6. Location / vicinity map with primary impact area
7. Process flow diagram of cold storage facility
8.Copy of TCT
9. Complete lay-out/site development plan including proposed buildings
10.Water balance for proposed project
11. Application for water permit filed with NWRB
12. Process flow diagram of wastewater treatment plant
13. Drainage lay-out plan
14. Sewage design layout (septic tanks)
15. Manpower requirements
16. Schedule of all development activities, i.e. pre-construction, construction and
operation phase
17. Draft Integrated MOA on Multi-partite Monitoring Team and Environmental
Guarantee Funds (indicating proposed estimated costs)
18. Other maps
18.1 Land and project-related maps
 Site development plan (showing project components)
 Process flow chart
 Topographic map
 Slope map
 Soils erosion / Soils and land and land management plan
 Land use and vegetation map
 Laboratory results of soil sample analysis
18.2 Hazard and Geologic-related maps, figures and other annexes
 Local geologic map
 Seismicity map
 Natural hazard map
 Flood frequency and rating curves
 Bathymetry and morphostructural map
18.3 Meteorologic and oceanographic maps, figures and tables
 Monthly average rainfall of the area
 Climatological normals/extremes
 Wind rose diagrams

IEE Checklist for Road RO-RO Terminal System

 Criteria Yes Not
Applic-
able
 Frequency of tropical cyclones
 Rainfall means, standard deviation and amount for monthly period
 Characteristics of the surface current flowing
 Surface current system
18.4 Hydrologic maps, figures and tables
 Local hydrologic map
 Streamflow measurements
 Mean monthly flow data
 Flood peaks and volumes
 Summary of spring and well inventory
 Water supply and demand projections
19. Water quality assessment (pH, temp, BOD, COD, TSS, color, oil and grease,
etc.)
 Physico-chemical characteristics of wells and springs
 Physico-chemical characteristics of inland surface waters
 Bacteriological characteristics of wells and springs
 Bacteriological characteristics of inland surface waters
 Bacteriological characteristics of coastal waters
20. Air/Noise Quality Assessment
 Ambient air quality (TSP, SOx, NOx, etc.) 24-hour sampling
 Noise levels
 Sampling station map
 Air dispersion diagrams/Isophlet
21. Vegetation, Wildlife and Insect Profile
 Flora and fauna species inventory or survey
 Summary of abundance, frequency and distribution
 Site observation map
 Transect walk
 Forest stand and stock tables
22. Socio-Economic and Cultural Environment
 Relocation site map
 Population to be directly affected by project
 Population by barangay
 Population growth rate
 Number of households and size by barangay
 Land area and population density by barangay
 Population by sex composition
 Main sources of income
 Household profile based on results of survey
 Public perception survey
 Women/ Indigenous People/ Vulnerable groups
23. Human Health
 Morbidity and Mortality Rates (infants and adults) from Direct Impact
Areas

IEE Checklist for Road RO-RO Terminal System

 Criteria Yes Not
Applic-
able
 5-Year trend in morbidity and mortality
 Notifiable diseases in the area including endemic diseases
 Local health resources (government and private)
 Environmental health and sanitation profile: water supply, human excreta
management, waste management and disposal systems and food hygiene
 Identification of health hazards in each stage of the development project
24. Other Permits or Clearances (when applicable)
 Land Title/ Proof of Land Jurisdiction/ Occupancy Acquisition/Ownership
 DAR Conversion Permit/ DAR Exemption
 DA Certificate of Viability for Conversion
 PAWB Endorsement
 Zoning viability/ Locational clearance
 NWRB Water Use Permit/Certificate of Water Availability
 SEC Registration
 Financial statement for the last 5 years
 MOA for Review Fund
 MOA for Environmental Review Fund
 Diskette/Video/Photographs
25. Fees
 Filing Fee
 Processing Fee for EIS Review
 EIA Review Fee
26. Compliance with PD 984
 Authority to construct air pollution control device
 Authority to construct water pollution control device
 Permit to operate air pollution control device
 Permit to operate water pollution control device

IEE Checklist for Road RO-RO Terminal System

 Photographs of Project Site

IEE Checklist for Road RO-RO Terminal System

 Annex 3

Directory of EMB Offices

IEE Checklist for Road RO-RO Terminal System

 ENVIRONMENTAL MANAGEMENT BUREAU OFFICIALS DIRECTORY

OFFICE DIRECTOR ADDRESS TELPHONE NO. FAX NO.

