SAFE CLOSURE AND REHABILITATION OF DISPOSAL FACILITIES (Shall serve as an application for an Authority to Close) To be prepared by the authorized representative of the LGU. Please fill up the information on the space provided and put a (√) on the appropriate items.
Name of LGU
:
Location of Dumpsite
(Brgy./Sitio/City/Municipality/Province):
Mode of Ownership
[ ] TCT/ OCT ____________ [ ] Contract of Lease with ____________________________________ ________________________________________ ____ [ ] Others (please specify): _____________________________ ______________________________ _ Type of disposal facility operation prior to closure:
[ ] open dumpsite (active)
[ ] open dumpsite (abandoned)
[ ] controlle controlledd dum dumpp facility facility (with NTP) [ ] controll controlled ed dump facility facility (without (without NTP) [ ] sanitary landfill Brief description of the disposal facility:
Period of operation of disposal facility: From
(mm/dd/yy)
to (mm/dd/yy)
Figure 1: Picture of dumpsite prior to rehabilitation as of (mm/dd/yy)
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PHYSICAL CHARACTERIZATION OF THE DISPOSAL FACILITY Area covered by dumpsite:
m2
Estimated volume prior to rehabilitation:
m3 as of (mm/dd/yy)
Estimated carrying capacity:
m3
Estimated height (or thickness) of dump wastes prior to rehabilitation:
m as of (mm/dd/yy) Estimated slope prior to rehabilitation (in ratio or percentage) :
Figure 2: Schematic Layout of disposal Facility
Figure 3: Cross section of dumpsite showing height or thickness
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Type of waste dumped in the disposal facility (provide percentage of each waste if determinable):
[ ] Biodegradable ____%
[ ] Non-biodegradable _____%
[ ] Bulky waste (i.e., home appliances, [ ] Hazardous waste / Biohazardous Biohazardous Waste furniture, etc.) _____% ______% [ ] Others (please specify) ______________________________________ ____________________________________________ ______ m3
tons and
Daily volume of disposed waste:
ENVIRONMENTAL CHARACTERIZATION OF THE AREA Site condition prior to use as disposal site:
[ ] flat land [ ] hilly
[ ] quarry/mines
[ ] swampy area
[ ] others, please specify Surrounding dominant land use condition (approximately 1km radius)
[ ] agricultural
[ ] residential
[ ] industrial
[ ] others, please specify
Figure 4: Map showing dominant land use within 1km. radius (Please use color codes for identification) Existing nearby surface and ground water body
[ ] Surface water (Creek, Rivers, Sea) Type of current use _______________________ Distance from dumpsite ______________
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[ ] Groundwater [ ] Deep well [ ] Shallow well Distance from dumpsite ______________ [ ] Other (please specify and describe use briefly) _____________________________________________ Existing Drainage System
[ ] present and operational (Please discuss briefly type and use) ______________________________________________________
[ ] none Ambient air condition (Please briefly discuss the current quality of air in the area)
ISSUES AND CONCERNS DURING OPERATION OF THE DISPOSAL FACILITY Adverse Impact to surrounding environment
[ ] Pollution in nearby water body [ ] Contamination of nearby potable water source [ ] Adverse effect on nearby agricultural land [ ] Increase Mortality/ Morbidity on nearby residential areas [ ] Others, please specify
Occurrence of open burning/ spontaneous combustion
[ ] Yes, if yes, discuss briefly briefly the cause of of incidence incidence
[ ] No
Occurrence of Hazardous waste dumping (i.e., household hazardous waste, hospital waste)
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[ ] Yes, if yes, discuss briefly briefly the cause of of incidence incidence
[ ] No Presence of waste pickers
[ ] Yes, if yes, discuss briefly briefly the number number of scavengers and frequency frequency of visit:
[ ] No Presence of Squatters within or at the peripheries of the dumpsite
[ ] Yes, if yes, discuss briefly the number of households or occupants:
[ ] No Other issues and concerns, please specify (use additional sheet if needed):
Is waste covering practiced?
[ ] Yes
[ ] No
If yes, what type and source of cover c over material is used? Frequency of waste covering [ ] daily
[ ] weekly
[ ] monthly [ ] others, please specify ________________________
SAFE CLOSURE AND REHABILITATION (SCR) PLAN COMPONENT (The closure management program extended to particular disposal sites to address significant physical and environmental impacts and these are the activities that will be scheduled in the Gantt Chart. The sub-activities in every major activity may apply depending on the situation at the dumpsite).
