Sapa-application-form-corporation (1).docx

Annex A.Application Form ( DAO 17-2007, July 25, 2007) Republic of the Philippines Department of Environment and Natural Resources National Government Center, Sudlon, Lahug, Cebu City SPECIAL USE AGREEMENT IN PROTECTED AREAS (SAPA) Name of Protected Area: Taῆon Strait Protected Seascape Application No. :_________________ Date Filed: _____________________________ Status : New _____ Renewal ____ Date Expired : ________________________ Name of Applicant : ____________________________________________ Address : ______________________________ Cel. No. : __________________ Email add:_______________________________ Type of Applicant: ________ Indigenous People ________ Tenured Migrant ________ Local Government Unit ________ Other Government Agency ________ Other interested Party Type of Special Use Applied for (Pls. check appropriate box/es) ________ Ecotourism ________ Camp Site ________ Community facility ________ Transmission lines ________ Irrigation Canals/ Agriculture ________ Right –of- way ________ Aqua- culture ________ Monitoring Stations ________ Beach Resorts ________ Ports ________ Public Utility/Commercial vessels ________ bathing area/s ________ Other Special Uses (Pls. specify) Brief description of Special Use Applied for:

Submitted by:

(Name & signature of Applicant or duly authorized Representative

Right thumb mark

ATTACHMENTS/ REQUIREMENTS (for Corporation, Association, Partnership, Cooperative, Tenured Migrants or IPs) ___1. For tenured migrant/s, certification from the concerned CENRO ___2. For Corp. or Ass’n. copy of SEC registration, Articles of Inc. & by-Laws & a Resolution of the Governing Board designating the authorized representative of the Corp. or association ___3. For Partnership, copy of the partnership. ___4. For a cooperative, a certificate of registration with the CDA. ___5. In case of application of non-tenured migrants within the PACBRMA areas for activities not included in the CRMP, a MOA between the proponent and the PACBRMA holder ___6. Site Development Plan Perspective to include structural designs, building plans, road and drainage and other similar plans & designs. ___7. Indicative Development Plan/ Comprehensive Dev’t. & Mgt. Plan ( Narrative Plan). ___8. Proof of financial capability to manage and develop the area applied for based on paid-up capital and /or collateral real properties. ___9. A certified copy of the applicant’s Income Tax Returns for the past five (5) years. In case the applicant has been in the existence for less than five years, the Income Tax Return(s) since its registration shall be submitted. ___10. Free and Prior Informed Consent (FPIC) of concerned IPs and or Prior Informed Consent (PIC) of concerned local communities Barangay and Municipality, when project is new, not existing. ___11. Sketch/Location Map. ___12. Notice of 15-dayPublication of the Application published/posted either in local daily news or public conspicuous places within the vicinity of the applied area, Barangay Hall, municipal Hall, when the applied area is open, no existing occupancy. ___13. Environmental Compliance Certificate (ECC) from Environmental Mgt. Bureau- DENR, where applicable pursuant to Sec. 12 of R.A. 7586. Checked and Verified by: ___________________________ Printed Name and Signature Date Verified: _______________ ___________________________________________________________________ Note: Process Flow of Application 1. After completion of the requirements, PASu and LGUs concerned, where applicable, review the documents, inspect the project site and present results to the TSPS - PAMB for approval or denial. 2. Upon approval, PASu advises the proponent to proceed to apply and secure ECC from EMBDENR, where applicable and submit to the PASu. 3. Upon completion of all documents required, RED recommends to the DENR Secretary who signs and approves the SAPA. 4. Resource Use fee shall be paid by the applicant after he/she agreed and signed the SAPA; amount is based on the Resource Use Fee System of the Protected Area.