IEE Checklist for Water System Project (distribution only)

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7/24/2019 IEE Checklist for Water System Project (distribution only)

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  INITIAL ENVIRONMENTAL EXAMINATION (IEE) CHECKLIST REPORTfor 

PROPOSED VILLA STA. MARIA ACP LINE REPLACEMENT PROJECT

Project name or Title

This Generic IEE Checklist Report shall be used as the interim pro-forma EIAReport requirement for projects to be located within Environmenta! Criti"aArea# (ECA) where a customied IEE Checklist Report !orm has not "et beende#eloped but are required IEE Checklist Report !orm or IEE Report per e$istin%%uidelines

 

$or ECC a%%i"ation#& t'i# IEE C'e"i#t Re%ort #'a e #*mitte+ ,it'-

• Proof of Compatibilit" with the e$istin% &and 'se Plan

• Proof of Authorit" o#er the Project (ite

•  Accountabilit" (tatements of Proponent )see attached form* and the Preparer )if

an"+ followin% Anne$es ,-,, of Re#ised Procedural anual for .A/ ,001-10*

• Photo%raphs or plates2#icinit" map of the project site showin% impact areas and

affected areas and communities

 

.ul" Accomplished Project En#ironmental onitorin% 3 Audit Prioritiation

(cheme )PEAP(* 4uestionnaire )see Anne$ ,-5d of Re#ised Proceduralanual for .A/ ,001-10*

(No other documents shall be required as pre-requisite to ECC applications per DENR MC 2010-14)

Read the questions carefull" and write the required information on the blank spacespro#ided or otherwise check )* the appropriate bo$es or parenthesis ) *6 7o$eswith check marks )* are automaticall" required6 'se additional sheets if necessar"and indicate this in the appropriate space6

Project proponents are stron%l" +i#"o*rae+ to en%a%e the ser#icesof consultants2facilitators2preparers to accomplish2fill-up the IEEChecklist Report !orm6 The Report !orms ha#e been desi%ned to beuser-friendl"6

!urthermore+ E7 Re%ional /ffice is required to complete theprocessin% of an ECC application usin% the IEE Checklist Reportwithin twent" ),0* workin% da"s upon receipt for completed2dul"-accomplished form6

Misleading or erroneous answers are basis for legal actions and/or denial of ECC issuance.

PROJECT $ACT SHEET

Pro/e"t Name- Proposed 8illa (ta6 aria ACP &ine Replacement ProjectPro/e"t Lo"ation- Go#6 &im A#enue+ 9amboan%a Cit"

Tota Pro/e"t Lan+ Area- ,+:;0600 linear metersTota Pro/e"t01*i+in ,+:;0600 linear meters

EE Chec!list "or PROPOSED GOV. LIM VE!"E PIPELI!E REPLCEME!# PRO$EC# 

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$oot%rint Area

 )Area actuall" utilied*

Pro/e"t Pro%onent- 9A7/A<GA CIT= >ATER .I(TRICTO22i"e A++re##- Pilar (treet+ 9amboan%a Cit"Conta"t Per#on-  Anne Aubre" R6 .e Guman-7u%ton%

De#ination- En#ironmental (pecialistConta"t N*mer0#

  Lan+ine -

$a3 N*mer-

  E4mai A++re##-

 

;??-@,1? )9C>. !IE&. /!!ICE*

;??-@,1? )9C>.*

aubre"boo%s1B;,B"ahoo6com

I. PROJECT DESCRIPTION

5.5  PROJECT LOCATION AND AREA-  (treet <ame+ 7aran%a"+ and unicipalit"2Cit"+Pro#ince

This ACP line replacement project will commence at junction Pasonanca Road and8illa (ta6 aria (treet

(ee attached #icinit" map2s and photo%raphs of the project site and site de#elopment2la"outplan6

Geo%raphic coordinates of the project area )Preferabl" use >G( :@ datum+ otherwisespecif" datum used*6

