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17-Project Components and Operation Information

This document is an initial environmental examination checklist report form for proposed road and bridge projects. It collects information on the key project components, utilities and resource requirements, proposed efficiency measures, manpower needs, timelines and cost. The form seeks to identify the project details necessary to assess environmental impacts and compliance requirements for road and bridge construction and operation.

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Amano Yukiteru
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302 views4 pages

17-Project Components and Operation Information

This document is an initial environmental examination checklist report form for proposed road and bridge projects. It collects information on the key project components, utilities and resource requirements, proposed efficiency measures, manpower needs, timelines and cost. The form seeks to identify the project details necessary to assess environmental impacts and compliance requirements for road and bridge construction and operation.

Uploaded by

Amano Yukiteru
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Initial Environmental Examination (IEE) Checklist Report Form for Road and Bridge Projects

ROAD AND BRIDGE PROJECTS


I.2. PROJECT COMPONENTS

Area
(sq./M)/
No. of Specification/Description
Facilities Length
Units
(km)/
Capacity
1. Road

2. Intersections

3. Bridge/s

4. Access roads/Ramp

5. Drainage facilities
(i.e. Reinforced Concrete Box
Culverts (RCBC);Reinforced
Concrete Pipe Culverts (RCPC),
others)
6. Associated facilities (i.e.
Guardrails, Traffic signs, etc.)

7. Solid waste management facility

8. Others, specify

9. Others, specify

10. Others, specify

11. Others, specify

12. Others, specify

Use additional sheets, if necessary

I.3. UTILITIES/REQUIREMENTS (Construction and Operation Phases):

Power/Energy, Water and other Requirements

Project Name: ____________________________________________________


Page 1 of 4
Initial Environmental Examination (IEE) Checklist Report Form for Road and Bridge Projects

Estimated Projected breakdown from Source


Demand/ specified
Utilities Source Breakdown
Consumption
Construction Operation
(Total)
Grid KWh
Construction:

KWh Generator Set KWh

Power/Electricity Operation:

Others, please specify: KWh


KWh

Local Water Utility Provider m3/day


Construction:

Well in: (specify location): m3/day

Spring in: (specify location): m3/day

m3/day
River, Lake or other surface water m3/day
Operation: : (specify name & location)

Others, please specify: m3/day

m3/day

Construction: Source: MT

Sand and Gravel

MT
Source: m3/day
Other materials and
requirements …

Power/Energy and Water Efficiency Measures (if any)

Project Name: ____________________________________________________


Page 2 of 4
Initial Environmental Examination (IEE) Checklist Report Form for Road and Bridge Projects

Estimated
Estimated Total
Utilities Proposed Efficiency/Conservation Measures Savings for each
Savings
Project Phase
Power/ Electricity Construction KWh KWh

Operation KWh KWh

Water Construction m3/day m3/day

Operation Rainwater collection system m3/day m3/day


Others, please specify:

I.4. MANPOWER AND TIMELINES OF PROJECT PHASES

Target start of Construction

Target Date of Ground-breaking

Target Start of Operation

Total Requirement per


Phase Expertise/Skills Requirement per Expertise/Skill
project phase
a. Construction

b. Operation

Project Name: ____________________________________________________


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Initial Environmental Examination (IEE) Checklist Report Form for Road and Bridge Projects

I.5. INDICATIVE PROJECT COST (Initial Investment):

PhP US $ (specify if with foreign investment)

Project Name: ____________________________________________________


Page 4 of 4

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