DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES - NCR

EVALUATION CHECKLIST
(TREE CUTTING/EARTH-BALLING/ OR PRUNING PERMIT FOR
TREES (PLANTED OR NATURALLY GROWN) WITHIN PRIVATE
OR PUBLIC PLACES INTENDED FOR DEVELOPMENT OTHER
THAN THOSE COVERED BY DAO 2018-16 AS AMENDED BY
DAO 2020-06)

NAME OF APPLICANT:

ADDRESS:

Type of Permit Applied: Tree Cutting Permit

Complete list of requirements for Tree Cutting/ Earthballing/ Pruning Permit

Requirements Complied Page/s Remarks

1. Original Letter request addressed to the Regional Executive
Director, JACQUELINE A. CAANCAN, CESO III (Request
should be signed by the owner of the property, or his duly
authorized representative)
Note: secure an authorization letter/SPA/Secretary’s Certificate.

2. LGU Endorsement/Certification of No Objection (1 original)

3. Environmental Compliance Certificate/ CNC (if applicable) and

result of public consultation concerning the removal of trees
4. Sketch plan and or Site Development plan showing the location
of trees
5. Authenticated copy of TCT/OCT
Additional if within school or subdivision or other
requirements found necessary during actual inspection to
support application

6. PTA Resolution or Resolution from any organize group of No

Objection and Reason for Cutting (1 original)

7. Homeowners’ Clearance for within property or Homeowner’s

Resolution for public places re: No Objection (1 Original)

Application/s with incomplete requirements and or with inaccurate entries was returned after
evaluation.

I /We certify that the applicant has submitted all the requirements with accurate entries in support of
his/her application and will be subject for required action and processing, except when an additional
requirement is needed to be submitted to support application as a result of findings during site inspection.

EVALUATOR EVALUATOR

Signature over Printed Name Signature over Printed Name

Date: Date:

FM-LPDD-04 00 09-16-19