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Annex C PD For CNC Applications

This document is a pro-forma project description form for applications for a Certificate of Non-Coverage (CNC) from the Philippine EIS System. The form requests information about the project name and location, proponent details, project type and size, description of project activities, and approval signatures. It is to be used for CNC applications involving projects implemented before 1982 or evaluations of Category C projects.

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Andres Muhlach
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300 views2 pages

Annex C PD For CNC Applications

This document is a pro-forma project description form for applications for a Certificate of Non-Coverage (CNC) from the Philippine EIS System. The form requests information about the project name and location, proponent details, project type and size, description of project activities, and approval signatures. It is to be used for CNC applications involving projects implemented before 1982 or evaluations of Category C projects.

Uploaded by

Andres Muhlach
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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ANNEX C.

Pro-forma Project Description for Certificate of Non-Coverage (CNC) Applications


Please Check Purpose, ry for CNC Application (Prior to 1982? yes/no) 0 for Category C Project Evaluation

PART I. FOR CNC APPLICATIONS (CATEGORY D & PROJECTS IMPLEMENTED PRIOR TO 1982) AND
EVALUATION OF CATEGORY C PROJECTS
1. Name of the
Project
2 Project
Street!Sitio!Barangay Zone/Classification (i.e. industrial, residential)
Location

City/Municipality Province Region

3' Proponent
Name
4' Proponent
Address
5' Contact
Name Designation
Person

5' Proponent
Landline No Fax No.
Means of
Contact
Mobile No Email

7. Project Type/
Undertaking
3. Project Size Fill up only relevant parameters.

Capacity/Others Space Allocation /Area


(i.e. MW, m 3, heads) (i.e. km, ha, sqm)

Others:
Quantity to be Processed
(i.e. MT of raw material)

Production Nati.
(i.e. MT/year)

9. Description
of Project
Activities
(i.e. during
pre-
construction,
construction,
operation and
abandonment)
Prepared/Submitted by: Concurred/Approved by:

Signature over Printed Name Owner's/Proponent's Signature over Printed Name


* For CNC Application based on project implementation before 1982 and without significant
expansion or modification, documentary proof of project implementation issued by relevant
government agencies shall be attached in addition fo accomplishing the above form.

Coverage Screening Guidelines and Standardized Requirements in the Philippine EIS System
33

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