ANNEX C.

Pro-forma Project Description for Certificate of Non-Coverage (CNC) Applications

Please Check Purpose: □ for CNC Application (Prior to 1982? yes/no) □ for Category C Project Evaluation

PART I: FOR CNC APPLICATIONS (CATEGORY D AND PROJECTS IMPLEMENTED PRIOR TO 1982) AND
EVALUATION OF CATEROGY C PROJECTS
1. Name of the 20F00089 - OO2 : Protect Lives and Properties Against Major Floods - Flood Management -
Project Construction/ Maintenance of Flood Mitigation Structures and Drainage Systems - Legazpi
City Coastal Road (Yawa Bridge 2), Albay, Sta. 1+220.80 - Sta. 1+260.70 (1st Approach), Sta.
1+260.70 - Sta. 1+264.70 (1st Approach Slab), Sta. 1+649.30 - Sta. 1+740.00 (2nd Approach),
Sta. 1+645.30 - Sta. 1+649.30 (2nd Approach Slab), L =Road: 0.26120 Lane Km (Approaches),
Bridge: 7,220.85 sqm, Seawall: 144.20 lm

2. Project Location
Street/Sitio/Barangay Zone/Classification (i.e. industrial, residential)

City/Municipality Province Region

LEGAZPI ALBAY V
3. Proponent Name DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS - REGIONAL OFFICE V
4.
REGIONAL GOVERNMENT CENTER, RAWIS, LEGAZPI CITY
Proponent Address
5. Contact Person
Name Designation
MELVIN B. NAVARRO REGIONAL DIRECTOR

6. Proponent Means
of Contact Landline No. Fax No.
09171284922
Mobile No. Email
navarro.melvin@dpwh.gov.ph

7. Project FLOOD CONTROL PROJECT - DIKE/REVETMENT & DRAINAGE STRUCTURES/

Type/Undertaking

8. Project Size
Fill up only relevant parameters.
Capacity/Others Space Allocation/Area
(i.e. MW, m³, heads) (i.e. km, ha, sqm)
SLOPE PROTECTION =
Quantity to be Processed Others:
(i.e. MT of raw material)
Production Rate
(i.e. MT/year)

9. Description of
Project Activities
(i.e. during pre-
construction,
construction,
operation and
abandonment)

Prepared/Submitted by: Concurred/Approved by:

MARILOU N. LACUNA MELVIN B. NAVARRO, MNSA, CESO IV

Planning and Design Division Chief Regional Director

*For CNC Application based on project implementation before 1982 and without significant expansion
or modification, documentary proof of project implementation issued by relevant government agencies
shall be attached in addition to accomplishing the above form.
 ANNEX C. Pro-forma Project Description for Certificate of Non-Coverage (CNC) Applications

Please Check Purpose: □ for CNC Application (Prior to 1982? yes/no) □ for Category C Project Evaluation

PART I: FOR CNC APPLICATIONS (CATEGORY D AND PROJECTS IMPLEMENTED PRIOR TO 1982) AND
EVALUATION OF CATEROGY C PROJECTS
1. Name of the 20F00097 - Local Program - Flood Control and Drainage - Flood Control Structures / Facilities
Project - Construction / Repair / Rehabilitation / Improvement of Various Infrastructure including
Local Projects - Construction of Bonga Flood Control (Upstream Of Spillway), Bonga, Legazpi
City, Albay

2. Project Location
Street/Sitio/Barangay Zone/Classification (i.e. industrial, residential)
BONGA
City/Municipality Province Region
LEGAZPI ALBAY V
3. Proponent Name DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS - REGIONAL OFFICE V
4.
REGIONAL GOVERNMENT CENTER, RAWIS, LEGAZPI CITY
Proponent Address
5. Contact Person
Name Designation
MELVIN B. NAVARRO REGIONAL DIRECTOR

6. Proponent Means
of Contact Landline No. Fax No.
09171284922
Mobile No. Email
navarro.melvin@dpwh.gov.ph

7. Project FLOOD CONTROL PROJECT - DIKE/REVETMENT & DRAINAGE STRUCTURES/

Type/Undertaking

8. Project Size
Fill up only relevant parameters.
Capacity/Others Space Allocation/Area
(i.e. MW, m³, heads) (i.e. km, ha, sqm)
SLOPE PROTECTION =
Quantity to be Processed Others:
(i.e. MT of raw material)
Production Rate
(i.e. MT/year)

9. Description of
Project Activities
(i.e. during pre-
construction,
construction,
operation and
abandonment)

Prepared/Submitted by: Concurred/Approved by:

MARILOU N. LACUNA MELVIN B. NAVARRO, MNSA, CESO IV

Planning and Design Division Chief Regional Director

*For CNC Application based on project implementation before 1982 and without significant expansion
or modification, documentary proof of project implementation issued by relevant government agencies
shall be attached in addition to accomplishing the above form.
 ANNEX C. Pro-forma Project Description for Certificate of Non-Coverage (CNC) Applications

Please Check Purpose: □ for CNC Application (Prior to 1982? yes/no) □ for Category C Project Evaluation

PART I: FOR CNC APPLICATIONS (CATEGORY D AND PROJECTS IMPLEMENTED PRIOR TO 1982) AND
EVALUATION OF CATEROGY C PROJECTS
1. Name of the 20F00098 - OO1 : Ensure Safe and Reliable National Road System - Asset Preservation -
Project Rehabilitation/ Reconstruction of National Roads with Slips, Slope Collapsed and Landslide,
Bacon-Manito Road, Sitio Banasi, Osiao, Bacon Sorsogon

2. Project Location
Street/Sitio/Barangay Zone/Classification (i.e. industrial, residential)

City/Municipality Province Region

BACON SORSOGON V
3. Proponent Name DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS - REGIONAL OFFICE V
4.
REGIONAL GOVERNMENT CENTER, RAWIS, LEGAZPI CITY
Proponent Address
5. Contact Person
Name Designation
MELVIN B. NAVARRO REGIONAL DIRECTOR

6. Proponent Means
of Contact Landline No. Fax No.
09171284922
Mobile No. Email
navarro.melvin@dpwh.gov.ph

7. Project FLOOD CONTROL PROJECT - DIKE/REVETMENT & DRAINAGE STRUCTURES/

Type/Undertaking

8. Project Size
Fill up only relevant parameters.
Capacity/Others Space Allocation/Area
(i.e. MW, m³, heads) (i.e. km, ha, sqm)
SLOPE PROTECTION =
Quantity to be Processed Others:
(i.e. MT of raw material)
Production Rate
(i.e. MT/year)

9. Description of
Project Activities
(i.e. during pre-
construction,
construction,
operation and
abandonment)

Prepared/Submitted by: Concurred/Approved by:

MARILOU N. LACUNA MELVIN B. NAVARRO, MNSA, CESO IV

Planning and Design Division Chief Regional Director

*For CNC Application based on project implementation before 1982 and without significant expansion
or modification, documentary proof of project implementation issued by relevant government agencies
shall be attached in addition to accomplishing the above form.
 ANNEX C. Pro-forma Project Description for Certificate of Non-Coverage (CNC) Applications

Please Check Purpose: □ for CNC Application (Prior to 1982? yes/no) □ for Category C Project Evaluation

PART I: FOR CNC APPLICATIONS (CATEGORY D AND PROJECTS IMPLEMENTED PRIOR TO 1982) AND
EVALUATION OF CATEROGY C PROJECTS
1. Name of the 20F00100 - Local Program - Flood Control and Drainage - Construction / Repair /
Project Rehabilitation / Improvement of Various Infrastructure including Local Projects -
Rehabilitation/Improvement of Flood Control Structure Liang and Tulay-Bagsangan Section,
Irosin, Sorsogon

2. Project Location
Street/Sitio/Barangay Zone/Classification (i.e. industrial, residential)

City/Municipality Province Region

IROSIN SORSOGON V
3. Proponent Name DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS - REGIONAL OFFICE V
4.
REGIONAL GOVERNMENT CENTER, RAWIS, LEGAZPI CITY
Proponent Address
5. Contact Person
Name Designation
MELVIN B. NAVARRO REGIONAL DIRECTOR

