Annex

A.Application
Form
( DAO 17-2007,
July 25,
2007)Republic of
the
PhilippinesDepart
ment of
Environment and
Natural
ResourcesNationa
l Government
Center, Sudlon,
Lahug, Cebu City
SPECIAL USE
AGREEMENT IN
PROTECTED
AREAS (SAPA)
Name of
Protected Area:
Ta
ῆ
on Strait
Protected
Seascape
Application No. :_
_____________
___
Date Filed: ____
_____________
____________

Status : New ___

__ Renewal ____
Date Expired : __
_____________
_________Name
of Applicant : ___
_____________
_____________
_____________
__Address : ___
_____________
_____________
_Cel. No. : _____
_____________
Email add:______
_____________
____________T
ype of
Applicant: _____
___ Indigenous
People ________
Tenured
Migrant _______
_ Local
Government
Unit ________ O
ther Government
Agency _______
_ Other
interested
PartyType of
Special Use
Applied for (Pls.
check
appropriate box/e
s) ________ Eco
tourism _______
_ Camp
Site ________ C
ommunity
facility _______
_ Transmission
lines ________ I
rrigation Canals/
Agriculture ____
____ Right
–
of-
way ________ A
qua-
culture _______
_ Monitoring
Stations ______
__ Beach
Resorts _______
_ Ports _______
_ Public
Utility/Commerci
al
vessels _______
_ bathing
area/s ________
Other Special
Uses (Pls.
specify)Brief
description of
Special Use
Applied
for:Submitted by:
Right thumb mark
(Name &
signature of
Applicant or duly
authorizedRepres
entative
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ATTACHMENTS/
REQUIREMENTS
(for Corporation,
Association,
Partnership,
Cooperative,
Tenured Migrants
or IPs) ___1. For
tenured
migrant/s,
certification from
the concerned
CENRO
 ___2. For Corp.
or Ass’n. copy of
SEC registration,
Articles of Inc. &
by
-Laws & a
Resolution of
theGoverning
Board designating
the authorized
representative of
the Corp. or
association ___3.
For Partnership,
copy of the
partnership. ___4
. For a
cooperative, a
certificate of
registration with
the CDA. ___5.
In case of
application of
non-tenured
migrants within
the PACBRMA
areas for
activities
notincluded in the
CRMP, a MOA
between
the proponent and
the PACBRMA
holder ___6. Site
Development Plan
Perspective to
include structural
designs, building
plans, road and
drainageand other
similar plans &
designs. ___7.
Indicative Deve
lopment Plan/
Comprehensive
Dev’t. & Mgt. Plan
( Narrative Plan).
 ___8. Proof of
financial
capability to
manage and
develop the area
applied for based
on paid-upcapital
and /or collateral
real properties.
___9. A
certified copy of
the applicant’s
Income Tax
Returns for the
past five (5)
years. In case
theapplicant has
been in the
existence for less
than five years,
the Income Tax
Return(s) since
itsregistration
shall be
submitted. ___10.
Free and Prior
Informed Consent
(FPIC) of
concerned IPs
and or Prior
Informed Consent
(PIC) ofconcerned
local communities
Barangay and
Municipality,
when project is
new, not
existing.
 ___11.
Sketch/Location
Map. ___12.
Notice of 15-
dayPublication of
the Application
published/posted
either in local
daily news
orpublic
conspicuous
places within the
vicinity of the
applied area,
Barangay Hall,
municipal
Hall,when the
applied area is
open, no existing
occupancy. ___13.
Environmental
Compliance
Certificate (ECC)
from
Environmental
Mgt. Bureau-
DENR,
whereapplicable
pursuant to Sec.
12 of R.A.
7586.Checked
and Verified
by: __________
_____________
____Printed
Name and
SignatureDate Ve
rified:
_____________
__ ___________
_____________
_____________
_____________
_____________
____Note:Proces
s Flow of
Application1.
After completion
of the
requirements,
PASu and LGUs
concerned, where
applicable, review
thedocuments,
inspect the
project site and
present results to
the TSPS - PAMB
for approval
ordenial.2.

Upon approval,
PASu advises the
proponent to
proceed to apply
and secure ECC
from EMB-DENR,
where applicable
and submit to the
PASu.3.
Upon completion
of all documents
required, RED
recommends to
the
DENR Secretary
who signsand
approves the
SAPA.4.

Resource Use fee

shall be paid by
the applicant
after he/she
agreed and
signed the
SAPA;amount is
based on the
Resource Use Fee
System of the
Protected Area