Perimeter01o*n+ar! %oint# Lonit*+e Latit*+e

(tart of Project )junctionCali$to (treet and Go#6 &im A#enue*

E B,,D@,F6B1 < 0FD?@B:6;0

End of Project )junction8eterans A#enue and Go#6&im A#enue*

E B,,D@@:65: < 0FD?@,56B:

H - note data %enerated throu%h Goo%le Earth*

5.6 PROJECT COMPONENTS

$a"iitie#No. o2 7nit#

Area (#8. m.) 0Ca%a"it! 0

Lent'

S%e"i2i"ation0 De#"ri%tion 0Remar#

!inal (takin%2&a" outin%and Potholin%J AsphaltCuttin% and ConcreteCuttin% )includes remo#alof e$istin% asphaltpa#ement and concretepa#ement*

:1B600 linear meters lon% b"B600 meter wide

Pipela"in% of B?0 mm Ø P8C pipe

B1;pieces of 

F600meterseach

:1B600 linear meters

Class B?0

EE Chec!list "or PROPOSED GOV. LIM VE!"E PIPELI!E REPLCEME!# PRO$EC# 

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$a"iitie#No. o2 7nit#

Area (#8. m.) 0Ca%a"it! 0

Lent'

S%e"i2i"ation0 De#"ri%tion 0Remar#

Installation of 8al#es and!ittin%s+ fire h"drants+

blow off assembl"

B@ units - The pipeline will be encased inconcrete to secure it from

pilfera%e+ outside force anddama%e6

5.9 7TILITIES0RE:7IREMENTS )/peration Phase*-

7tiitie# So*r"e E#timate+ Deman+0Con#*m%tion

Power2Electricit"(Tota)

n2a <2A

Power2Electricit"($rom Rene,ae Ener!So*r"e#)

n2a <2A

>ater 

(Tota))!ill-up table below if wateris not obtained from thelocal water utilit"*

n2a Cubic meters2da"

>ater (Rain,ater Coe"tionS!#tem)

n2a <2A

>ater (ource

K L %round water K L well K L sprin% K L others  

K L (urface water K L ri#er K L lake K L others  

&ocation of water source Tuma%a Ri#er+ Pasonanca+ 9amboan%a Cit"+ Re%ion IM

Ener!0;ater E22i"ien"!

7tiitie# E#timate+Savin#

Pro%o#e+ E22i"ien"!0Con#ervation Mea#*re#

Power2Electricit" N>h2d n2a

>ater BB0 cubicmeters

To be used for h"drotestin% and disinfection ofthe pipeline6

5.< MANPO;ER

a. Con#tr*"tion P'a#e

Man%o,er Re8*irement

E3%erti#e0Si# Tota

Construction!oreman

(uper#ise dail" constructionacti#it" and pro%ress of project

B

(afet" /fficer Responsible in ensurin% that theproject complies with the safet"

standards

B

Carpenters Responsible in undertakin% ,

EE Chec!list "or PROPOSED GOV. LIM VE!"E PIPELI!E REPLCEME!# PRO$EC# 

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carpentr" works in the project

ason Responsible in undertakin%masonr" works in the project

,

Pipefitter Responsible for undertakin%interconnection works in the

project

,

&i%ht Equipment/perator 

Responsible for the operation ofli%ht equipment in the project

,

Plumber Assists pipefitters in undertakin%interconnection works in theproject

,

(teelman Responsible for undertakin% steelworks in the project

B

Painter Performs the paintin% works in theproject

B

>elder Performs the weldin% works in theproject

B

&aborers Assists skilled workers inperformin% their tasks andperforms such other tasks as ma"be dele%ated b" the constructionforeman

,1

. O%eration P'a#e

Man%o,er Re8*irement

E3%erti#e0Si# Tota

>ater aintenanceGeneral !oreman

Responsible for o#erseein% the carr"in% outOob /rders for pipeline maintenance works