Julian D. Amador DENR Conpound 927-1517 927-1518

CENTRAL
Visayas Avenue 920-2238 920-2241
OFFICE
Diliman, Quezon City 920-2240
920-2243

REGIONAL OFFICES

OFFICE DIRECTOR ADDRESS TELPHONE FAX NO.

NO.
Congressional Plaza
NCR Bldg., No. 51 (02) 925-6396 926-0940
Congressional Ave.,
Quezon City

1 Oscar C. Cabanayan Marco Building, (072) 242-3057 (072) 242-

San Fernando, La 242-3597 3032
Union 888-3833
RED 41-2975
EMB Nursery
2 Allan L. Leuterio Cmpd., San Gabriel (078) 844-4321 (078) 844-
Villag, Tuguegrao 6662
City, Cagayan
4th Floor, Melvi
3 Lormelyn E. Claudio Bldg.,San Fernando, (045) 861-2253 (02) 888-0988
Pampanga
1515 L&S Bldg.,
4A Luciano G. Hornilla Roxas Blvd., (02) 536-9784 (02) 536-9784
Ermita, Manila
1515 L&S Bldg.,
4B Roberto D. Sheen Roxas Blvd., (02) 400-5960 (02) 405-0041
Ermita, Manila

5 Gilbert C. Gonzales Regional Center (052) 482-0197 (052) 820-

Rawis Legaspi City 5065
Pepita Aquino (033) 337-
6 Samson J. Guillergan Avenue, Port Area, (033) 337-9801 9801
Iloilo

32
 Greenplains Subd.,
7 Bienvenido L. Lipayon Banilad, Mandaue (032) 345-3905 (032) 346-
City 346-9426 1647
rd
3 flr. P&M Bldg.,
8 Ernesto G. Manuel Torres St., Tacloban (053) 325-2149 (053) 325-
City 2149
GMV Drive,
9 Dacilo M. Adap Governor Camins (062) 992- (062) 992-
Ave., Zamboanga 6547 / 48 6548
City
DENR 10 Cmpd.,
10 Sabdullah C. Macabalan, (088) 726-243 (088) 856-
Abubacar Cagayan de Oro 9362
City
Door 2, Flebet’s
11 Gregorio T. Estrada Bldg., Km. 7 Lanag, (082) 235-1259 (082) 235-
Davao City 1354
4th Floor Siyambio
12 Datu Tungko M. Bldg., Roxas St., (083) 228-48-47 (083) 228-
Saikol Koronadal, South / 48 4848
Cotabato
Sultan Hotel,
13 Reynaldo R. Bancasi, Butuan (085) 342-5332 (085)815-1045
Villafuerte City
Diego Silang Street,
CAR Frederick G. Baguio City (074) 446-2881 (074) 442-
Villanueva 4531

33
PROPOSED ENHANCEMENT/MITIGATION MEASURES FOR PROBABLE IMPACTS Attach as annex

Activity Predicted Impact Mitigating/Enhancement Measures

A. Pre-Construction and Construction Phases of the Project
A1. Dredging and deepening of Improvement in  Use dredged spoil for reclamation
seabottom navigation of large purposes
vessels; change of  Mold unsuitable natural environment
riverscape into a modern intermodal port facility
of international standing
 Minimize impact on food sources and
habitat for marine fauna
A2. Earthmoving and excavation Erosion from exposed cuts  Conduct construction activities during
activities and landslides dry season
 Avoid long exposure of opened cuts
Integrate A2 to A5  Install barrier nets
 Apply results of geological and
geotechnical studies
 Apply results of seismic risk analysis
to avoid active faults
A3. Clearing, civil works and Increase in dust generation  Regular watering of unpaved roads or
earthmoving activities exposed soils/ground
 Remove soil /mud from tires of trucks
and equipment before leaving the area.
 Cover hauling trucks with canvass or
any equivalent materials
 Set-up temporary fence around the
construction area.
 Introduce speed limits on access roads
A4. Earthmoving activities, Removal and loss of top  Stockpile the top soil in a safe place
transport, and access road soil and use as final grading material or
construction final layer
 Re-vegetate or rip-rap area as soon as
possible
 Apply results of geological and
geotechnical studies
A5. Unconfined stockpiles of soil Sedimentation/ siltation of  Set-up temporary silt trap/ ponds to
and other materials drainage or waterways prevent siltation
 Properly stockpile/ spoils on flat areas
and away from drainage routes
 Dispose spoils generated from civil
works as filling materials
A6. Wind action and equipment Deterioration of air  Regularly wet ground surface with
operations quality due to increase in water especially during dry season
air pollutants
A7. Lack of water for construction Delay in construction  Provide water requirements during
activities activities; health risks construction from water delivery
tankers or from existing buildings/
offices, etc.
 Provide drinking water of workers
A8. Improper disposal of domestic Pollution of water body/  Set up proper and adequate temporary
sewage surroundings toilet facilities
Adverse impact on marine  Regularly collect sewage by contractor
biology  Conduct orientation/training sessions
for workers on sanitation

