CHECKLIST THE CLOSURE AND REHABILITATION OF OPEN DUMPSITES AND CONTROLLED DUMPSITES

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. This checklist should bear signature of the preparer.

A. General Information 1. Location of the Dumpsite

(Brgy./Sitio/City/Municipality/Province)

2. Authority to Close 3. Estimated capacity before closure (m3) 4. Estimated present capacity (m3) 5. Estimated height of dump wastes (m) 6. Lay-out of the disposal site 7. Type of Dumpsite operation prior to closure Remarks:

Code: Date issued:

[ ] Attached as Annex 1 [ ] open dumpsite (active) [ ] open dumpsite (abandoned) [ ] controlled dump facility (with NTP) [ ] controlled dump facility (without NTP)

8. Managed/operated by

[ ] local government [ ] private __________________________pls. specify [ ] others

__________________________pls. specify 9. Waste Disposed daily ___________metric tons (MT) or ___________cubic meters (m3) 10. Types of wastes disposed

11. Site condition

[ ] flat land [ ] hilly [ ] quarry/mines [ ] swampy area [ ] others ________________________please specify

12. Prior land use condition

[ ] agricultural [ ] residential [ ] industrial [ ] others ________________________please specify

13. Waste covered

[ ] yes [ ] no

14. Type of cover material

15. Source of cover material

16. Frequency of cover material applied

[ ] daily [ ] weekly [ ] monthly [ ] others _______________________please specify

B. Components of the Closure Plan (The closure management program extended to particular disposal sites to address significant physical and environmental impacts) 1. Site Clearing The on-going closure activity in the dumpsite is free from: [ ] waste pickers [ ] makeshift structures [ ] other obstruction ___please specify
(To be filled up by the Regional Office)

Findings:

2. Site Grading and Stabilization of Critical Slope (Photo documentation should be attached)

[ ] compaction of exposed wastes [ ] benching [ ] modified present slope [ ] side slope at 1 vertical to 3 horizontal or gentler [ ] steep slope __________________specify estimates [ ] retaining wall [ ] embankment

(To be filled up by the Regional Office)

Findings:

3. Application and maintenance of soil cover

[ ] availability of intermediate soil/inert cover material [ ] compaction [ ] final soil cover

(To be filled up by the Regional Office)

Findings:

4. Drainage Control System (specify in the site lay-out)

[ ] construction of canals/ditches [ ] natural drain available

(To be filled up by the Regional Office)

Findings:

5. Leachate Management

[ ] installation of leachate collection pipes [ ] installation of collection pond [ ] leachate treatment [ ] evaporation [ ] re-circulation [ ] surface water discharge [ ] natural attenuation

(To be filled up by the Regional Office)

Findings:

6. Gas Management

[ ] installation of gas vents ___number of gas vents installed ___type of gas vent installed

(To be filled up by the Regional Office)

Findings:

7. Fencing and Security

[ ] fence constructed/available

8. Operating hours

[ ] daytime [ ] nighttime

9.

Burning @ dumpsite

[ ] yes

(indicate reason)

____________________________________ ____________________________________ ____________________________________ [ ] no 10. Signage [ ] yes [ ] no C. Post Closure Land Use (The closure management of the open dumpsite or the controlled dumpsite should be returned to some form of productive use.) 1. Land Utilization [ ] Integrated Waste Management Facility ___________________pls. specify details [ ] Public open space [ ] Park [ ] Parking Area or Roads [ ] Recreational Use [ ] Golf Course [ ] Grazing Area or Agriculture [ ] Building/Housing Units [ ] Commercial/Industrial Facility [ ] Others ____________________pls. specify

2. Implementation Schedule

[ ] Attach as Annex 2

D. General Condition of the disposal site and its surroundings

(To be filled up by the Regional Office)

Remarks: 1. Landslide [ ] noticeable [ ] medium [ ] none Remarks: 2. Soil subsidence [ ] noticeable [ ] medium [ ] none Remarks: 3. Vector and wild animals [ ] noticeable [ ] medium [ ] none

Remarks: 4. Odor, landfill gas and smoke [ ] noticeable [ ] medium [ ] none Remarks: 5. Leachate quantity [ ] noticeable [ ] medium [ ] none Remarks: 6. Location of water intake [ ] Upstream [ ] Downstream [ ] none Remarks 7. Location of drinking water well [ ] <500m [ ] >500m [ ] none 8. Geological condition [ ] limestones [ ] alluvial [ ] others 9. Are there any public complaint [ ] yes ___details of complaint [ ] none 10. Distance to the nearby residential area [ ] <500m [ ] >500m [ ] none Remarks:

Remarks:

Remarks:

Prepared by: Designation: LGU/Office:

Inspected/Validated by: Name: Designation: