CONCEPT NOTE

ASSESSMENT OF CRACK HOUSE IN SIBANGGOR TONGA VILLAGE

JUNE 2018

I. Background
Following up the issues of cracking houses in Sibanggor Tonga village which impacted with
community blockade on company mobilization activities. The company through agreement
letter signed by KTPB and head of Sibanggor Tonga village agreed for conducting a joint
assessment on the cracking house alongside Sibanggor Tonga road where pass by company
mobilization activities.

The joint assessment will involve by Camat Puncak Sorik Marapi (Head of Sub-regency),
Kapolsek Kotanopan (Head of Police Sub-regency), Danramil Kotanopan (Head of Military Sub-
regency), Kasat Intel Polres Madina (Head of Madina Police Intelligence), Head of Building
Development Unit-Madina General Development Agency, Head of Sibanggor Tonga Village.

The assessment will have consisted of two activities in two days;

1. Day 1: Field assessment which is more on physical activities checking every house whose
have been reporting cracked by the community. The house will be examined through the
checklist (develop and consult with the civil team) and pictured in detail as evidence.
2. Day 2: Summarize meeting for finalizing the status of the cracked house which is light,
medium or heavy. The meeting will be involved all parties whose conduct field assessment
including the Head of Sibanggor Tonga Village. At the end of the day, the meeting will result
with a full recommendation for all cracked house alongside Sibanggor Tonga road which had
been passed by company mobilization activities.
Reference:

- Letter of Mutual Agreement for Resolving Crack Houses in Sibanggor Tonga Village.

II. Venue

Sibanggor Tonga Village & PT. SMGP

III. Time

Day 1: Thursday, 28 June 2018

Day 2: Friday, 29 June 2018

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IV. Budgeting

BUDGET ASSUMPTION
No Description Price Unit Quantity Days Subtotal Total (Rp.)
1 Days 1: Field Assessment 3,500,000
Perdiem for team Muspika PSM & Dinas 200,000 14 1 2,800,000
Lunch 50,000 14 1 700,000

2 Days 2: Summarize Meeting 3,500,000

Perdiem for team Muspika PSM & Dinas 200,000 14 1 2,800,000
Lunch 50,000 14 1 700,000

Grand Total 7,000,000

Total will be paid is IDR. 7.000.000,- (seven million rupiah).

V. Approval Management

Requestor: Approval by: Approval by: Final Approval by:

Tamrin Hasibuan Irfan Syah Alam Terry Indra William Tei

Government Relation Permiting & KTPB President Director
Stakeholder
Manager
Date : Date : Date : Date :