6. Proponent Means
of Contact Landline No. Fax No.
09171284922
Mobile No. Email
navarro.melvin@dpwh.gov.ph

7. Project FLOOD CONTROL PROJECT - DIKE/REVETMENT & DRAINAGE STRUCTURES/

Type/Undertaking

8. Project Size
Fill up only relevant parameters.
Capacity/Others Space Allocation/Area
(i.e. MW, m³, heads) (i.e. km, ha, sqm)
SLOPE PROTECTION =
Quantity to be Processed Others:
(i.e. MT of raw material)
Production Rate
(i.e. MT/year)

9. Description of
Project Activities
(i.e. during pre-
construction,
construction,
operation and
abandonment)

Prepared/Submitted by: Concurred/Approved by:

MARILOU N. LACUNA MELVIN B. NAVARRO, MNSA, CESO IV

Planning and Design Division Chief Regional Director

*For CNC Application based on project implementation before 1982 and without significant expansion
or modification, documentary proof of project implementation issued by relevant government agencies
shall be attached in addition to accomplishing the above form.
 ANNEX C. Pro-forma Project Description for Certificate of Non-Coverage (CNC) Applications

Please Check Purpose: □ for CNC Application (Prior to 1982? yes/no) □ for Category C Project Evaluation

PART I: FOR CNC APPLICATIONS (CATEGORY D AND PROJECTS IMPLEMENTED PRIOR TO 1982) AND
EVALUATION OF CATEROGY C PROJECTS
1. Name of the 20F00102 - Local Program - Flood Control and Drainage - Local Infrastructure Program -
Project Construction of Flood Control Structure along Gulang-Gulang River, Left Side, Downstream,
Brgy. Gulang-Gulang, Irosin, Sorsogon

2. Project Location
Street/Sitio/Barangay Zone/Classification (i.e. industrial, residential)
GULANG - GULANG
City/Municipality Province Region
IROSIN SORSOGON V
3. Proponent Name DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS - REGIONAL OFFICE V
4.
REGIONAL GOVERNMENT CENTER, RAWIS, LEGAZPI CITY
Proponent Address
5. Contact Person
Name Designation
MELVIN B. NAVARRO REGIONAL DIRECTOR

6. Proponent Means
of Contact Landline No. Fax No.
09171284922
Mobile No. Email
navarro.melvin@dpwh.gov.ph

7. Project FLOOD CONTROL PROJECT - DIKE/REVETMENT & DRAINAGE STRUCTURES/

Type/Undertaking

8. Project Size
Fill up only relevant parameters.
Capacity/Others Space Allocation/Area
(i.e. MW, m³, heads) (i.e. km, ha, sqm)
SLOPE PROTECTION =
Quantity to be Processed Others:
(i.e. MT of raw material)
Production Rate
(i.e. MT/year)

9. Description of
Project Activities
(i.e. during pre-
construction,
construction,
operation and
abandonment)

Prepared/Submitted by: Concurred/Approved by:

MARILOU N. LACUNA MELVIN B. NAVARRO, MNSA, CESO IV

Planning and Design Division Chief Regional Director

*For CNC Application based on project implementation before 1982 and without significant expansion
or modification, documentary proof of project implementation issued by relevant government agencies
shall be attached in addition to accomplishing the above form.
 ANNEX C. Pro-forma Project Description for Certificate of Non-Coverage (CNC) Applications

Please Check Purpose: □ for CNC Application (Prior to 1982? yes/no) □ for Category C Project Evaluation

PART I: FOR CNC APPLICATIONS (CATEGORY D AND PROJECTS IMPLEMENTED PRIOR TO 1982) AND
EVALUATION OF CATEROGY C PROJECTS
1. Name of the 20F00103 - Local Program - Flood Control and Drainage - Local Infrastructure Program -
Project Construction of Flood Control Structure along Gulang-Gulang River, Left Side, Upstream,
Brgy. Gulang-Gulang, Irosin, Sorsogon

