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    Application Form - CNC

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    ron
    This document is a 1-page application form for a Certificate of Non-Coverage (CNC) from a project's environmental impacts. It requests information about the project name and location, proponent details, project type and size, and a brief description of planned project activities. The form notes that only this page is needed for CNC applications, with an optional additional page allowed for describing activities. It also provides instructions on processing, tracking, and acknowledgment of submitted CNC applications.

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

    Application Form - CNC

    Uploaded by

    ron
    58 views1 page
    This document is a 1-page application form for a Certificate of Non-Coverage (CNC) from a project's environmental impacts. It requests information about the project name and location, proponent details, project type and size, and a brief description of planned project activities. The form notes that only this page is needed for CNC applications, with an optional additional page allowed for describing activities. It also provides instructions on processing, tracking, and acknowledgment of submitted CNC applications.

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    application form - CNC

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    This document is a 1-page application form for a Certificate of Non-Coverage (CNC) from a project's environmental impacts. It requests information about the project name and location, proponent details, project type and size, and a brief description of planned project activities. The form notes that only this page is needed for CNC applications, with an optional additional page allowed for describing activities. It also provides instructions on processing, tracking, and acknowledgment of submitted CNC applications.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    58 views1 page

    Application Form - CNC

    Uploaded by

    ron
    This document is a 1-page application form for a Certificate of Non-Coverage (CNC) from a project's environmental impacts. It requests information about the project name and location, proponent details, project type and size, and a brief description of planned project activities. The form notes that only this page is needed for CNC applications, with an optional additional page allowed for describing activities. It also provides instructions on processing, tracking, and acknowledgment of submitted CNC applications.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    CERTIFICATE OF NON-COVERAGE (CNC)

    1- Page Application Form


    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

    6. Proponent
    Means of Landline No. Fax No.
    Contact
    Mobile No. Email

    7. Project Type/
    Undertaking

    8. Project Size Fill up only relevant parameters


    Capacity/ Others Space Allocation/Area
    (i.e.MW,m3, heads) (i.e. km,ha, sqm)

    Quantity to be Processed Others:


    (i.e.MT of raw material)

    Capacity/ Others
    (i.e.MT/year)

    9. Description of
    Project
    Activities
    (i.e. during, pre-
    construction,
    construction,
    operation and
    abandonment)

    Prepared/Submitted by: Concurrent/Approved by:

    Signature over Printed Name


    Signature over Printed Name

    *The only requirement for CNC Applications is to fill-up this form. No attachments are necessary. If additional space is needed for
    the “Description of Project Activities,” a maximum of 1 page may be attached.
    **As general rule. DENR-EMB will process CNC Applications within the same day of receipt at the designated office.
    ***Be sure to ensure your tracking code no. upon submission of the application form. An acknowledgement letter shall be issued to
    you upon presentation of proof of payment for the application fee. It will serve as an assurance that your application has already
    been inputted into the DENR-EMB’s CNC Automated Processing System and will be decided upon immediately.

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