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Page 1 of 3 Republic of the Philippines Department of Environment and Natural Resources ENVIRONMENTAL MANAGEMENT BUREAU 8 Region V-8 ———as PENRO Compound, Brgy. Suqui, Calapan City, Oriental Mindoro, ‘em Satelite Office, 6th Floor DENR by the Bay Bldg., 1515 Roxas —_— Bivd,, Ermita, Manila Tel No: (02) 536-97-86 APPLICATION FOR PERMIT TO OPERATE Air Pollution Source Installations A. General Information Application No. 154645 Application Type Renewal Name of Owner MIRIAM FELIX ATIENZA Name of Establishment MARVELOUS M HOTEL AND RESTOBAR Mailing Address Morente St., Zone li (Pob.), Pinamalayan, Oriental Mindoro Zip Code 5208 Mailing Tel.No. NA Mailing Fax No. N/A Plant Name MARVELOUS M HOTEL AND RESTOBAR Plant Address Morente St., Zone li (Pob.), Pinamalayan, Oriental Mindoro Plant Zip Code 5208, Plant Geolocation 13.0368188,121.4872466 Plant Tel.No. NA Plant FaxNo. N/A B. Company Information TIN 946493197000 Nature of Owndership Sole Proprietorship EIA Classification Commercial Nature of Business HOTEL AND RESTAURANT Authorized Capital Php 1000000.00 Paid up capital Php 1000000.00 Date of Start of Operation Jan. 1, 2004 ECC Number ECC-R48-1001-0005 (CNC Number NA Managing Head MARLON ATIENZA Tel. No, 043-284-4263 Name of PCO MARLON AGERON ATIENZA Tel. No, 043-284-4263 PCO Designation Appointed PCO Application Submission June 21, 2024 €. Other Company Related Information Office Operation (hrs/day) 8 Office Operatation (days/week) Production Operation (hrs/day) — Production Operation (days/week: Total Employees 2 Land Area 300 SQUARE METERS m?_Land Use Commercial Land Ownership ‘Owned D. Raw Material and Product Information Raw Material Quantity Product ‘Quantity Page 2 of 3 There are no raw materials defined 11 Air Pollution Sources Installation (APSI) for Fue! Burning Subject for Permitting Date | Technical it Type of Remark: APS| | APSIName| Capacity |BrandName| Type of Fuel 1.4 | pescription| Remarks LOCATED Other RIGHT [sources of aif GENERATORS00.0 10 |15KVA [DIESEL | Jan. 1, 2004 |BEHIND |N/A pollution THE BUILDING. E.2 Air Pollution Sources Installation (APSI) for Non Fuel Burning Subject for Permitting Technical Description APSI APSIName | Capacity | Brand Name | Raw Material | Date Installed| There are no sources defined E.3 Air Pollution Control Device (APCD) Subject for Permitting ‘APCD Description Capacity Remarks There are no devices defined E.4 Stacks Name Height Diameter Temperature Velocity There are no slacks defined F_APSI APCD Mapping < se ‘Connected APSIs Connected APCDs ‘Connected Stacks ( (id) ( (Id)) ( (id)) 1 [GENERATOR (1) None None None ‘Connected APSIs Connected APCDs Connected Stacks 1D APCD 3 ( ( (id)) ( (id) There are no mappings defined F. Third Party Emission Test Information Name of Stack Tester CRL CALABARQUEZ CORPORATION Stack Tester Accreditation No. Environmental Laboratory No, 2018-25 Laboratory Address. Previous Non Compliance Commitments NA) APSI Status ‘APCD Status NOTARIZED CERTIFICATION We hereby certify that the above information are true and correct to the best of my knowledge. Done this day of, of Page 3 of 3 MARLON ACERON ATIENZA Pollution Control Officer Managing Hdad SUBSCRIBE AND SWORN to before a Notary Public this. cayor_18 OCT 2021 ‘Affiant exhibiting to Officer Officer me his/her government issued ID with no. NOTARY PUBLIC “poco, S155 ATT - 2 . 'Y. ZENDY M. VILLANUEVA “page Wes nl89 + Hotary Publ oriental anions baae Aes commission Expres opt See 30 3p22 ia arth ly sty Zone Ill, Socorss, OF. Mindoro Series of 284. TP OR Nos. 133563 (2021) & 133564 (2022); Nov. 26, 2020 PTR No. 1730264; Jan, 04, 2021; Socorro, Or. Mindore Attorney's Roll No, 42085 NCLE No, VI-0005353; Dee: 28, 2017; Valid Until: Apel 14, 2022

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