B

>ater aintenancean 7

Responsible for carr"in% out the Oob /rdersfor pipeline maintenance works

@

5.= INDICATIVE PROJECT COST

  Project Cost )PhP* P'% =&>?@&B>.B=

EE Chec!list "or PROPOSED GOV. LIM VE!"E PIPELI!E REPLCEME!# PRO$EC# 

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II. ENVIRONMENTAL IMPACTS AND MANAEMENT PLAN

Po##ieEnvironmenta0 So"iaIm%a"t#

1a#eine Environment Preventive0 Mitiatin Mea#*re# Monitorin Parameter#0Im%ementation

Co#t o2 Mitiation0Monitorin

&A<.

þ Consistenc" with

land use

Current land use w2in Bkmradius )as per onin%ordinance* Residential

þ Commercial2 Institutional

Industrial

 A%ricultural2 Recreational

Protected Areas /thers+ specif"

 Actual land uses w2in Bkmradius Residential

þ Commercial2 Institutional

Industrial

 A%ricultural2 Recreational

Protected Areas

/thers+ specif"

  

þ (ee attached proof of compatibilit" with

land use

.isturbance to

wildlife due to#e%etation clearin%

E$istin% #e%etation in the area !orestland

arshland

Grassland an%ro#e

>etland

/thers+ specif"

Compliance with conditions of

.E<R2&G' (&'P+ Tree Cuttin% Permit+R/>+ PCA Permit

&imit land clearin% as much as possible Pro#ide temporar" fencin% for

#e%etation that will be retained Promote restoration of dama%ed or

destro"ed #e%etation where possible)e6%6+ tree plantin%*J

 Annual inspection of area

replanted2 re#e%etated

Cost inte%rated in the

construction 2operationcost

EE Chec!list "or PROPOSED GOV. LIM VE!"E PIPELI!E REPLCEME!# PRO$EC# 

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Po##ieEnvironmenta0 So"iaIm%a"t#

1a#eine Environment Preventive0 Mitiatin Mea#*re# Monitorin Parameter#0Im%ementation

Co#t o2 Mitiation0Monitorin

Chan%e in surface

landform2topo%raph"2terrain2slope

(oil Erosion

(lopeþ flat )0-1*

%entl" slopin% to rollin% )1-

B:* steep )QB:*

Is the project site located in anarea identified b"G72PAGA(A2PI8/&C( ashaard proneS

=es

þ <o

Pro#ide erosion control and slope

protection measures .esi%nate a (poils (tora%e Area+ with

topsoil set aside for later use andallow ma$imum re-use of spoils

Construction durin% dr" season

(tabiliation of embankment with

%rasses or other soil co#er  /thers+ specif"

  

þ Compliance with the .E<R

 Administrati#e /rder <o. ,001-10 and.E<R Administrati#e /rder <o6 ,000-,:+ Implementin% Guidelines onEn%ineerin% Geolo%ical and Geo-haard Assessment )EGGA*6

Re%ular inspection of

slope protection measuresin erosion-prone areas

Re%ular inspection for new

eroded areas near the site /thers+ specif"

  

(lope2 Erosion Control

Cost   /thers+ specif"

(oil2&and

contamination due toimproper solid wastedisposal

E$istin% soil t"pe in the area (and"

cla"

sand"-loam

/thers+ specif" pa#ed area

þ Implementation of the Ecolo%ical (olid

>aste ana%ement Plan )E(>P*þ (et-up temporar" fence around the

construction areaþ Implement re-use and rec"clin% of

waste materialsþ Implement proper se%re%ation+

collection and disposal of domestic

wastes in desi%nated areasþ Pro#ide receptacles 2 bins for solid

wastesþ Coordinate with the municipal 2 cit"

waste collectors

þ .ail" inspection of

waste2rec"clin% bins forse%re%ation

þ .ail" inspection for

presence of mi$ed%arba%e in the facilit"

þ >eekl" inspection of waste

accumulated

/thers+ specif"  