2. Project Location
Street/Sitio/Barangay Zone/Classification (i.e. industrial, residential)
GULANG - GULANG
City/Municipality Province Region
IROSIN SORSOGON V
3. Proponent Name DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS - REGIONAL OFFICE V
4.
REGIONAL GOVERNMENT CENTER, RAWIS, LEGAZPI CITY
Proponent Address
5. Contact Person
Name Designation
MELVIN B. NAVARRO REGIONAL DIRECTOR

6. Proponent Means
of Contact Landline No. Fax No.
09171284922
Mobile No. Email
navarro.melvin@dpwh.gov.ph

7. Project FLOOD CONTROL PROJECT - DIKE/REVETMENT & DRAINAGE STRUCTURES/

Type/Undertaking

8. Project Size
Fill up only relevant parameters.
Capacity/Others Space Allocation/Area
(i.e. MW, m³, heads) (i.e. km, ha, sqm)
SLOPE PROTECTION =
Quantity to be Processed Others:
(i.e. MT of raw material)
Production Rate
(i.e. MT/year)

9. Description of
Project Activities
(i.e. during pre-
construction,
construction,
operation and
abandonment)

Prepared/Submitted by: Concurred/Approved by:

MARILOU N. LACUNA MELVIN B. NAVARRO, MNSA, CESO IV

Planning and Design Division Chief Regional Director

*For CNC Application based on project implementation before 1982 and without significant expansion
or modification, documentary proof of project implementation issued by relevant government agencies
shall be attached in addition to accomplishing the above form.
 ANNEX C. Pro-forma Project Description for Certificate of Non-Coverage (CNC) Applications

Please Check Purpose: □ for CNC Application (Prior to 1982? yes/no) □ for Category C Project Evaluation

PART I: FOR CNC APPLICATIONS (CATEGORY D AND PROJECTS IMPLEMENTED PRIOR TO 1982) AND
EVALUATION OF CATEROGY C PROJECTS
1. Name of the 20F00104 - Local Program - Flood Control and Drainage - Local Infrastructure Program -
Project Construction of Flood Control Structure along Gulang-Gulang River, Right Side, Upstream,
Brgy. Gulang-Gulang, Irosin, Sorsogon

2. Project Location
Street/Sitio/Barangay Zone/Classification (i.e. industrial, residential)
GULANG - GULANG
City/Municipality Province Region
IROSIN SORSOGON V
3. Proponent Name DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS - REGIONAL OFFICE V
4.
REGIONAL GOVERNMENT CENTER, RAWIS, LEGAZPI CITY
Proponent Address
5. Contact Person
Name Designation
MELVIN B. NAVARRO REGIONAL DIRECTOR

6. Proponent Means
of Contact Landline No. Fax No.
09171284922
Mobile No. Email
navarro.melvin@dpwh.gov.ph

7. Project FLOOD CONTROL PROJECT - DIKE/REVETMENT & DRAINAGE STRUCTURES/

Type/Undertaking

8. Project Size
Fill up only relevant parameters.
Capacity/Others Space Allocation/Area
(i.e. MW, m³, heads) (i.e. km, ha, sqm)
SLOPE PROTECTION =
Quantity to be Processed Others:
(i.e. MT of raw material)
Production Rate
(i.e. MT/year)

9. Description of
Project Activities
(i.e. during pre-
construction,
construction,
operation and
abandonment)

Prepared/Submitted by: Concurred/Approved by:

MARILOU N. LACUNA MELVIN B. NAVARRO, MNSA, CESO IV

Planning and Design Division Chief Regional Director

*For CNC Application based on project implementation before 1982 and without significant expansion
or modification, documentary proof of project implementation issued by relevant government agencies
shall be attached in addition to accomplishing the above form.
 ANNEX C. Pro-forma Project Description for Certificate of Non-Coverage (CNC) Applications

Please Check Purpose: □ for CNC Application (Prior to 1982? yes/no) □ for Category C Project Evaluation

