Professional Documents
Culture Documents
08-1A
APPLICATION FOR
INDUSTRIAL SAND AND GRAVEL PERMIT (ISAG) NO. ______
________________, 19____
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
DENR Administrative Order No. 96-40, otherwise known as the Revised Implementing
Rules and Regulations, the undersigned _____________________ hereby applies for an
Industrial Sand and Gravel Permit to extract and dispose ____________________ cubic
meters of materials authorized hereunder from a tract of land bounded by the following:
POINT
LATITUDE
LONGITUDE
Clearance, when required, from the Bureau of Public Works, Bureau of Public
Highways, National Power Corporation, National Irrigation Administration and/or
other government agencies, that the proposed excavations in the area applied for
will not adversely affect or cause damage to existing public and private
properties, multipurpose dams, reservoirs, seawalls, dikes, bridges, buildings,
highways and other infrastructures;
Written consent of owners of the private lands adjoining the area that may be
affected by excavations to be undertaken;
ACKNOWLEDGEMENT
_______
_______
_______
_______
INSTRUCTION
1.
2.
3.
Application not accompanied with all the required documents shall not be
accepted.