Acta de Constatacion 2021

Descargar como docx, pdf o txt
Descargar como docx, pdf o txt
Está en la página 1de 3

GOBIERNO REGIONAL DE MADRE DE DIOS

DIRECCION REGIONAL DE ENERGIA MINAS E HIDROCARBUROS


MADRE DE DIOS

ACTA DE CONSTATACIÓN Nº -2021-GOREMAD-DREMH/DM-AF

En el sector de…………………………….………………………………distrito……………….………….,
provincia……………………………región de Madre de Dios, siendo las ………..…… horas del día
……………………………………………...de 2021 , se constituye el personal de la Dirección
Regional de Energía, Minas e Hidrocarburos:
……………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………….
a fin de realizar una constatación de labores mineras a solicitud de ……………………………..
……………………………………………………..en el Petitorio M.( ), Concesión M( ), Otros ( ) ,
denominado …………………………………………………………..... Ubicada en las coordenadas UTM
WGS 84 E: ……………………….N:……...……………………….
Realizada la presente Constatación se pudo apreciar y verificar lo siguiente:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
_______________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
_____________________________________________________________________________

OBSERVACIONES:

________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
_____________________________________________________________________________

Concluye la presente diligencia siendo las …………..horas del día …………de……………


Del presente año.
Se suscribe la presente acta en señal de conformidad:

También podría gustarte