þ Cost inte%rated in the

construction 2operationcost

EE Chec!list "or PROPOSED GOV. LIM VE!"E PIPELI!E REPLCEME!# PRO$EC# 

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Po##ieEnvironmenta0 So"iaIm%a"t#

1a#eine Environment Preventive0 Mitiatin Mea#*re# Monitorin Parameter#0Im%ementation

Co#t o2 Mitiation0Monitorin

En%a%e third part" compan" for waste

collection /thers+ specif" Transport solid waste

back to 9C>. otor pool forappropriate disposal6

Impairment of #isual

aesthetics

.e#aluation of land#alues

Presence of #isuall" si%nificantlandforms2landscape2structuresS

=esþ <o

Implement landscapin% and other

beautification measures

Pro#ide adequate buffer Compensate adjacent propert" owners

/thers+ specif"

   

Re%ular inspection of

landscapin% and other

beautification acti#ities Re%ular monitorin% of

buffer ones Re%ularl" monitor

presence2absence ofcomplaints from adjacentpropert" owners

Cost inte%rated in the

construction2

operation cost

>ATER

Increased siltation

due to projectacti#ities

>ater qualit"

de%radation /thers+ specif"

  

(pecif" nearest2recei#in% waterbod"   

.istance to nearest2recei#in%water bod"þ 0 to less than 06? km

06? to B km

ore than B km

If nearest2recei#in% water bod"is fresh water+ specif"classification

 AA

 A

7

þ (et-up proper and adequate sanitar"

facilitiesþ (trictl" require the contractor and its

workers to obser#e proper wastedisposal and proper sanitation

(trictl" obser#e proper waste handlin%

and disposal Pro#ision of wastewater treatment

facilit" )e6%6 septic tank+ oil and water

separator+ etc6* (et up silt trap2stillin% ponds to

minimie downstream siltation Pro#ision of three-chambered septic

tank for domestic sewa%e Pro#ide rin% canals around fuellin%

Re%ular )ocular* inspection of .raina%e 2 canal s"stems

>ater treatment facilit"

)i6e6+ %rease trap+ septictank+ etc6*

4uarterl" monitorin% of thefollowin% p

T(( concentration 7/.

Total Coliform

Color 

/il and Grease

þ Cost inte%rated in the

construction2 operationcost

EE Chec!list "or PROPOSED GOV. LIM VE!"E PIPELI!E REPLCEME!# PRO$EC# 

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Po##ieEnvironmenta0 So"iaIm%a"t#

1a#eine Environment Preventive0 Mitiatin Mea#*re# Monitorin Parameter#0Im%ementation

Co#t o2 Mitiation0Monitorin

C

.

þ unclassified

If nearest2recei#in% water bod"is coastal or marine water+specif" classification

(A

(7

(C

(.

Current >ater 'se !isher"

Tourist 9one 2 Park

Recreational

Industrial

 A%ricultural

.omestic 'se

.istance of project area to the

nearest well used 0 to less than 06? km

06? to B km

ore than B km

'se of the nearest well

tanks2 motorpool2 maintenance areas /thers+ specif"

  

EE Chec!list "or PROPOSED GOV. LIM VE!"E PIPELI!E REPLCEME!# PRO$EC# 

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Po##ieEnvironmenta0 So"iaIm%a"t#

1a#eine Environment Preventive0 Mitiatin Mea#*re# Monitorin Parameter#0Im%ementation

Co#t o2 Mitiation0Monitorin

.rinkin%2.omestic

Industrial

 A%ricultural

 Abandoned

Competition in water

use .epletion of water

resources

(ie of population usin%recei#in% surface water

B+000 persons QB+000 and ?+000persons

Q?+000person

 A#ailable2nearest water source6 .eepwell

þ >ater district2&G'

(urface water 

/thers+ specif"

  

Implement rainwater har#estin% and

similar measures as an alternati#esource of water

/bser#e water conser#ation measuresJ

Careful selection of project site to

a#oid disruption of traditional wateruses

/btain >ater Permit from <>R7

þ Impro#e efficienc" of water suppl" and

distribution s"stem /thers+ specif"