SCR Plan managed or operated by:
[ ] loc local gov oveernme ment nt
[ ] priv rivate se sect ctor or,, pls. ls. sp spec ecififyy __________________________
[ ] othe others rs,, pls. pls. spec specififyy
____ __ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ __
Cost / Budget allotment for Rehabilitation:
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Site clearing shall include:
[ ] stoppage of waste picking [ ] removal of squatters [ ] stripping off of top waste layer [ ] others, please specify _____________________________ Please discuss process/ mode of site clearing: __________________
Site Grading and Stabilization of Critical Slope
[ ] compaction of exposed wastes [ ] benching [ ] modified present slope [ ] side slope at 1 vertical to 3 horizontal or gentler [ ] steep slope, specify estimates __________________ [ ] provision of retaining wall [ ] provision of embankment [ ] others, please specify _____________________________ Please discuss process/ mode of site grading and stabilization of slopes:
Application and maintenance of soil cover
What type and source of cover material will be used?
Drainage Control System
[ ] construction of canals/ditches [ ] modification/ modificatio n/ improvements on existing drainage
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Leachate Management (follow the guidebook on safe closure and rehabilitation of disposal facilities)
[ ] installation installati on of leachate collection collecti on pipes [ ] installation installati on of collection collecti on pond [ ] leachate treatment [ ] evaporation [ ] re-circulation re-circulation
[ ] others, others, please specify and discuss method
[ ] surface water discharge [ ] natural attenuation Gas Management (follow the guidebook on safe closure and rehabilitation of disposal facilities)
[ ] installation installati on of gas vents number of gas vents to be installed _____________________ type of gas vent to be installed _________________________ Fencing and Security
[ ] fence shall be provided
[ ] guards shall be assigned
[ ] checkpoints
[ ] other form of security measures ______________________
Signage Strategic locations: _____________________________ Proposed quotes or announcements to put in:
Other Component of SCR Plan (use additional sheets if needed):
Operating hours:
[ ] daytime
[ ] nighttime
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Attached is a GANTT CHART OF IMPLEMENTATION of SCR Plan as Annex 1
Figure 5: Perspective of rehabilitated disposal facility (external view)
Figure 6: Perspective of the cross- section of rehabilitated disposal facility with the required amenities (gas vents, leachate pipes, etc.) POST CLOSURE LAND USE (PCLU)
(The closure management of the open dumpsite or the controlled dumpsite should be returned to some form of productive use.)
Site Maintenance
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[ ] Maintenance Maintenance of rehabilitat rehabilitated ed disposal disposal facility [ ] Soil cover maintenance and monitoring [ ] Leachate treatment [ ] Gas management maintenance and monitoring [ ] Others, please specify [ ] Integrated Integrated Waste Management Management Facility, pls. specify details details ___________________________________________ [ ] Public open space [ ] Park [ ] Parking Area or Roads [ ] Recreational Recreational Use [ ] Golf Course [ ] Grazing Area or Agriculture [ ] Building/Housing Building/Housing Units [ ] Commercial/Industrial Commercial/Industrial Facility [ ] Others, pls. specify ____________________________________________ Attached is a GANTT CHART OF POST CLOSURE ACTIVITIES of SCR Plan as Annex 2
PROPOSED SOLID WASTE MANAGEMENT (The proposed solid waste management plan shall be the alternative approach upon closure of disposal facility)
Biodegradable Waste
[ ] Centralized composting [ ] barangay composting [ ] cluster (barangay) (barangay) composting [ ] Household composting Please indicate target barangays of the above approach for bio-waste management
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Recyclable Waste
Please discuss briefly the method of handling and management (attach extra sheets for additional information] :
Residual Waste
[ ] Sanitary landfilling landfilling Estimated volume to be disposed/ schedule of disposal _______________________________________________ Please discuss briefly the operation of disposal (attach extra sheets for additional information):
[ ] Residual waste processing technology technology Estimated volume to process daily: _____m 3 Please briefly discuss technology to adopt
Special Waste (I.e., household hazardous waste, hospital waste) Please discuss briefly the method of handling and management (attach extra sheets for additional information)
Attached is a GANTT CHART OF ESWM ACTIVITIES INCLUDING IEC SCHEDULE IN PREPARATION FOR THE CLOSURE OF EXISTING DISPOSAL FACILITY,Annex 3
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Prepared by: Designation: LGU/Office: Reviewed and Approved by:
Mayor
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Annex 1
ACTIVITIES
GANTT CHART GANTT CHART OF IMPLEMENTATION of SAFE CLOSURE & REHABILITATION PLAN INCLUDING ITS POST CLOSURE ACTIVITIES
TIME FRAME OF IMPLEMENTATION CY 2008
RESPONSIBLE ENTITY/ OFFICE
COST
REMARKS
Annex 1
ACTIVITIES
GANTT CHART GANTT CHART OF IMPLEMENTATION of SAFE CLOSURE & REHABILITATION PLAN INCLUDING ITS POST CLOSURE ACTIVITIES RESPONSIBLE ENTITY/ OFFICE
TIME FRAME OF IMPLEMENTATION CY 2008
J
F
M
A
M
J
J
A
S
O
N
COST
REMARKS
D
Prepared by: 1
Annex 2
ACTIVITIES
GANTT CHART GANTT CHART OF PROPOSED ESWM ACTIVITES
TIME FRAME OF IMPLEMENTATION 2008 J
F
M
A M
J
J
A
S
O
N
RESPONSIBLE ENTITY/ OFFICE
COST
REMARKS
D
Prepared by: 2
Annex 2
ACTIVITIES
GANTT CHART GANTT CHART OF PROPOSED ESWM ACTIVITES
TIME FRAME OF IMPLEMENTATION 2008 J
F
M
A M
J
J
A
S
O
N
RESPONSIBLE ENTITY/ OFFICE
COST
REMARKS
D
Prepared by: 2
3
ACCOUNTABILITY STATEMENT
This is to certify that the prepared SAFE CLOSURE AND REHABILITATION PLAN (SCRP) for the existing disposal facility of the LGU of _________________ is reviewed
and approved by the undersigned. Should I/we learn of any information, which would make the SCRP inaccurate, I/we shall bring the said information to the attention of the concerned EMB Regional Office. In witn witnes esss whe whereo eoff, I/we I/we he herreby se sett our han andds this this ___ ________ _____ day of _______________ at ___________________________________.
