Republic of the Philippines

Department of Environment and Natural Resources

MINES AND GEOSCIENCES BUREAU
Regional Office No. IX
Pasonanca Park, Pasonanca, Zamboanga City 7000
Telefax No. (+63 78) 992-2194; Telephone No. (+63 62) 992-2086; E-mail: mgb_ro9@yahoo.com

Checklist for Industrial and Sand Gravel Application

MGB more than5 hectares
1. Application Form (MGB No. 8-1).
2. Original Location Map (1:50,000 NAMRIA Topographic Map) showing the
geographic coordinates (in tabulated form) and boundaries of the proposed
permit area, duly prepared, signed & sealed by a deputized Geodetic
Engineer.
3. Survey Plan or Sketch Plan duly prepared, signed & sealed by a deputized
Geodetic Engineer.
4. Five (5) Year Development/Utilization Mining Work Program (MGB Form
No. 6-2), duly prepared, signed & sealed by a licensed Mining Engineer or
Geologist. With description of mining method, provide plan/layout and
pertinent cross section/s showing the details of the development and
extraction. Design and maps of Screening/crushing facilities signed and
sealed by Mechanical and Electrical Engineers. And also with Description of
process plant/mill, provide flow sheet showing the pertinent process and
equipment, including rated capacity and material balance. Finally,
Development program, with discussion of activities to be conducted,
including Gantt Chart of activities showing the budget allocation.
5. An application (MGB Form No. 16-04) for CEMCRR.
6. Five (5) Year Environmental Protection and Enhancement Program (EPEP).
7. Five (5) Year Social Development and Management Program (SDMP).
8. Safety Health Program.
9. Proof of technical competence of the preparer (Mining Engineer or Geologist)
of the Work Program, in the form of:
-Bio-data and track records in mining operations/environmental
management or employment contract/proof of availed service(s)
10. Sworn Affidavit that the Preparer (Mining Engineer or Geologist)of the Work
Program, that he/she is willing to undertake the project.
11. Proof of financial capability in the form of:
- Latest audited Financial Statements (SALN)>10M
- Income Tax Return (ITR) last three years
- Credit lines/bank guarantees/deposits>10M deposit
12. In case of Individual Applicant, Proof of Filipino Citizenship (PSA certified birth
certificate, Passport, CEDULAand the like).
13. Endorsements in the form of Resolution from the Local Government Unit/s (LGU),
Barangay, Municipal or Provincial concerned (2 out 3 endorsements from
Sanguniang)
14. Area Clearances from DPWH and NIAthat the project will not adversely affect
Government structures, infrastructures etc.
15. National Commission of Indigenous Peoples Certification that the Area applied is
not within the CADC or CADT of Indigenous Peoples.
16. Environmental Compliance Certificates (for Extraction and Processing Plant)
bearing the same Name of Applicant.
17. Other supporting documents that is/are deemed necessary may be required by the
Regional Office of MGB.

“MINING SHALL BE PRO-PEOPLE AND PRO-ENVIRONMENT

IN SUSTAINING WEALTH CREATION AND IMPROVED QUALITY OF LIFE.”