  

þ Re%ularl" monitor

presence2absence ofcomplaints

þ Re%ular coordination with

concerned a%enciesþ Re%ularl" monitor

occurrences of watershorta%es

/thers+ specif"

  

þ Cost inte%rated in the

construction2 operationcost

Increased

occurrence offloodin%

Is the project site located in anarea identified b" G72PAGA(Aas flood proneS

þ =es

<o

þ 'se appropriate desi%n for project

facilities Implement appropriate draina%e

s"stemþ Re%ularl" remo#e debris and other

materials that ma" obstruct water flow

'se appropriate technolo%" )e6%6raised hand-pumps* to protect drinkin%water from flood contamination

/thers+ specif"

  

þ Re%ularl" monitor

presence2absence ofcomplaints

þ Re%ular coordination with

concerned a%enciesþ Re%ularl" monitor

increased frequenc" offloodin%

/thers+ specif"

  

þ Cost inte%rated in the

construction2 operationcost

EE Chec!list "or PROPOSED GOV. LIM VE!"E PIPELI!E REPLCEME!# PRO$EC# 

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Po##ieEnvironmenta0 So"iaIm%a"t#

1a#eine Environment Preventive0 Mitiatin Mea#*re# Monitorin Parameter#0Im%ementation

Co#t o2 Mitiation0Monitorin

 AIR 2 </I(E

 Air qualit"

de%radation

.istance to nearest communit"þ 0 to less than 06? km

06? to B km

ore than B km

þ Properl" operate and maintain all

emission sources )e6%6 #ehicles+pumps+ %enerator+ etc*

Install when applicable+ the appropriate

air pollution control de#ice2s (trictl" enforce %ood housekeepin%

practicesþ Control #ehicle speed to lessen

suspension of road dustþ Conduct water spra"in% to suppress

dust sources and minimie discomfortto nearb" residents

þ 'se co#ered #ehicles to deli#er

materials that ma" %enerate dust /ther+ specif"

  

þ Re%ularl" monitor

presence2absence ofcomplaints

Re%ular )ocular* inspection ofþ  Absence of white or

black smoke from#ehicles+ hea#"equipment and%enerator 

þ Presence of truck

co#er durin% deli#eries

þ Cost inte%rated in the

construction2 operationcost

EE Chec!list "or PROPOSED GOV. LIM VE!"E PIPELI!E REPLCEME!# PRO$EC# 

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Po##ieEnvironmenta0 So"iaIm%a"t#

1a#eine Environment Preventive0 Mitiatin Mea#*re# Monitorin Parameter#0Im%ementation

Co#t o2 Mitiation0Monitorin

þ <uisance due to

noise %eneration

.istance to nearest communit"þ 0 to less than 06? km

06? to B km

ore than B km

þ Properl" operate and maintain all noise

sources )e6%6 #ehicles+ pumps+%enerator+ etc*

þ Install when applicable+ the appropriate

noise control de#ice2s )e6%6+ mufflers+silencer+ sound barriers+ etc6*

þ Implement appropriate operatin% hours

Pro#ide adequate buffer and2or

plantin% of trees

/thers+ specif"  

þ Re%ularl" monitor

presence2absence ofcomplaints

Re%ular monitorin% of

buffer ones

þ Cost inte%rated in the

construction2 operationcost

PE/P&E

.isplacement of

residents in theproject site and withinits #icinit"

.isplacement of

Indi%enous Peopleþ Enhanced

emplo"ment and2orli#elihoodopportunities

Reduced

emplo"ment and2or

li#elihoodopportunities

þ Increased re#enues

for &G' .isruption2Competitio

n in deli#er" of public

(ie of population of hostbaran%a" B+000 persons

þ QB+000 and ?+000persons

Q?+000person

Classification of host baran%a" 'rban

þ Rural

 A#ailable ser#ices within2nearthe host baran%a"