34
 Activity Predicted Impact Mitigating/Enhancement Measures
A9. Land clearing Loss of vegetation  Limit land clearing as much as
possible
 Provide temporary fencing to
vegetation that will be retained
 Use markers and fences to direct heavy
equipment traffic in construction site
and to avoid damage to plants
 Re-plant/ plant indigenous tree species
and ornamental plants
A10. Improper disposal of Pollution of nearby water  Set-up temporary disposal mechanism
construction wastes including body within construction area and properly
temporary accommodation dispose the generated solid wastes.
structures for workers  Strictly require contractor and its
workers to observe proper waste
disposal
A11. Lack of safety measures in Increase in hazards from  Ensure occupational safety measures
place for construction activities falling objects, moving are in place
equipment, fall, etc.
A12. Noise generation that can Health risks  Schedule noisy construction activities
affect nearby residents during day time
 Undertake proper maintenance of
construction equipment and use
mufflers
A13. Conflicts on right of way Delay in construction  Conduct consultation with ceoncernde
activities persons and settle agreements before
finalizing detailed design
A14. Increase in traffic movement Bottleneck in port  Formulate management strategies for
on sea terminal water transportation system
management strategies that will relieve
congestion and prevent port access
bottlenecks
 Coordinate with Philippine Port
Authority to facilitate smooth sailing
of sea vessels
A.15 Increase in traffic movement Possible congestion in  Strictly enforce traffic rules and
on land area regulations
 Provide traffic signs, direction and
signals
 Designate parking and loading areas
 Develop and implement transportation
management plan to facilitate ease in
traffic flow
 Integrate port access roads to traffic
management network of community
 Provide traffic enforcers during peak
hours
A16. Increase in incidence of crime Safety risks  Strictly require the contractor and its
and accidents workers to follow safety rules and
regulations in the construction and in
the locality (in coordination with local
authorities)
A17. Generation of employment Positive impact on  Prioritize hiring of qualified local
workers residents
 Comply to laws with regard to labor

35
 Activity Predicted Impact Mitigating/Enhancement Measures
and employment
A18. Construction activities Increase in economic  Improve lifestyle and livelihood of
activity in the area community
B. Operational Phase of Project
B1. Natural process of consolidation Structural damage to  Build heavy structure on pile
and settlement structures and foundation.
underground facilities  Properly compact subgrade and use
especially pipes and soil reinforcement.
concrete tanks
B2. Residual sedimentation Reduction in draft depth  Maintain regular dredging activities
B3. Long shore current/ estero Sedimentation  Conduct maintenance dredging
discharges
B4. Navigational dredging and spoil Artificial disturbance on  Use dredged spoil for reclamation
disposal to ensure adequate benthic organisms; purposes
channel depth for shipping introduction of pollutants
into disposal areas
B5. Berth dredging Reduction in area of  Extend habitat areas brought about by
seagrass meadows near human activity by bringing in more
port site due to increase in fine sediment to onshore areas of the
sediment suspensions bay.
B6. Disposal of spoils during Increased turbidity and  Dispose spoils at designated area at
maintenance dredging sedimentation port terminal
Loss/ damage of marine  Provide silt screen
life
B7. Major oil spill Oil contamination of  Coordinate with companies with oil
seawater spill containment and remediation
Death of fishes and other capabilities
aquatic life  Refrain from accepting oil tankers
B8. Oil and other bulk cargo spills Health and safety risks  Properly maintain fuel tanks to prevent
leakages
 Provide oil spill prevention equipment
B9. Disposal of sludge from an oil/  Use off-site disposal of hazardous
water separator sludge by private transporter and
treater
B10. Disposal of hazardous wastes  Use off-site disposal of hazardous
from berthed vessels like used wastes by private transporter and
oil, used batteries, etc. treater
 Prevent mixing of used oil with other
hazardous wastes
B11. Release of acid into aquatic Algal bloom, health and  Investigate reports on leakages and
and marine environment safety risks repair immediately
B12. Discharge of all bilge and Water pollution  Collect and treat all bilge and other
other vessel discharges (e.g. vessel discharges in wastewater
sewage, ballast water, cleaning treatment plant
waste) to on-shore tank  Require vessel operator to minimize
Separate measures for ship occurrences of contaminated bilge
operations water discharges by using oil catch
pan, fixing oil leaks, oil/water
separators in bilge pump discharge
line, etc.
B13. Cleaning of all cargo tanks Water pollution  Collect and treat wastewater in
after unloading of cargo to wastewater treatment plant
remove any residue left by

