Non Food Manufacturing Initial Environmental Examination Checklist Format

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    Annex 1

    ECC APPLICATION FORM FOR NON-FOOD MANUFACTURING PLANTS PROJECTS(Requiring EIS for ECC Application) Control No: __________

    1st 2nd 3rd ___ th Screening

    Date Submitted for Screening: _______________________________________________________________

    Form of Submission: ___ Hard ___ DigitalProject Title: _____________________________________________________________________________Project Location: _________________________________________________________________________Project Proponent: ________________________________________________________________________Address: ________________________________________________________________________________Contact No: Fax No:______________Contact Person:__________________________EIS Consultant: ___________________________________________________________________________Address: ________________________________________________________________________________Contact No: Fax No: Contact Person:__________________________Project Classification & Type: _______________________________________________________________

    Project Classification Code (Refer to RPM for DAO 2003-30): _____________________________________Project Size based on Classification: _________________________________________________________

    Date of Technical Scoping:______________________________________________________________Venue of Technical Scoping:_____________________________________________________________

    Checklist of Documentary Requirements

    To be filled-up upon submission of EISAcceptable?

    Screening Officers RemarksYes No

    Environmental Impact Statement (EIS)1

    Proof of Compatibility with the existing LandUse Plan

    Proof of Authority over the Project Site

    Accountability Statements of Preparers &

    Proponents (see Annexes 2-21 & 2-22 ofRevised Procedural Manual for DAO 2003-30)

    Photographs or plates of the project site,

    impact areas and affected areas andcommunities

    Duly Accomplished Project EnvironmentalMonitoring & Audit Prioritization Scheme(PEMAPS) Questionnaire (see Annex 2-7d ofRevised Procedural Manual for DAO 2003-30)

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    ECC APPLICATION FORM FOR NON-FOOD MANUFACTURING PLANTS PROJECTS(Requiring EIS for ECC Application) Control No: __________

    1st 2nd 3rd ___ th Screening

    Items to be

    Described Specific Data Requirement

    Page # Acceptable?

    REMARKS Discuss the alternatives (type and

    location) considered and nominated

    during the course of selecting the best

    option for which the EIS is prepared;

    Describe the bases upon which the

    alternatives were rejected in favor of the

    preferred option;

    Describe the significant differences in

    environmental impacts among the

    alternatives considered.

    Siting: Cite alternative project locations

    including factors significant to the selection

    such as perception of affected communities

    with regards to project, ancestral domain

    issues, land classification, etc. Discuss other

    options on the siting of major components of

    the project within the project area.

    Technology Selection/Operation Processes:

    Discuss the projects advantage over

    alternative technologies, operation processes

    and engineering design

    Discuss alternative measures to prevent

    occurrence of major impacts

    Resources: Discuss the alternativesconsidered in the course of selecting the

    power/water requirements as well as raw

    materials, and how the decisions were made

    in favor of the preferred resource Discuss

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    ECC APPLICATION FORM FOR NON-FOOD MANUFACTURING PLANTS PROJECTS(Requiring EIS for ECC Application) Control No: __________

    1st 2nd 3rd ___ th Screening

    Items to be

    Described Specific Data Requirement

    Page # Acceptable?

    REMARKS Identification of Pollution Control devices and

    corresponding facility being served orconnected.

    Identification of waste management facilities

    and devices to address solid waste materials(domestic and hazardous and chemicals) airemissions, solid waste disposal, andwastewater

    General layout of facilities

    Footprint of proposed layout of project

    facilities (if any)

    Maps should be provided showing the

    precise location of the project area, and inparticular, the location and boundaries ofproject area, location and footprint of projectcomponents, and location of all proposedbuffers.

    When applicable, contextualize using the

    PAG-ASA 2020 and 2050 projectedrainfall/temperature data.

