GENERIC INITIAL ENVIRONMENTAL EXAMINATION (IEE) CHECKLIST REPORT

for the
Livan Trade Corp

This Generic IEE Checklist Report shall be used as the interim pro-forma EIA
Report requirement for projects types where a customized IEE Checklist Report
Form has not yet been developed but are required IEE Checklist Report Form or
IEE Report per the Revised Procedural Manual for DAO 2003-30

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: Livan Trade Corp

Project Location: Valleygold Townhouse, 12 Pinaglabanan St. San Juan City

Total Project Land Area:

Total Project/Building 1
Footprint Area 12,163 sqm
(Area actually utilized)
Project Proponent: Livan Trade
Office Address:

IEE Checklist Report for Commercial, Institutional, Land Transport Terminal, Motels,
Hotels, Condominiums/Apartelles, and Storage Facilities
Contact Person: Ferdinand Alpay
Designation: Chief Operating Officer

Contact Number/s
Landline :
Fax Number:
Mobile :
E-mail Address [email protected]
 I. PROJECT DESCRIPTION

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

Pinaglabanan,San Juan City, Metro Manila

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, otherwise specify datum
used).
Perimeter/Boundary points
Longitude Latitude
(based on OCT/TCT/etc)
N 72’2600 E8; S 79’03 W 14.41329 121.03825

1.2 PROJECT COMPONENTS

Area (sq. m.) / Specification/

Facilities No. of Units
Capacity Description / Remarks
20-footer (32 Sleeping quarter for
Temporary Container Van Barakcs 1 sqm) 4 workers
Temporary Warehouse 2 Storage
Repair Shop 1 Vehicle Maintenance
Clinic 1 Clinic Facility
Security posts 1 Open space post

Phase (emergency generators etc.)

Solid waste management facility 1 60 sqm Waste holding area

Drainage system 1 NA as per Filinvest sewage

(Please list facilities by module/grouping. Use additional sheets if needed)

IEE Checklist Report for Commercial, Institutional, Land Transport Terminal, Motels,
Hotels, Condominiums/Apartelles, and Storage Facilities
1.3 UTILITIES/REQUIREMENTS (Operation Phase):
Utilities Source Estimated Demand/Consumption
Power/Electricity Meralco

(Total)
Power/Electricity
(From Renewable Energy NA NA
Sources)
Water
(Total)
(Fill-up table below if water is Maynilad 4. 3 Cubic meters/day
not obtained from the local
water utility)
Water
(Rainwater Collection
NA NA Cubic meters/day
System)

Water Source
[ ] ground water [ ]well [ ] spring [ ] others: ____________________________

[ X ] Surface water [ ] river [ ] lake [ ] others: ____________________________

Location of water source

Through Maynilad

(Sitio/Zone, Barangay, Municipality/City, Province, Region)

Energy/Water Efficiency
Utilities Estimated Savings Proposed Efficiency/Conservation
Measures
Unplugging of unused electrical equipment
Programs and figures to Coordination with Meralco for any update
Power/Electricity follow and program on energy conservation

Regular monitoring and inspection of utility

lines to ensure that there is no leak and
wastage of water

Programs and figures

Water to follow

1.4 MANPOWER

a. Construction Phase
Manpower Expertise/Skills Total
Requirement
Client/Consultant
50 Main Contractor 50

b. Operation Phase
Manpower Expertise/Skills Total
Requirement
NA NA NA

IEE Checklist Report for Commercial, Institutional, Land Transport Terminal, Motels, Hotels, Condominiums/Apartelles, and Storage Facilities

1.5 INDICATIVE PROJECT COST

Project Cost (PhP):

IEE Checklist Report for Commercial, Institutional, Land Transport Terminal, Motels, Hotels, Condominiums/ Apartelles, and Storage Facilities
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  See attached proof of compatibility with
use (as per zoning ordinance): land use

Residential
As per Project costs and

Agricultural/ Recreational subcontract expenses
Surveyors consistently monitors
the site boundaries. Perimeter
fence is maintained and
monitored accordingly. All works
are within the limits of the

Protected Areas perimeter fence only
 Others ___________________
Actual land uses w/in 1km radius:

Residential

Commercial/ Institutional

Industrial

Agricultural/ Recreational

Protected Areas
 Others ___________________
 Disturbance to wildlife Existing vegetation in the area:  Compliance with conditions of DENR/LGU  Annual inspection of area  Cost integrated in the
 Forestland
due to vegetation SLUP, Tree Cutting Permit, ROW, PCA replanted/ revegetated construction /operation cost
clearing  Marshland
Permit

 Limit land clearing as much as possible
Grassland 
 Provide temporary fencing for vegetation
Mangrove
that will be retained

