_——
SWORN STATEMENT OF ACCOUNTABILITY OF THE PROPONENT
THIS IS TO CERTIFY that all the information and commitments in this
Initial Environmental Examination (IEE) Checklist Report are accurate and
complete to the best of my knowledge.
1, KAREN R. PASCUAL, as Owner of the Mac Arthur's Place established
in Brgy. Britania, San Agustin, Surigao del Sur hereby commit to ensure
implementation of all commitments, mitigating measures and monitoring
requirements indicated in the IEE Checklist Report as well as the following:
1. Conform to pertinent provisions of applicable environmental laws e.g.,
R.A. No. 6969 (Toxic Substances and Hazardous and Nuclear Wastes
Control Act of 1990), R.A. No. 9003 (Ecological Solid Waste
Management Act of 2000), R.A. No. 9275 (Philippine Clean Water Act of
2004), and R.A. No. 8749 (Philippine Clean Air Act of 1999).
2. Abide and conform to LGU development plans and guidelines.
3. Regularly submit reports to concerned agencies.
HEREBY bind myself to answer any penalty that may be imposed arising
from any mistepresentation or failure to state material information in this IEE
Checklist.
AUG 2 8 2018
IN WITNESS WHEREOF, I have hereunto set my hand this day
of 2018 at Butuan City, Philippines.
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AUG 2 8 708, ze
SUBSCRIBED AND SWORN to before me_ this
2018 at Butuan City, Philippines.
Doc. No. £4;
Page No._1&
Book No. _!X
Series of 2018.