    7)Process/Technology

    Indicative process flow-sheets showingmaterial balances for the processing plant, andthe anticipated rates of inputs, along withsimilar data on products, wastes and recyclestreams

    Power & water supply system

    Waste Management Systems (e.g., wastewatertreatment facility, baghouse filter, desulfurizer,

    other pollution control devices8) Project Size Daily/Monthly/Annual production rate (refer to

    Annex 2-1b)

    Total Project Area in square meters or hectares

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    ECC APPLICATION FORM FOR NON-FOOD MANUFACTURING PLANTS PROJECTS(Requiring EIS for ECC Application) Control No: __________

    1st 2nd 3rd ___ th Screening

    Items to be

    Described Specific Data Requirement

    Page # Acceptable?

    REMARKSof waste materials, air emissions, Solidwaste disposal, wastewater)

    Abandonment Final Rehabilitation/

    Decommissioning Plan, to include land/soilrestoration, procedures, and projectedschedule. The land use suitability of thevarious land disturbance types should alsobe described.

    The proposed decommissioning plan should bein terms of the following:

    Procedures for the decommissioning of the

    project components;

    Transport/disposal of equipment and other

    materials used in the plants operation;

    Alternatives for the future use of abandoned

    area;

    Consistency with long-term zoning and land

    use development plan of the municipality;

    Rehabilitation plans, if any

    10) Manpower Tabulate the following per project phase:

    manpower requirements;

    expertise/skills needed;

    nature & estimated number of jobs available

    for men, women, and indigenous peoples (if

    sited in IP ancestral land); preferred scheme for sourcing locally from

    host and neighboring LGUs

    11) Indicative Project Investment Cost (Philippine Peso)

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    ECC APPLICATION FORM FOR NON-FOOD MANUFACTURING PLANTS PROJECTS(Requiring EIS for ECC Application) Control No: __________

    1st 2nd 3rd ___ th Screening

    General Contents Specific Content Requirement Page # Acceptable? REMARKS

    allotted per activity/component (See Annex 2-

    18 of RPM for DAO 2003-30)

    IEC (if applicable)

    Target sector, key messages,

    scheme/strategy/methods, Information

    medium, timelines and frequency, cost (See

    Annex 2-19 of RPM for DAO 2003-30)

    VI. Environmental

    Compliance

    Monitoring

    Environmental Monitoring Plan ( SelfMonitoring)

    Use Annex 2-20 of RPM for DAO 2003-30 astemplate

    Multi-Sectoral Monitoring Framework / (if

    applicable)

    Tabulate the list of stakeholder-members of theMMT, basis of selection, proposed role, andscope of MMT responsibilities and activities,etc. (See Annex 3-4 of the RPM for DAO 2003-30).

    Environmental Guarantee and Monitoring Fund

    Commitments (if applicable)

    Present a proposed amount of EMF

    (based on a draft AWFP in Annex 3-4 and

    consistent with guidelines in Annex 3-5 ofRPM for DAO 2003-30); and

    Present a proposed amount of EGF and

    the basis for the estimate following theid li i A 3 6 f RPM f DAO

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    ECC APPLICATION SCREENING FORM FOR NON-FOOD MANUFACTURING PLANTS PROJECTS(Requiring EIS for ECC Application)

    Control No: __________

    1st2nd 3rd ___ th Screening

    Checklist of EIS Contents

    Key Environmental Impacts and Management/Monitoring Plan

    List of Key Impacts Baseline Data ParameterRequirements

    Required AssessmentMethodology/Approach

    forcompleteness during procedural screening; page numbers should beprovided upon submission of the EISBaseline

    ConditionsImpact

    AnalysisMgmt . Plan Moni toring

    PlanRemarks

    During scoping: Unless otherwise specified as agreed during scoping, all items listed are required. Writespecific instructions (if any) on the blanks/spaces provided.

    Page Page Page Page

    1. THE LAND

    1.1 Land Use and Classification

    1.1.1 Change/Inconsistency inland use

    Description & Map showing the projectarea in relation to existing land use.

    Assessment of the

    compatibility of the

    proposed project in

    relation to land use and/or

    the coastal resource

    management plan of the

    LGU, if any.

    1.1.2 Encroachment inEnvironmentally CriticalAreas (ECAs)

    Identify ECA where the project islocated or near the project area.

    Identify areas vulnerable/susceptibleto natural hazards where the project islocated or near the project area(include map/s).

