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Verification Report

This document is an area verification report from the Mines and Geoscience Bureau - Region 1 for a commercial sand and gravel permit application. It provides details about the applicant, project location, current land use, extraction method, public works in the area, volume estimates, taxes/permits, environmental commitments, and a conclusion on the suitability and conformity of the area. The verifiers recommend that the application be favorably endorsed pending no issues with the survey plan, sufficient alluvial deposits, and presence of structures within 1 km.

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Marvin Gamboa
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165 views2 pages

Verification Report

This document is an area verification report from the Mines and Geoscience Bureau - Region 1 for a commercial sand and gravel permit application. It provides details about the applicant, project location, current land use, extraction method, public works in the area, volume estimates, taxes/permits, environmental commitments, and a conclusion on the suitability and conformity of the area. The verifiers recommend that the application be favorably endorsed pending no issues with the survey plan, sufficient alluvial deposits, and presence of structures within 1 km.

Uploaded by

Marvin Gamboa
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines

Department of Environment and Natural Resources


Mines and Geoscience Bureau - Region 1
Provincial Mining Regulatory Board
Province of Ilocos Norte

AREA VERIFICATION REPORT


Applicant’s Information:
Project Proponent ________________________________________________________
Address ________________________________________________________
Contact Number/s ________________________________________________________

Project Details
Type of Application Commercial Sand & Gravel (CSAG) Permit Quarry Permit
Industrial Sand & Gravel (ISAG) Permit

Status of Application New Renewal


Status of Operation Commercial Operation No Commercial Operation
Location : ___________________________________________________________________
Name of River : _______________________________ Area Coverage : ________________

Description of Area and Vicinities


Current Land Use Residential Industrial
Commercial Others: ________________
Agricultural/ Pasture Land
Existing Vegetation Grass and Shrubs Crops
Trees Others: _______________
Slope Flat/ Level (0-3%) Steep (> 18%)
Gently Sloping to rolling (4-18%)

Method of Extraction Systematic Quarrying Unsystematic Quarrying


Others: ______________________________________________
___________________________________________________
___________________________________________________
Public/ Private Works None Irrigation Dam (_________________)
And structures Bridge (______________) Dike (_________________)
(within 1 Km) Transmission Tower (_________________)
Others: ________________________________________________
Estimated Volume: ___________________________________________________________

Survey Latitude ______________________


Longitude ______________________
Description of Corners and Field References
Access Road Trees Others: ____________________________
Taxes and Permits:
Excise Tax CY ____________ Php__________________
Income Tax CY ____________ Php__________________
Mayors Permit No. ___________________ CY____________ Php __________________
Others: _________________________________________________________________
_________________________________________________________________
Commitment
SDMP Yes No _______________________________
_______________________________

Environmental Protection Yes No _______________________________


_______________________________
Complaints:
Complaints/ Opposition over the area Yes No
Conclusion:
Conformity of present quarry area to the submitted survey plan Yes No
Sufficiency of Alluvial deposit to support operation Yes No
Presence of Public/Private Works/ Structures within 1 km radius Yes No

Recommendation
Application is favorably endorsed Yes No
Remarks: __________________________________________________________________
____________________________________________________________________________

Verified by:

Name: ______Christopher John V. Orteza_____ Name: _________________________________

Designation: ______Engineer II______________ Designation: ____________________________

Name: _________________________________ Verified in the Presence of

Designation: ____________________________ Name: _________________________________

Designation: ____________________________

Name: _________________________________ Verification Fee: _________________________

Designation: ____________________________

Date Verified: ___________________________

Date Paid: ______________________________

Official Receipt No.: ______________________

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