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Republic of the Philippines

Department of Environment and Natural Resources
ENVIRONMENTAL MANAGEMENT BUREAU
Cordillera Administrative Region (CAR)
Cordillera Administrative Region DENR Compound,Gibraltar
Baguio City
Tel No: (074) 446-64-40

APPLICATION FOR PERMIT TO OPERATE

Air Pollution Source Installations

A. General Information
Application No. 145637
Application Type New
Name of Owner Alvin D. Belaras
Name of Establishment Jaybong Construction Supply and Gravel Project
Mailing Address Mudeng Road, Mudeng, La Paz, Abra
Zip Code 2826
Mailing Tel.No. N/A Mailing Fax No. N/A
Plant Name Cement Batching Plant and Crushing Plant
Plant Address Mudeng Road, Mudeng, La Paz, Abra
Plant Zip Code 2826
Plant Geolocation 17.3745,120.3726
Plant Tel.No. N/A Plant Fax No. N/A

B. Company Information
TIN 233-567-524 Nature of Owndership Sole Proprietorship
EIA Classification Batching and crushing plant, sand, and gravel washing
Nature of Business Manufacturing Business
Authorized Capital Php 100000000.00 Paid up capital Php 6250000.00
Date of Start of Operation Aug. 18, 2018
ECC/CNC Number ECC-OL-CAR-2018-0049
Managing Head Cris Zacarias Frias Tel. No. 09565043696
Name of PCO Civie Jomel Orenza Quiday Tel. No. N/A
PCO Designation Appointed
PCO Application Submission Aug. 23, 2021

C. Other Company Related Information

Office Operation (hrs/day) 8 Office Operatation (days/week) 6
Production Operation (hrs/day) 8 Production Operation (days/week) 6
Total Employees 115
Land Area 12500 m2 Land Use Industrial
Land Ownership Owned

D. Raw Material and Product Information

Raw Material Quantity Product Quantity
Aggregates, Cement,
2,406.53 Kg Concrete 1 cubic meter
Water
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Rivermix N/A G1, 3/8, 3/4, Washed Sand N/A

E.1 Air Pollution Sources Installation (APSI) for Fuel Burning Subject for Permitting
APSI APSI Name Capacity Brand Name Type of Fuel Date Installed
There are no sources defined yet

E.2 Air Pollution Sources Installation (APSI) for Non Fuel Burning Subject for Permitting
APSI APSI Name Capacity Brand Name Raw Material Date Installed
RAVEO
Process 150.0
Crushing Plant CRUSHING Jan. 28, 2018
Equipment MT/hr/equipment
PLANT
Process 10.0
Batching Plant JANECO Jan. 28, 2018
Equipment MT/hr/equipment

E.3 Air Pollution Control Device (APCD) Subject for Permitting

APCD Description Capacity
There are no devices defined yet

F. APSI APCD Mapping

Connected APSIs Connected APCDs Connected Stacks
ID APSI
(<name> (id)) (<name> (id)) (<name> (id))
2 Crushing Plant (2) None None None
3 Batching Plant (3) None None None

Connected APSIs Connected APCDs Connected Stacks

ID APCD
(<name> (id)) (<name> (id)) (<name> (id))
There are no mappings defined

NOTARIZED CERTIFICATION

We hereby certify that the above information are true and correct to the best of my knowledge. Done this
________ day of ______________________ of ______________.

Civie Jomel Orenza Quiday Cris Zacarias Frias

Pollution Control Officer Managing Head

SUBSCRIBE AND SWORN to before a Notary Public this _______ day of ___________________________.
Affiant exhibiting to Officer Officer me his/her government issued ID with no. ________.

NOTARY PUBLIC