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Application Form - CNC

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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479 views1 page

Application Form - CNC

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.

Uploaded by

ron
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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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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