    1.1.3 Possible tenurial / landissue

    Identify areas under CARP or with

    CADC/ CADT where the project is

    located or near the project area.

    Specify other conflicting tenurial / landissues (e.g., IFMA/CBFMA within COCand within MPSA, etc.)

    1.2 Geology/Geomorphology1.2.1 Change in surface

    landform/ topography/terrain/ slope

    Slope and Elevation/Topographic Map

    1.2.2 Change in sub-surface/undergroundgeomorphology

    Regional/General Geological Map

    1.2.3 Inducement of subsidence,liquefaction, landslides,mud / debris flow, etc.

    Geological Maps as needed; Hazardmaps (NAMRIA, NDRRMC, MGB,PHIVOLCS, PAG-ASA)

    Include discussions onimpacts/effects of naturalhazard on the project.

    1.3 Pedology1.3.1 Soil erosion / Loss of

    topsoil/overburden

    Summary of Soil Investigation Reporton soil type and quality; Erodibilitypotential; Bank stability

    USLE / similar modelingwhen applicable

    7

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    ECC APPLICATION SCREENING FORM FOR NON-FOOD MANUFACTURING PLANTS PROJECTS(Requiring EIS for ECC Application)

    Control No: __________

    1st2nd 3rd ___ th Screening

    List of Key Impacts Baseline Data ParameterRequirements

    Required AssessmentMethodology/Approach

    forcompleteness during procedural screening; page numbers should beprovided upon submission of the EIS

    BaselineConditions

    ImpactAnalysis

    Mgmt . Plan Moni toringPlan

    Remarks

    During scoping: Unless otherwise specified as agreed during scoping, all items listed are required. Writespecific instructions (if any) on the blanks/spaces provided.

    Page Page Page Page 1.4 Terrestrial Ecology

    1.4.1 Vegetation removal andloss of habitat

    Flora and fauna species inventory or

    survey report;

    Historical occurrences of pest

    infestation, forest/grass fire and/orsimilar incidences

    Quadrat sampling for

    flora

    Use of mist nets, traps,

    transect walk for fauna

    1.4.2 Threat to existence and/orloss of important localspecies

    Summary of endemicity / conservationstatus

    1.4.3 Threat to abundance,frequency and distribution

    of important species

    Summary of abundance, frequency

    and distribution

    Economic importance and uses ofsignificant flora and fauna

    1.4.4 Hindrance to wildlifeaccess

    Sampling / survey map in relation tothe project site

    2. THE WATER

    2.1 Hydrology/Hydrogeology

    2.1.1 Change in drainagemorphology / Inducementof flooding/ Reduction instream volumetric flow

    Drainage map; historicalflooding/drought occurrences, streamflow measurements/estimates;Delineation of watershed /sub-watersheds/ floodplain; andidentification of aquifers, if any

    Discuss possible impactsof the project on theoccurrence of floodingand vice versa. Considerextreme weatherconditions and the PAG-ASA 2020 and 2050

    climate projections2.1.2 Change in stream, lake

    water depthRegional hydrogeological map

    2.1.3 Depletion of waterresources / competition inwater use

    Identification of current / projected

    water use in the area and adjacent

    areas

    Spring and well inventory and location

    map; depth of water table

    Analysis/estimation of wateravailability taking into considerationthe PAG-ASA 2020 and 2050 climateprojections

    For project with significantwater requirement,conduct water balance /budget analysis

    8

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    ECC APPLICATION SCREENING FORM FOR NON-FOOD MANUFACTURING PLANTS PROJECTS(Requiring EIS for ECC Application)

    Control No: __________

    1st2nd 3rd ___ th Screening

    List of Key Impacts Baseline Data ParameterRequirements

    Required AssessmentMethodology/Approach

    forcompleteness during procedural screening; page numbers should beprovided upon submission of the EIS

    BaselineConditions

    ImpactAnalysis

    Mgmt . Plan Moni toringPlan

    Remarks

    During scoping: Unless otherwise specified as agreed during scoping, all items listed are required. Writespecific instructions (if any) on the blanks/spaces provided.

