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    Application For Quarry Permit: Provincial/City Mining Regulatory Board (P/CMRB)

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    Cedric Silveo Jaranilla
    This document is an application for a quarry permit submitted to the Provincial/City Mining Regulatory Board. It provides details of the applicant, location of the quarry site, resources to be extracted, and certifies that the statements in the application are true. The applicant agrees the permit can be cancelled if any facts provided change or are false. Instructions are also given on how to properly fill out and submit the application.

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    © All Rights Reserved
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    Application For Quarry Permit: Provincial/City Mining Regulatory Board (P/CMRB)

    Uploaded by

    Cedric Silveo Jaranilla
    162 views2 pages
    This document is an application for a quarry permit submitted to the Provincial/City Mining Regulatory Board. It provides details of the applicant, location of the quarry site, resources to be extracted, and certifies that the statements in the application are true. The applicant agrees the permit can be cancelled if any facts provided change or are false. Instructions are also given on how to properly fill out and submit the application.

    Original Description:

    MGB QUARRY

    Original Title

    mgbform8-3-1

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    This document is an application for a quarry permit submitted to the Provincial/City Mining Regulatory Board. It provides details of the applicant, location of the quarry site, resources to be extracted, and certifies that the statements in the application are true. The applicant agrees the permit can be cancelled if any facts provided change or are false. Instructions are also given on how to properly fill out and submit the application.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    162 views2 pages

    Application For Quarry Permit: Provincial/City Mining Regulatory Board (P/CMRB)

    Uploaded by

    Cedric Silveo Jaranilla
    This document is an application for a quarry permit submitted to the Provincial/City Mining Regulatory Board. It provides details of the applicant, location of the quarry site, resources to be extracted, and certifies that the statements in the application are true. The applicant agrees the permit can be cancelled if any facts provided change or are false. Instructions are also given on how to properly fill out and submit the application.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    MGB Form No.

    08-3

    Republic of the Philippines


    PROVINCIAL/CITY MINING REGULATORY BOARD (P/CMRB)
    Province/City of ________________

    APPLICATION FOR QUARRY PERMIT

    Application No. __________________________ Date Filed __________________


    Applicant __________________________________________________________
    Address __________________________________________________________
    Size of Applied Area (hectares)_____________________________________________
    Quarry Resources to be extracted/disposed __________________________________
    Quantity ______________________________________________________________

    The Provincial Governor/City Mayor


    Provincial/City Mining Regulatory Board
    Province/City of ___________________

    Sir:

    In accordance with the provisions of the Philippine Mining Act of 1995 and the
    Revised Implementing Rules and Regulations promulgated thereunder, the undersigned
    ____________________________, for and in behalf of _______________________,
    hereby applies for a permit to extract and dispose ___________________ materials from
    a tract of land situated in Sitio _________________, Barangay ___________________,
    Municipality of _______________________, Province of ___________________, Island
    of _________________, and bounded by:

    On the North: ______________________________

    On the East: ______________________________

    On the South: ______________________________

    On the West: ______________________________

    with an approximate area of __________________________ hectares.

    1. The application fee of _________________________ has been paid under


    Official Receipt No. ________________ dated ________________________,
    Philippines.

    2. The applicant agrees that the statements made in this application or made later in
    support hereof, shall be considered as conditions and essential parts of the Permit
    that may be granted by virtue thereof, and any falsehood in these statements or
    omission of facts which may later change, or affect substantially the facts set forth
    in said statements shall be sufficient cause for the cancellation of the permit
    granted.

    3. This application is filed for the exclusive use and benefit of the applicant, and not
    either directly or indirectly for the benefit of any other person, corporation or
    partnership and the area is applied for the sole purpose of its development and
    operation, and for speculation.

    1
    MGB Form No. 08-3

    4. The foregoing statements are hereby certified to be true to the best of the
    applicant's knowledge and belief.

    I, __________________________, the person executing this affidavit for this


    application, being first duly sworn, depose and say: that I have read or have caused the
    foregoing application read to me; that I thoroughly understand the same; that each and
    every statement in this application is true and correct.

    ___________________________
    Applicant
    TIN _______________________

    ACKNOWLEDGEMENT

    Republic of the Philippines )


    Province of ________________ ) S. S.
    City/Municipality of __________ )

    SUBSCRIBED AND SWORN to before me at the place aforesaid, on this


    __________ day of ____________________, 19_____. The affiant exhibited to me
    his/her Community Tax Certificate No. ____________ issued at ___________ on the
    ___________ day of _______________, 19____.

    ___________________________
    NOTARY PUBLIC
    Until Dec. 31, 19 ______
    PTR No. ____________
    Doc. No. _______
    Page No. _______
    Book No. _______
    Series of _______

    INSTRUCTION

    1. This application shall be accomplished in quintuplicate, two copies to be retained


    by the applicant, the original and one copy to be forwarded to the Provincial/City
    Mining Regulatory Board, and the remaining copy for the files of the MGB
    Regional Office.

    2. All pertinent information required shall be given, inapplicable word canceled, and
    all blanks shall be filled up.

    3. Application not accompanied with all the required documents shall not be
    accepted.

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