Wetland  Promote restoration of damaged or
Others, specify destroyed vegetation where possible (e.g.,
None – actual land area is plain lot
without any vegetation and dry land
with very minimal grass tree planting);
Possible Environmental/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Social Impacts Implementation
 Change in surface Slope:  Provide erosion control and slope  Regular inspection of slope  Slope/ Erosion Control

landform/ topography/ flat (0-3%) protection measures protection measures in Cost: as per operation cost
terrain/slope  gently sloping to rolling (3-18%)  Designate a Spoils Storage Area, with erosion-prone areas  Others, specify

  steep (>18%) topsoil set aside for later use and allow Regular inspection for new ____________
Soil Erosion maximum re-use of spoils eroded areas near the site ____________
 
Construction during dry season Others (Pls. specify):
 Stabilization of embankment with grasses ___________ Cost integrated in the
or other soil cover construction /operation cost

Others, specify
____________
 Compliance with the DENR Administrative
Is the project site located in an area
identified by Order No. 2003-30 and DENR
MGB/PAGASA/PHIVOLCS as Administrative Order No. 2000-28,
hazard prone? Implementing Guidelines on Engineering
 Yes Geological and Geo-hazard Assessment
 (EGGA).
No
 Soil/Land contamination Existing soil type in the area:  Implementation of the Ecological Solid  Daily inspection of  Cost integrated in the
 sandy
due to improper solid  Waste Management Plan (ESWMP) waste/recycling bins for construction /operation cost
waste disposal  clay Set-up temporary fence around the segregation

 construction area Daily inspection for presence
sandy-loam, clay loam
  Implement re-use and recycling of waste of mixed garbage in the
Others, specify
Materials facility
____________________  Implement proper segregation, collection  Weekly inspection of waste
and disposal of domestic wastes in accumulated

designated areas Others, specify
 Provide receptacles / bins for solid wastes ___________________________
_______
 Coordinate with the municipal / city waste
Collectors

Engage third party company for waste
Collection

Others, specify: ________________

IEE Checklist Report for Commercial, Institutional, Land Transport Terminal, Motels, Hotels, Condominiums/Apartelles, and Storage Facilities
Possible Environmental/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Social Impacts Implementation
 Impairment of visual Presence of visually significant  Implement landscaping and other  Regular inspection of  Cost integrated in the
aesthetics landforms/landscape/structures? beautification measures landscaping and other construction/ operation cost

 Devaluation of land
Yes  Provide adequate buffer beautification activities
 
values No  Compensate adjacent property owners Regular monitoring of buffer
zones
Project is protected and
fenced all throughout
without any visual or
social environment Project is protected and fenced all throughout
impact and all activities without any visual or social environment
are contained inside the impact and all activities are contained inside
fence the fence 
Regularly monitor
presence/absence of
complaints from adjacent
property owners
WATER

 Increased siltation due to

Specify nearest/receiving water
body: Set-up proper and adequate sanitary facilities
Regular (ocular) inspection of:
 Drainage / canal systems
Cost integrated in the
construction/ operation co
project activities
Surface water used is from
 Water quality
degradation
Maynilad only through the
domestic water line
workers
Strictly require the contractor and its
to observe proper waste disposal and
 Water treatment facility (i.e., grease
trap, septic tank, etc.)
 Others, specify
Distance to nearest/receiving
proper sanitation
Quarterly monitoring of the
Surface water used is from
Maynilad
water body: City canals and not  Strictly observe proper waste handling and disposal following:
from any coastal or marine water
facilityProvision  pH
 0 to less than 0.5 km of wastewater treatment
(e.g. septic tank, oil and water  TSS concentration
 0.5 to 1 km separator, etc.)
 BOD
 More than 1 km  Set up silt trap/stilling ponds to minimize
downstream siltation  Total Coliform


If nearest/receiving water body is
fresh water, specify classification:
 Provision of three-chambered septic tank for
domestic sewage 
Color

Oil and Grease

 AA
 Provide ring canals around fueling tanks/ motor WEM and water laboratory tests are performed
 A pool/ maintenance areas semiannually with tests results on file

 B  Others (Pls. specify): ___________

 C
 D
Possible Environmental/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Social Impacts Implementation

If nearest/receiving water body is

coastal or marine water, specify Waste water is received through the Waste manifests are on hand as part of the contract cost
local canals. The toilet waste is and on file of the project
Siphoned regularly

classification:
 SA

 SB

 SC

 SD

Current Water Use:

 Fishery

 Tourist Zone / Park

 Recreational

 Industrial

 Agricultural

Distance of project area to the

nearest well used: NA
 0 to less than 0.5 km

 0.5 to 1 km

 More than 1 km

Use of the nearest well: NA

 Drinking/Domestic

 Industrial

 Agricultural

IEE Checklist Report for Commercial, Institutional, Land Transport Terminal, Motels, Hotels, Condominiums/Apartelles, and Storage Facil ities
Possible Environmental/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Social Impacts Implementation
   
Competition in water Size of population using receiving Implement rainwater harvesting and similar Regularly monitor Cost integrated in the
use surface water: measures as an alternative source of water presence/absence of construction/ operation cost
 ≤ 1,000 persons
 Depletion of water
 Observe water conservation measures;
complaints
 >1,000 and ≤ 5,000persons 
resources  Regular coordination with
Careful selection of project site to avoid
 concerned agencies
>5,000person disruption of traditional water uses 
 Regularly monitor
Obtain Water Permit from NWRB
Available/nearest water source. occurrences of water