3
ACCOUNTABILITY STATEMENT
This is to certify that the prepared SAFE CLOSURE AND REHABILITATION PLAN (SCRP) for the existing disposal facility of the LGU of _________________ is reviewed
and approved by the undersigned. Should I/we learn of any information, which would make the SCRP inaccurate, I/we shall bring the said information to the attention of the concerned EMB Regional Office. In witn witnes esss whe whereo eoff, I/we I/we he herreby se sett our han andds this this ___ ________ _____ day of _______________ at ___________________________________. ______________________________ Printed Name & Signature ______________________________ Title or Designatio D esignationn
ACKNOWLEDGMENT
BEFORE
ME
this
______
day
of
________________,
20_____
at
___________________, personally appeared __________________________ (name) with Comm Commun unitityy
Tax Tax
Cert Certifific icat atee
No. No.
___ ____ ____ ______ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
issu issued ed
on
____ _______ ______ _____ _____ ___ (date (date)) at __ ____ _____ _____ _____ _____ ____ _____ _____ (plac (place), e), in his/h his/her er capaci capacity ty as _______________ _______________________ ________ (position) of _______________ _______________________ ____________ ____ (company) and acknowledged to me that this SAFE SAFE CLOSUR CLOSURE E AND REHAB REHABILIT ILITAT ATION ION PLAN PLAN (SCRP) is a requiremen requirementt of the DENR per DAO No. 9, Series Series of 2006 with the subject subject General General Guidelin Guidelines es in the Closure and Rehabili Rehabilitati tation on of Open and Controll Controlled ed Waste Waste Disposal Disposal Facilities . This
document, which consists of
_______ pages, including the page on
ACCOUNTABILITY STATEMENT
This is to certify that the prepared SAFE CLOSURE AND REHABILITATION PLAN (SCRP) for the existing disposal facility of the LGU of _________________ is reviewed
and approved by the undersigned. Should I/we learn of any information, which would make the SCRP inaccurate, I/we shall bring the said information to the attention of the concerned EMB Regional Office. In witn witnes esss whe whereo eoff, I/we I/we he herreby se sett our han andds this this ___ ________ _____ day of _______________ at ___________________________________. ______________________________ Printed Name & Signature ______________________________ Title or Designatio D esignationn
ACKNOWLEDGMENT
BEFORE
ME
this
______
day
of
________________,
20_____
at
___________________, personally appeared __________________________ (name) with Comm Commun unitityy
Tax Tax
Cert Certifific icat atee
No. No.
___ ____ ____ ______ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
issu issued ed
on
____ _______ ______ _____ _____ ___ (date (date)) at __ ____ _____ _____ _____ _____ ____ _____ _____ (plac (place), e), in his/h his/her er capaci capacity ty as _______________ _______________________ ________ (position) of _______________ _______________________ ____________ ____ (company) and acknowledged to me that this SAFE SAFE CLOSUR CLOSURE E AND REHAB REHABILIT ILITAT ATION ION PLAN PLAN (SCRP) is a requiremen requirementt of the DENR per DAO No. 9, Series Series of 2006 with the subject subject General General Guidelin Guidelines es in the Closure and Rehabili Rehabilitati tation on of Open and Controll Controlled ed Waste Waste Disposal Disposal Facilities . This
document, which consists of ______________ ______________ pages, including the page on
which this acknowledgement acknowledgement is written, is a SCRP. Witness my hand and seal on the place and date above written.
Doc. Doc. No. No. __ ____ ____ ___ _ Page Page No. __ ____ _____ ___ Book Book No. No. __ ____ _____ ___ Series of _______
______________________________ Notary Public
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