36
 Activity Predicted Impact Mitigating/Enhancement Measures
cargo
B14. Handling of cargoes of Increases in ambient  Implement special handling/ approach
powdered substances suspended particulates for cargoes of powdered substances
B15. Decomposition of Emission of malodorous  Treat immediately hospital waste
biodegradable wastes smell; health risks  Implement proper housekeeping and
maintenance of port terminal premises
 Plant trees that will absorb odor
B16. Disposal of non-recyclable Health and safety risks;  Segregate recyclable materials from
wastes environmental pollution non-recyclable wastes
 Properly collect and dispose residual
solid wastes
B17. Unsanitary conditions in Health and safety risks  Practice good housekeeping at all
premises; Improper handling of times
food materials  Spray pesticides and insecticides to
prevent proliferation of disease-carrier
vermins
 Conduct regular training on proper
handling and storage of food materials
B18. Disposal/ discharge of Increase in toxic level in  Use wastewater treatment plant
untreated domestic sewage or marine life especially to
wastewater the filter feeders; adverse
health impact
B19. Increase in consumption of Compete with community  Recycle treated effluent for flushing
water for water usage and landscaping
 Implement water minimization
program
B20. Increase in domestic activities Contamination of surface/  Use wastewater treatment plant
in port terminal groundwater with liquid
waste
B21. Operation of port equipment Increase in ambient noise  Provide buffer zones and greenery.
and air pollutants  Use noise enclosure.
B22. Increase in traffic congestion Increase in air pollutants  Strict enforcement of traffic rules and
as well as increased risk of and ambient noise regulations
vehicular and vehicular related Increase in traffic hazards  Formulate and implement a traffic
accidents management program
 Use vehicle mufflers
B23. Personnel without proper Health and safety risks  Conduct regular training on health and
protective gear safety programs for personnel
 Require personnel to wear protective
gear at all times
B24. Improvement in social Positive benefits to  Formulate and implement regular
acceptability of project community information education communication
program
 Priority hire qualified local residents
 Undertake / promote/ support social
development projects to community.
 Support/ assist community in creating
livelihood projects
B25. Risk of fires Health and safety risks  Install and properly maintain fire
prevention system
 Make available 210 Liter-drums of
dispersants at fire station within port
terminal.
 Prevent leakage of combustible

37
 Activity Predicted Impact Mitigating/Enhancement Measures
materials/gases
 Establish emergency shutdown
procedures and instructions on what to
do in case of fires
 Develop additional materials like
posters and signages to provide useful
information to employees and
emergency responders
B26. Emergency cases such as Health and safety risks  Train personnel on emergency
bomb threats, terrorist attacks, response procedures
etc.  Coordinate closely with local police
units
 Provide adequate communication
equipment, signages, etc.
 Establish emergency shutdown
procedures and instructions on what to
do in case of emergencies
B27. Geologic hazards resulting Health and safety risks  Conformance of structural design to
from earthquakes, erosion and seismic engineering design and
siltation analysis
 Institute emergency response measures

38