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Certificate of Non-Coverage CNC Application Form 1. Name of the Project 2. Project Location Sitio/Barangay City/Municipality 3. Proponent Name Address 5. Contact Person Means of Type or Undertakin g Size Zone/Classification i. e industrial residential Residential Province Region Designation Landline No* Fax No* Mobile No* Email Fill up only relevant parameters. Capacity i*e* MW cu. m heads Quantity to be Processed i*e* MR of raw material Space Allocation /Area i*e* km ha sqm Others Production Rate i*e* MT/year 9. Description of Project Activities Pre construction i*e* during pre operation and abandonment include only highlights Operation Prepared/Submitted by Concurred/Approved by Signature over Printed Name Owner s/Proponent s Signature over Printed Name Screening Officer. Proponent Name Address 5. Contact Person Means of Type or Undertakin g Size Zone/Classification i. e industrial residential Residential Province Region Designation Landline No* Fax No* Mobile No* Email Fill up only relevant parameters. Capacity i*e* MW cu. m heads Quantity to be Processed i*e* MR of raw material Space Allocation /Area i*e* km ha sqm Others Production Rate i*e* MT/year 9. Capacity i*e* MW cu. m heads Quantity to be Processed i*e* MR of raw material Space Allocation /Area i*e* km ha sqm Others Production Rate i*e* MT/year 9. Description of Project Activities Pre construction i*e* during pre operation and abandonment include only highlights Operation Prepared/Submitted by Concurred/Approved by Signature over Printed Name Owner s/Proponent s Signature over Printed Name Screening Officer. Proponent Name Address 5. Contact Person Means of Type or Undertakin g Size Zone/Classification i. e industrial residential Residential Province Region Designation Landline No* Fax No* Mobile No* Email Fill up only relevant parameters. Capacity i*e* MW cu. m heads Quantity to be Processed i*e* MR of raw material Space Allocation /Area i*e* km ha sqm Others Production Rate i*e* MT/year 9. Description of Project Activities Pre construction i*e* during pre operation and abandonment include only highlights Operation Prepared/Submitted by Concurred/Approved by Signature over Printed Name Owner s/Proponent s Signature over Printed Name Screening Officer. .

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Keywords relevant to PH CNC Application Form

  • Barangay
  • concurred
  • Allocation
  • LANDLINE
  • municipality
  • proponent
  • designation
  • CU
  • pre
  • classification
  • abandonment
  • Parameters
  • Highlights
  • residential
  • quantity
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