Professional Documents
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QUESTIONNAIRE
Project Name
Project Location
ECC Reference No.
Proponent
ECC Preparer
Tel. No./Fax No.
Project Type
Project Status
:
:
:
:
:
:
:
:
I. PROJECT CONSIDERATIONS
1.1 Size and Type
1.1.1
1.1.2
62
Category
Air
Waste
Type
hazardous Non-hazardous
x
x
Quantity
0.5 -0.75 mg/m
x
x
not capacitated to
quantify
not capacitated to
quantify
not capacitated to
quantify
not capacitated to
quantify
Liquid
rain or stormwater
Solid
x
x
x
x
as volume of rainwater
5% of total volume of
materials
x
x
x
x
x
x
x
76 dB @ 50 feet
78 dB@ 50 feet
82 dB @ 50 feet
80 dB @ 50 feet
81 dB @ 50 feet
74 @dB @ 50 feet
74.1 db
Category
Air
Remarks
Solid
II. PATHWAYS
2.1 Prevailing wind towards barrio or city (mark the corresponding point)
NO
175 mm
6 mm
2.3 Terrainn
2.4 Is the facility located in a flood-prone area?
Steep
NO
greater than 1 km
3.2.3 Freshwater
3.2.3.1 Classification of fresh water
3.2.3.2 Size of fresh water body
3.2.3.3 Economic Value of water use
AA
approximately 1.002 km2
Drinking
Domestic
N/A
N/A
3.3 Groundwater
3.3.1 Distance to nearest recharge area
greater than 1 km
greater than 1 km
N/A
3.4 Land
3.4.1 Indicate current/actual land uses within 0.5 km radius
Residential
Agricultural
Residential
Agricultural
Protected Area
2
0 - 0.5 km from water bodies characterized
by one or any combination of the following
conditions: tapped for domestic purposes
Greater than 1 km - for areas with critical slopes
Law
RA 8749 Phil. Clean Air
Act
RA 9275 Phil Clean
Water Act
RA 6969 Toxic
Substances and
Hazardous and Nuclear
Wastes Control Act
PD 1586 Environmental
Impact Statement
System
RA 9003 Ecological
Solid Waste
Management Act
RECOMMENDATION/S:
Assessed By:
Noted By:
Additional
Remarks/Status of
Compliance
This is to certify that all information in the submitted Project Environmental Monitoring and Audit
Prioritization Scheme (PEMAPS)Questionnaire of the Proposed Vitali Water System (Source
Development at Sitio Kamalik) Project located at Sitio Kamalik, Vitali, Zamboanga City is true, accurate and
complete. Should I learn of any information, which makes this to the appropriate Environmental Management
Bureau Regional Office.
In witness whereof, I hereby set out my hands this _______ day of April, 2012 at Zamboanga City,
Philippines.
SUBSCRIBED AND SWORN TO before me this _______th day of May, 2012 at Zamboanga City.
Affiant exhibiting to me his ______________________________________ issued on ________________
_______________________.