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Authorization

Imelda Tactacon designates Jodel Tactacon as her official representative for the Compliance Monitoring Report (CMR) related to Rockybeach Resort, confirming the accuracy of the report and acknowledging no DENR-EMB personnel's involvement in its preparation. Imelda also agrees to accept responsibility for any penalties arising from misrepresentation in the report. This designation remains effective until revoked in writing.

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Jodel Reguya Tactacon
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5 views1 page

Authorization

Imelda Tactacon designates Jodel Tactacon as her official representative for the Compliance Monitoring Report (CMR) related to Rockybeach Resort, confirming the accuracy of the report and acknowledging no DENR-EMB personnel's involvement in its preparation. Imelda also agrees to accept responsibility for any penalties arising from misrepresentation in the report. This designation remains effective until revoked in writing.

Uploaded by

Jodel Reguya Tactacon
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

AFFIDAVIT OF DESIGNATED REPRESENTATIVE OF THE

PROPONENT

I, IMELDA TACTACON___, hereby designate JODEL TACTACON____, as my official representative on


ROCKYBEACH RESORT____ with respect to the filing of Compliance Monitoring Report (CMR) in accordance with Section
19 (a) of the Revised Procedural Manual for DENR Administrative Order No. 30, Series of 2003 and to confirm THAT:

1. All the information and commitments in this Compliance Monitoring Report (CMR) dated
___________________ for the ROCKYBEACH RESORT_____ with ECC Ref. No. ___ ECC-OL-R11-
2022-0138____ are accurate and complete to the best of our knowledge and documents available on file;

2. No DENR-EMB personnel was directly involved in the preparation of this Compliance Monitoring Report (CMR);
and

3. I hereby bind myself to answer any penalty that may be imposed arising from any misrepresentation or failure
to state material information in this CMR REPORT;

This designation will remain in effect until revoked by written notice.

IN WITNESS WHEREOF, I hereby set my hand this _____ day of ________________ at


_____________________________________.

_________________________
NAME OF PROPONENT HEAD
(Position)__________________
(Company Name)___________
(Valid ID No.)_______________

CONFORME:

_________________________
Name of Representative
(Valid ID No.)______________

SUBSCRIBED AND SWORN to before me this _____ day of _____________________, Affiant exhibited to me
his/her respective official identifying documents as stated above which are competent evidence of identity.

Doc. No._______
Page No._______
Book No._______
Series of _______

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