PART I: FOR CNC APPLICATIONS (CATEGORY D AND PROJECTS IMPLEMENTED PRIOR TO 1982) AND
EVALUATION OF CATEROGY C PROJECTS
1. Name of the 20F00106 - Local Program - Flood Control and Drainage - Construction / Repair /
Project Rehabilitation / Improvement of Various Infrastructure including Local Projects -
Rehabilitation/Reconstruction of Flood Control Structure along Managa-naga River, Bulan,
Sorsogon

2. Project Location
Street/Sitio/Barangay Zone/Classification (i.e. industrial, residential)
MANAGA-NAGA
City/Municipality Province Region
BULAN SORSOGON V
3. Proponent Name DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS - REGIONAL OFFICE V
4.
REGIONAL GOVERNMENT CENTER, RAWIS, LEGAZPI CITY
Proponent Address
5. Contact Person
Name Designation
MELVIN B. NAVARRO REGIONAL DIRECTOR

6. Proponent Means
of Contact Landline No. Fax No.
09171284922
Mobile No. Email
navarro.melvin@dpwh.gov.ph

7. Project FLOOD CONTROL PROJECT - DIKE/REVETMENT & DRAINAGE STRUCTURES/

Type/Undertaking

8. Project Size
Fill up only relevant parameters.
Capacity/Others Space Allocation/Area
(i.e. MW, m³, heads) (i.e. km, ha, sqm)
SLOPE PROTECTION =
Quantity to be Processed Others:
(i.e. MT of raw material)
Production Rate
(i.e. MT/year)

9. Description of
Project Activities
(i.e. during pre-
construction,
construction,
operation and
abandonment)

Prepared/Submitted by: Concurred/Approved by:

MARILOU N. LACUNA MELVIN B. NAVARRO, MNSA, CESO IV

Planning and Design Division Chief Regional Director

*For CNC Application based on project implementation before 1982 and without significant expansion
or modification, documentary proof of project implementation issued by relevant government agencies
shall be attached in addition to accomplishing the above form.
 ANNEX C. Pro-forma Project Description for Certificate of Non-Coverage (CNC) Applications

Please Check Purpose: □ for CNC Application (Prior to 1982? yes/no) □ for Category C Project Evaluation

PART I: FOR CNC APPLICATIONS (CATEGORY D AND PROJECTS IMPLEMENTED PRIOR TO 1982) AND
EVALUATION OF CATEROGY C PROJECTS
1. Name of the 20F00107 - Local Program - National Roads and Bridges - Rehabilitation/Reconstruction of
Project National Roads with Slips, Slope Collapsed and Landslide, Andaya Highway, Ragay,
Camarines Sur

2. Project Location
Street/Sitio/Barangay Zone/Classification (i.e. industrial, residential)

City/Municipality Province Region

RAGAY CAMARINES SUR V
3. Proponent Name DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS - REGIONAL OFFICE V
4.
REGIONAL GOVERNMENT CENTER, RAWIS, LEGAZPI CITY
Proponent Address
5. Contact Person
Name Designation
MELVIN B. NAVARRO REGIONAL DIRECTOR

6. Proponent Means
of Contact Landline No. Fax No.
09171284922
Mobile No. Email
navarro.melvin@dpwh.gov.ph

7. Project FLOOD CONTROL PROJECT - DIKE/REVETMENT & DRAINAGE STRUCTURES/

Type/Undertaking

8. Project Size
Fill up only relevant parameters.
Capacity/Others Space Allocation/Area
(i.e. MW, m³, heads) (i.e. km, ha, sqm)
SLOPE PROTECTION =
Quantity to be Processed Others:
(i.e. MT of raw material)
Production Rate
(i.e. MT/year)

9. Description of
Project Activities
(i.e. during pre-
construction,
construction,
operation and
abandonment)

Prepared/Submitted by: Concurred/Approved by:

MARILOU N. LACUNA MELVIN B. NAVARRO, MNSA, CESO IV

Planning and Design Division Chief Regional Director

*For CNC Application based on project implementation before 1982 and without significant expansion
or modification, documentary proof of project implementation issued by relevant government agencies
shall be attached in addition to accomplishing the above form.