þ (chools )e6%6 elementar"+hi%h school+ colle%e*

ealth facilities )e6%6+ clinics+

hospitals+ etc6*þ Peace and order )e6%6+ police

outpost+ br%"6 Tanod+ etc6*

Pro#ide relocation2disturbance

compensation packa%esþ Prioritie local residents for

emplo"ment Promptl" pa" local ta$es and other

financial obli%ationsþ Re%ular coordination with &G'

þ Prior consultation 3 coordination to

minimie disruption on dail" domesticacti#ities 3 respect for IP ri%hts andcultural practices

þ Ensure participation of IPs in

consultations and dialo%ues Pro#ide appropriate traffic2warnin%

si%ns+ li%htin%+ etc /thers+ specif"

  

þ Re%ularl" monitor

presence2absence ofcomplaints

þ Re%ular coordination with

&G' /thers+ specif"

  

þ Cost inte%rated in the

construction2 operationcost

EE Chec!list "or PROPOSED GOV. LIM VE!"E PIPELI!E REPLCEME!# PRO$EC# 

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Po##ieEnvironmenta0 So"iaIm%a"t#

1a#eine Environment Preventive0 Mitiatin Mea#*re# Monitorin Parameter#0Im%ementation

Co#t o2 Mitiation0Monitorin

ser#ices )e6%6+education+ peace andorder+ etc6*

þ Enhanced deli#er" of

public ser#ices )e6%6+education+ peace andorder+ etc6*

þ Increase in traffic

#olume and

worsenin% of trafficflow

Recreation and sports

facilities /thers+ specif"

  

Impacts on

communit" healthand safet"

/thers+ specif"

  

þ Re%ular coordination with &G'

  Pro#ide appropriate warnin% si%ns+

li%htin% and barricades+ whene#erpracticableþ /bser#e proper housekeepin%

Pro#ide on-site medical ser#ices for

an" emer%enc"6 Participate in public awareness

pro%rams on health and safet" Implement appropriate safet"

pro%rams for both communit" andworkers

(trictl" compl" with fire+ safet" and

similar re%ulator" requirements (trictl" compl" with requirements of RA

F;F; /thers+ specif"

  

þ Presence2Absence of

complaintsþ Re%ular coordination with

&G' Re%ular submission of

reports to concerneda%enc"

/thers+ specif"

  

þ Cost inte%rated in the

construction2 operationcost

EE Chec!list "or PROPOSED GOV. LIM VE!"E PIPELI!E REPLCEME!# PRO$EC# 

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EE Chec!list "or PROPOSED GOV. LIM VE!"E PIPELI!E REPLCEME!# PRO$EC# 

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III. A1ANDONMENT 0DECOMMISSIONIN0REHA1ILITATION POLICIES AND ENERIC7IDELINES )if Applicable*

Project &ife or (er#ice for P8C pipelines ?0 "ears

 

Pro#ide description of the Abandonment acti#ities+ such as+ dismantlin% and waste disposal6

>ater s"stem projects undertaken b" the 9amboan%a Cit" >ater .istrict are desi%ned toser#e the water suppl" demands of the public for the ma$imum period of time+ takin% intoconsideration the capital and operational e$penses6 owe#er+ for pipelines+ their replacement will be made upon the e$piration of their e$pected lifespan6 'pon such time+ theold pipelines will be replaced and decommissioned6 7" practice+ old pipelines aredecommissioned and the new lines are used in their place6 The pipelines are leftunder%round for to actuall" remo#e the same would entail %reater cost6 owe#er+ thee$posed pipelines )G6I6* that will be replaced in the future would ha#e to be returned to the

9C>. otor pool >arehouse for appropriate disposal6 Concrete structures on the other hand+ would be rehabilitated as the need arises to ensure the inte%rit" of the structures6

IV. INSTIT7TIONAL PLAN $OR EMP IMPLEMENTATION

The 9amboan%a Cit" >ater .istrict is a d"namic or%aniation whose %rowth throu%h the"ears has been dri#en b" the challen%es facin% it6