    Page Page Page Page

    2.2 Oceanography2.2.1 Change/disruption incirculation pattern

    Predicted tides; 24-hour tidal cycles;Surface current system

    2.2.2 Change in bathymetry Bathymetric map USLE / similar modelingwhen applicable

    2.3 Water Quality

    2.3.1 Degradation of

    groundwater quality

    Physico-Chemical characterization ofwater :

    pH BOD5 COD DO Oil and grease TSS Heavy Metals :_______________

    fecal / total coliform

    others:__________________________

    sampling site map

    Use DENR standard

    methods and procedures

    for sampling and analysis.

    For project withcoastal/marine structures

    and /or significant marine/

    coastal discharges,

    conduct circulation /

    plume modeling (include

    worst case scenario of

    failure of WWTF)

    For project with significantheavy metals discharges,conduct sediment

    transport modeling

    2.3.2 Degradation of surfacewater quality

    2.3.3 Degradation ofcoastal/marine waterquality

    2.4 Freshwater Ecology

    2.4.1 Threat to existence and/orloss of important localspecies and habitat

    Summary of endemicity /

    conservation status

    Abundance of ecologically and

    economically important species

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    ECC APPLICATION SCREENING FORM FOR NON-FOOD MANUFACTURING PLANTS PROJECTS(Requiring EIS for ECC Application)

    Control No: __________

    1st2nd 3rd ___ th Screening

    List of Key Impacts Baseline Data ParameterRequirements

    Required AssessmentMethodology/Approach

    forcompleteness during procedural screening; page numbers should beprovided upon submission of the EIS

    BaselineConditions

    ImpactAnalysis

    Mgmt . Plan Moni toringPlan

    Remarks

    During scoping: Unless otherwise specified as agreed during scoping, all items listed are required. Writespecific instructions (if any) on the blanks/spaces provided.

    Page Page Page Page (fishes, benthos, planktons)

    Presence of pollution indicator

    species

    sampling site map

    2.4.2 Threat to abundance,frequency and distributionof species

    2.5 Marine Ecology2.5.1 Threat to existence and/or

    loss of important localspecies and habitat

    Abundance/densities/distribution of

    ecologically and economicallyimportant species (mangroves,fishes, benthos, planktons, coralreefs, algae, seaweeds, sea

    grasses) Presence of pollution indicator

    species

    Historical occurrences of red-tide,

    fish kill or any related event

    Marine resource map

    sampling site map

    Abundance/densities/distribution of

    ecologically and economicallyimportant species (mangroves,fishes, benthos, planktons, coral

    reefs, algae, seaweeds, seagrasses);

    Presence of pollution indicator

    species;

    Historical occurrences of red-tide,

    fish kill or any related event

    Marine resource map

    sampling site map

    Quadrat, transect, lineintercept, spot dive,manta tow, marineresourcecharacterization (e.g.,

    municipal andcommercial fisheriesdata)Quadrat, transect, lineintercept, spot dive,manta tow, marineresourcecharacterization (e.g.,municipal andcommercial fisheriesdata)

    2.5.1 Threat to existence and/orloss of important local

    species and habitat

    3. THE AIR

    3.1 Meteorology/Climatology

    3.1.1 Change in the local climate,e.g., local temperature

    Monthly average rainfall andtemperature of the area; Climatological

    normals/extremes; Wind rose

    In the assessment,consider the PAG-ASA

    climate change10

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    ECC APPLICATION SCREENING FORM FOR NON-FOOD MANUFACTURING PLANTS PROJECTS(Requiring EIS for ECC Application)

    Control No: __________

    1st2nd 3rd ___ th Screening

    List of Key Impacts Baseline Data ParameterRequirements

    Required AssessmentMethodology/Approach

    forcompleteness during procedural screening; page numbers should beprovided upon submission of the EIS

    BaselineConditions

    ImpactAnalysis

    Mgmt . Plan Moni toringPlan

    Remarks

    During scoping: Unless otherwise specified as agreed during scoping, all items listed are required. Writespecific instructions (if any) on the blanks/spaces provided.

