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    Annex C PD For CNC Applications

    Uploaded by

    Andres Muhlach
    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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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Annex C PD For CNC Applications

    Uploaded by

    Andres Muhlach
    128 views2 pages
    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.

    Original Description:

    CNC Applications

    Original Title

    Annex C PD for CNC Applications

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    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.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    128 views2 pages

    Annex C PD For CNC Applications

    Uploaded by

    Andres Muhlach
    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.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    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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