 Improve efficiency of water supply and shortages
Deep well
distribution system  Others, specify

Water district/LGU  Others, specify ____________

Surface water ________________________

Others, specify
________________________

   
Increased occurrence Is the project site located in an area Use appropriate design for project facilities Regularly monitor Cost integrated in the
of flooding - NA identified by MGB/PAGASA as  presence/absence of construction/ operation cost
flood prone? Implement appropriate drainage system
 complaints
 Regularly remove debris and other 
Yes Regular coordination with
 materials that may obstruct water flow
No  concerned agencies
Use appropriate technology (e.g., raised  Regularly monitor increased
hand-pumps) to protect drinking water from frequency of flooding
flood contamination 
 Others, specify
Others, specify:
_________________
_______________________________

IEE Checklist Report for Commercial, Institutional, Land Transport Terminal, Motels, Hotels, Condominiums/Apartelles, and Storage Facilities
Possible Environmental/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Social Impacts Implementation
AIR / NOISE
   
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, pumps, generator, presence/absence of construction/ operation cost
 0.5 to 1 km etc.) complaints

 More than 1 km
Install when applicable, the appropriate air
Regular (ocular) inspection of:
pollution control device/s 
 Strictly enforce good housekeeping
Absence of white or black
smoke from vehicles,
practices
 heavy equipment and
Control vehicle speed to lessen generator
suspension of road dust  Presence of truck cover

Conduct water spraying to suppress dust during deliveries
sources and minimize discomfort to nearby
residents

Use covered vehicles to deliver materials
that may generate dust

Other, specify
____________________________

 Nuisance due to noise Distance to nearest community:  Properly operate and maintain all noise  Regularly monitor  Cost integrated in the
 0 to less than 0.5 km
Generation - NA sources (e.g., vehicles, pumps, generator, presence/absence of construction/ operation cost
 0.5 to 1 km etc.) complaints
 
 More than 1 km
Install when applicable, the appropriate Regular monitoring of buffer
noise control device/s (e.g., mufflers, zones
silencer, sound barriers, etc.) WEM done semi-annually

Implement appropriate operating hours

Provide adequate buffer and/or planting of
trees

Others, specify
_____________________________

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

   
Impacts on community Regular coordination with LGU Presence/Absence of Cost integrated in the
health and safety  Provide appropriate warning signs, lighting complaints construction/ operation cost
 Others, specify 
and barricades, whenever practicable Regular coordination with

______________________ Observe proper housekeeping LGU
______________________

IEE Checklist Report for Commercial, Institutional, Land Transport Ter minal, Motels, Hotels, Condominiums/Apartelles, and Storage Facilities
Possible Environmental/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Social Impacts Implementation
 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
__________________________

IEE Checklist Report for Commercial, Institutional, Land Transport Terminal, Motels, Hotels, Condominiums/Apartelles, and Storage Facilities
III. ABANDONMENT /DECOMMISSIONING/REHABILITATION POLICIES AND
GENERIC GUIDELINES (if Applicable)

Provide description of the Abandonment activities, such as, dismantling and

waste disposal.
_Dismantling activities are only limited to the removal of office and kitchen waste

IV. INSTITUTIONAL PLAN FOR EMP IMPLEMENTATION

Organization Chart:

IEE Checklist Report for Commercial, Institutional, Land Transport Terminal, Motels,
Hotels, Condominiums/Apartelles, and Storage Facilities
Attach drawing/plan of waste water treatment facility (with dimensions
and descriptions)

There are no waste water treatment facility on this construction project.

All waste water are collected via accredited waste water siphoning
company.
Wash bay waste water is running through the oil and water separator and
then leads to the City sewer.
Drawing details of wash bay and oil and water separator tank:

Key Sewer Layout/Plan

Attach drawing/plan of air pollution source and control installations
(with dimensions and descriptions)
The motor vehicle, all petrol-powered on the other hand is maintained every month to
ensure that combustion is maintained into normal safe and acceptable limits

IEE Checklist Report for Commercial, Institutional, Land Transport Terminal, Motels,
Hotels, Condominiums/Apartelles, and Storage Facilities
 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 Livan Trade Corp as

__Managing Head 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 with 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 with 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 15th day of June 2021 at
Livan Trade Corporation, San Juan City, Metro Manila

Ferdinand Alpay_________________________
Chief Operating Officer
Livan Trade Corp

SUBSCRIBED AND SWORN TO before me this _____ day of ____________ 2021__, affiant
exhibiting his/her Community Tax Certificate No. ___________________ issued at
______________________ on __________________________.

Doc. No. ____________________

Page No. ____________________
Book No. ____________________
Series of ____________________

IEE Checklist Report for Commercial, Institutional, Land Transport Terminal, Motels,
Hotels, Condominiums/Apartelles, and Storage Facilities