Republic of the Philippines

DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES

MINES AND GEOSCIENCES BUREAU

CHECKLIST OF REQUIREMENTS
APPLICATION FOR RENEWAL of MINERAL PROCESSING PERMIT
NAME OF APPLICANT:
CONTACT PERSON/ADDRESS:

MPP No.:
COMMODITY: LOCATION:
DATE FILED IN R.O.: DATE RECEIVED BY C.O.:

DOCUMENTS REQUIRED REMARKS

1. Application Form (MGB Form No. 11-02) [ ]

2. Justification of renewal [ ]

3. Comprehensive technical reports on the outcome of [ ]

the operations, signed by a licensed Mining Engineer
or Metallurgical Engineer

4. Comprehensive technical report on the level of ECC [ ]

compliance, signed by Environmental Officer

5. Audited financial statements covering the term of the [ ]

MPP

6. Work Program duly prepared, signed and sealed by [ ]

a licensed Metallurgical Engineer

7. Certificate of Environmental Management and [ ]

Community Relations Record

8. Environmental Protection and Enhancement [ ]

Program and Final Mine/Mill Rehabilitation and/or
Decommissioning Plan

9. Social Development and Management Program [ ]

10.Certification from MGB RO concerned as to the level [ ]

of compliance with the terms and conditions of MPP

11.MGB-registered Board Resolution authorizing the [ ]

President to sign and execute documents in
connection with the MPP application

12.Proof/s of payment of renewal fee [ ]

13.Proof of payment of taxes and fees during the term [ ]

of its 1st renewal

Additional Remarks:

Evaluated by:
Name and Signature Date