    Page Page Page Page diagrams; Frequency of Tropicalcyclones

    projections for 2020 and2050.

    3.1.2 Contribution in terms ofgreenhouse gas emissions

    Data on Greenhouse gasses (i.e.,carbon dioxide, methane, nitrousoxide); Calculation of projected GHGemission

    Discuss the projectscontribution in terms ofgreenhouse gasemissions (applicable forpower and landfill andpossible for mining anddam)

    3.2 Air Quality (and Noise)3.2.1 Degradation of air quality Characterization of ambient air quality:

    TSP PM10 SOx NOx Trace Metals:

    ____________________

    others:__________________________

    (for sampling methods refer to CleanAir Act)

    sampling site map

    Use DENR standard

    methods and procedures

    for sampling and analysis.

    If applicable air

    dispersion modeling

    (include worst case

    scenario of failure of

    APCD)

    Heavy metals (baselineand modeling) apply to

    selected chemicalindustries

    3.2.2 Increase in ambient noiselevel

    Characterization of ambient noise level

    sampling site map

    Use DENR standard

    methods and procedures

    for sampling and

    measurement.

    If applicable, noiseattenuation modeling(applicable if there is a

    source capable of11

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    ECC APPLICATION SCREENING FORM FOR NON-FOOD MANUFACTURING PLANTS PROJECTS(Requiring EIS for ECC Application)

    Control No: __________

    1st2nd 3rd ___ th Screening

    List of Key Impacts Baseline Data ParameterRequirements

    Required AssessmentMethodology/Approach

    forcompleteness during procedural screening; page numbers should beprovided upon submission of the EIS

    BaselineConditions

    ImpactAnalysis

    Mgmt . Plan Moni toringPlan

    Remarks

    During scoping: Unless otherwise specified as agreed during scoping, all items listed are required. Writespecific instructions (if any) on the blanks/spaces provided.

    Page Page Page Page generating 200 dB ormore)

    4. THE PEOPLE

    4.1 Displacement of settler/s

    Displacement / disturbance

    of properties

    Change/conflict in landownership

    Change/conflict in right ofway

    Demographic data of impact area:

    - Number of households andhousehold size

    - Land area,

    - Population,- Population density /growth- Gender and age profile,- Literacy rate, profile of educational

    attainment,

    Settlements map

    Census of population / property thatwill be displaced / disturbed

    Housing ownership profile / availabilityof housing/ number of informal settlers

    Discuss how the projectwould affect existingproperties in the area in

    terms of relocation anddevaluation

    4.2 In-migration

    Proliferation of informalsettlers

    Discuss the in-migrationpatterns as a result ofproject implementation

    4.3 Cultural/Lifestyle change(especially on IndigenousPeoples, if any)

    Demographic data on IndigenousPeoples ( if any) and existingCulture/Lifestyle that may besignificantly affected

    Discuss the impacts onIPs and Culture/Lifestyle

    4.4 Threat to delivery of basicservices /resourcecompetition

    Availability of public services in termsof:

    Water supply

    Power supply

    Communications/

    transportation

    Health resources

    (Government and Private)

    Peace and order / crime

    Discuss how the project

    would affect the delivery

    of basic services and may

    result in resource

    competition in the area

    4.5 Threat to public health and Discuss the project12

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    ECC APPLICATION SCREENING FORM FOR NON-FOOD MANUFACTURING PLANTS PROJECTS(Requiring EIS for ECC Application)

    Control No: __________

    1st2nd 3rd ___ th Screening

    List of Key Impacts Baseline Data ParameterRequirements

    Required AssessmentMethodology/Approach

    forcompleteness during procedural screening; page numbers should beprovided upon submission of the EIS

    BaselineConditions

    ImpactAnalysis

    Mgmt . Plan Moni toringPlan

    Remarks

    During scoping: Unless otherwise specified as agreed during scoping, all items listed are required. Writespecific instructions (if any) on the blanks/spaces provided.