It is led b" a ?-member 7oard of .irectors )representin% women+ business+ ci#ic ser#iceclubs+ professionals+ education* appointed b" the local chief e$ecuti#e6 7oard members electthe Chairman+ 8ice Chairman and 7oard (ecretar"6

 A General ana%er appointed b" the 7oard Chairman and confirmed b" the Ci#il (er#iceCommission handles the operations of the or%aniation6 e is supported b" a &e%al 3ana%ement (er#ices .epartment6

!our )@* Groups carr" out the administrati#e and operational acti#ities of the 9amboan%aCit" >ater .istrict+ super#isin% #arious departments under their areas of concern6 Theseinclude the Administrati#e Group+ !inance Group+ /perations Group and Technical (er#icesGroup6

The heads of the departments+ the Assistant General ana%ers who head the four %roups+ and the General ana%er make up the E$ecuti#e Committee6 This E$ecom is themana%ement %roup supportin% the 7oard of .irectors in e$ecution of policies+ pro%rams+ andprojects )(ource 9C>. A &i#in% Tradition of (er#ice #$ua es %ida& brochure*6

Policies pertainin% to the implementation of En#ironmental ana%ement Plan+ after ha#in% been prepared b" the En#ironmental ana%ement (ection of the En#ironment and>ater Resources .epartment+ will ha#e to be appro#ed b" hi%her mana%ement and the7oard of .irectors+ especiall" if it entails bud%et appropriation6 owe#er+ if the costs ha#ealread" been inte%rated in the construction2operation and maintenance costs+ the appro#alfor the implementation of the EP ma" be raised to the Assistant General ana%er for Technical (er#ices6 These will be implemented b" the ainline E$pansion and Rehabilitation.i#ision )ER.*+ if the project is undertaken b" administration+ or if the project is undertakenb" contract+ b" the contractor under the super#ision of ER.6 .urin% operations+ the

mana%ement plan and monitorin% will be undertaken b" the /perations Group6

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/r%aniation Chart

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 Administration Group

!inance Group

Technical (er#ices Group

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/perations Group

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S;ORN STATEMENT O$ ACCO7NTA1ILIT O$ THE PROPONENT

This is to certif" that all the information and commitments in this Initial En#ironmentalE$amination )IEE* Checklist Report are accurate and complete to the best of m" knowled%e6

7" the authorit" #ested in me b" the AM1OANA CIT ;ATER DISTRICT  asGeneral Manager % I hereb" commit to ensure implementation of all commitments+ miti%atin%measures and monitorin% requirements indicated in this IEE Checklist Report as well as thefollowin%

• Conform with pertinent pro#isions of applicable en#ironmental laws e6%6+ R6A6

<o6 F;F; )'oic ubstances and *a+ardous and Nuclear ,astes Control #ct o" 10 *+ R6A6 <o6 ;001 )Ecolo$ical olid ,aste Mana$ement #ct o" 2000 *+R6A6 <o6 ;,5? ).hilippine Clean ,ater #ct o" 2004*+ and R6A6 <o6 :5@;).hilippine Clean #ir #ct o" 1*6

•  Abide and conform to &G' de#elopment plans and %uidelines6

• Promptl" pa" local ta$es and other financial obli%ations6

• Re%ularl" submit reports to concerned a%encies6

I hereb" bind m"self to answer an" penalt" that ma" be imposed arisin% from an"misrepresentation or failure to state material information in this IEE Checklist6

In witness whereof+ I hereb" set m" hand this da" of at 6

 &E/<AR./ RE= .6 8A(4'E9General ana%er 

9amboan%a Cit" >ater .istrict

('7(CRI7E. A<. (>/R< T/ before me this da" of ,0B+ affiante$hibitin% his2her Communit" Ta$ Certificate <o6 issued at  on 6

.oc6 <o6  Pa%e <o6  7ook <o6  (eries of  

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