    Page Page Page Page safety Education facilities

    Recreational facilities / sports

    facilities

    Statistical data / information related to

    public services:

    Literacy rate, profi le of

    educational attainment

    Morbidity and mortality rates

    (infants and adults - 5-year

    trend) Common diseases in the

    area including endemicdiseases;

    Environmental Health and

    Sanitation Profile;

    Crime rate

    Food security

    implementations threat topublic health vis--vis thebaseline health conditionsin the areaAnalysis of diseases that

    may be affected by

    climate change.

    4.6 Generation of Local

    Benefits from the project

    Enhancement ofemployment and livelihoodopportunities

    Increased business

    opportunities and

    associated economic

    activities

    Increased revenue ofLGUs

    Socioeconomic data:

    Main sources of Income

    Employment rate/ profile Sources of livelihood

    Commercial establishments

    and activities

    Banking and f inancial

    institutions

    4.7 Traffic congestion Road network/ systems Traffic impact

    assessment if applicable13

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    ECC APPLICATION SCREENING FORM FOR NON-FOOD MANUFACTURING PLANTS PROJECTS(Requiring EIS for ECC Application)

    Control No: __________

    1st2nd 3rd ___ th Screening

    List of Key Impacts Baseline Data ParameterRequirements

    Required AssessmentMethodology/Approach

    forcompleteness during procedural screening; page numbers should beprovided upon submission of the EIS

    BaselineConditions

    ImpactAnalysis

    Mgmt . Plan Moni toringPlan

    Remarks

    During scoping: Unless otherwise specified as agreed during scoping, all items listed are required. Writespecific instructions (if any) on the blanks/spaces provided.

    Page Page Page Page Existing transportation/traffic situation (including capacity of

    road system in terms ofload/count)

    14

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    ECC APPLICATION SCREENING FORM FOR NON-FOOD MANUFACTURING PLANTS PROJECTS(Requiring EIS for ECC Application)

    Control No: __________

    1st2nd 3rd ___ th Screening

    III. Environmental Risk Assessment

    Type of Risks Scope of Assessment Report/Output Required for completeness during procedural screening; page numbers

    should be provided upon submission of the EIS

    ERA ERP MonitoringPlan

    Remarks

    During scoping: Check () required/applicable items; items with are automatically required; write specific instructions ( ifany) on the blanks/spaces provided.

    Page Page Page

    Safety Risks

    Fire

    Explosion

    Release of toxicsubstances

    - Identification of conditions, events andcircumstances which could be significant inbringing about identified safety risks

    - Description & assessment of the possibleaccident scenarios

    - Assessment of whether the project locationis projected to have extreme climate

    events for 2020 and/or 2050 that couldcontribute to the triggering identifiedscenarios

    - Description of the hazards, both immediate(acute effects) and delayed (chroniceffects) for man and the environmentposed by the release of toxic substance,as applicable

    ERA REQUIREMENT

    Quantitative Risk

    Assessment(QRA)

    Specific Instructions :________________________

    __

    Descriptive/Qualitative

    Risk Assessment

    Specific Instructions :

    ____________________________

    EMERGENCY PLAN :

    Specific Instructions :_________________________

    ___

    Refer to Annex 2-7e for the

    decision criteria outline

    Physical Risks

    (Failure of Structure which

    could endanger life, property

    and/or the environment)

    - Identification of conditions, events andtrigger which could be significant inbringing about identified physical risks

    - Description & assessment of the possible

    accident scenarios- Assessment of whether the project location

    is projected to have extreme climateevents for 2020 and/or 2050 that couldcontribute to the triggering identifiedscenarios

    - Description of the hazards both immediate

    (acute effects) and delayed (chroniceffects) for man and the environmentposed by the failure of structure, asapplicable

    15

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    ECC APPLICATION SCREENING FORM FOR NON-FOOD MANUFACTURING PLANTS PROJECTS(Requiring EIS for ECC Application)

    Control No: __________

    1st2nd 3rd ___ th Screening

    16

    Noted By: Signature Signature

    Review Committee Members EMB Representatives

    1. 1.

    2. 2.

    3. 3.

    4. Project Proponent:

    5.

    6. Project Preparer/Consultant:

    Resource Person

    1.