This is an application for renewal of a discharge permit submitted by La Gensol Plaza Hotel Inc. located in Mamburao, Occidental Mindoro, Philippines. The hotel has 31 bedrooms and employs 9 production workers. It sources water from a deep well, consuming 300 cubic meters per day. The hotel does not currently have a wastewater treatment system. Effluent is not discharged as the estimated daily wastewater flow is 0 cubic meters. The application is signed and certified by the pollution control officer and chief executive officer.
This is an application for renewal of a discharge permit submitted by La Gensol Plaza Hotel Inc. located in Mamburao, Occidental Mindoro, Philippines. The hotel has 31 bedrooms and employs 9 production workers. It sources water from a deep well, consuming 300 cubic meters per day. The hotel does not currently have a wastewater treatment system. Effluent is not discharged as the estimated daily wastewater flow is 0 cubic meters. The application is signed and certified by the pollution control officer and chief executive officer.
This is an application for renewal of a discharge permit submitted by La Gensol Plaza Hotel Inc. located in Mamburao, Occidental Mindoro, Philippines. The hotel has 31 bedrooms and employs 9 production workers. It sources water from a deep well, consuming 300 cubic meters per day. The hotel does not currently have a wastewater treatment system. Effluent is not discharged as the estimated daily wastewater flow is 0 cubic meters. The application is signed and certified by the pollution control officer and chief executive officer.
This is an application for renewal of a discharge permit submitted by La Gensol Plaza Hotel Inc. located in Mamburao, Occidental Mindoro, Philippines. The hotel has 31 bedrooms and employs 9 production workers. It sources water from a deep well, consuming 300 cubic meters per day. The hotel does not currently have a wastewater treatment system. Effluent is not discharged as the estimated daily wastewater flow is 0 cubic meters. The application is signed and certified by the pollution control officer and chief executive officer.
Department of Environmental and Natural Resources App No Environmental Management Bureau 35214 Region IV-B
APPLICATION FOR DISCHARGE PERMIT
BOX A: General Information
Type: Renewal Name of Owner: MIRASOL DE JESUS Office Address: 95 NATIONAL ROAD, Payompon, Mamburao (Capital), Occidental Mindoro
Name of Permittee: LA GENSOL PLAZA HOTEL INC TIN: 008468571000
PSIC Code: 55 Year Est.: 1997 Plant Address No & Street Name: 95 NATIONAL ROAD Barangay: Payompon City or Municipality: MAMBURAO (Capital) Region: Region IV-B Type of Industry: Hotels, motels, resorts, dormitories and other accommodation services Name of PCO: CHRISTIAN DE JESUS Accreditation Date: Sept. 1, 2015 Tel. No. & Cel. No: 711-1072/09778393446 Fax No: 700-10-72
Legal Classification Private Corp
Ownership forms Private 100.0 % Foreign None % Government None %
BOX B: Employment and Operation Information
Total employment (number of workers) in the factory: Production: 9 Non Production: 0
Production Time: No of hours/day: 24 No of days/mo: 30
No of months/year: 12 No of days with discharge/mo: 0
BOX C: Sources of Water Supply and Wasterwater Generation
Monthly Daily Estimated
Sources of Water Supply ave vol. ave vol. Generating Process Flow (m3) (m3) (m3/day)
MWSS (please attach water bills) 0.0 0.0 Process Wastewater 0.0
Local Water District (please attach water Washing/Cleaning of Process
0.0 0.0 0.0 bills) Eqpt.
Deep Well 300.0 0.0 Cooling 10.0
Surface water (lake, river, creek, etc.) 0.0 0.0 Domestic 0.0
Others 0.0 0.0 Recycled/Reuse 5.0
Others (drinking water, gardening,
evaporation, leaks, product 0.0 components, etc.)
Total Volume of Discharge
Total Water Consumption 300.0 0.0 0.0 Wastewater
BOX D: Dwelling Units Information (hotels, condominium, restaurants, malls, etc.)
Total Floor Area (m2): None No of Bedrooms: 31 No of Guests/year: None
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Total Area for Dining Units: None No of Restaurants/Dining Units: 1
BOX E: Product Information
Annual Annual Product Name Production Production in the Type of Process Capacity previous year
BOX F: Water Pollution Information
Ave. Rate of Outlet Location and Description of the Name of the Receiving Ave. BOD, Ave. BOD Discharge, Number Outlet Body of Water mg/L Load, kg/day m3/day
1 N/A - N/A None 0.0 0.0 0.0
Total 0.0 0.0 0.0
BOX G: Flow Meter Information
Flow meter is installed at: Effluent
Type of flow meter and method used at (effluent side): Direct Reading
BOX H: Information on the Wastewater Treatment System
Wastewater treatment system existing?: Yes ✔ No If YES, what is the capacity: N/A m3/day
Value of capital investent in the wastewater treatment plant: Php None
Is there a primary treatment system?: Yes ✔ No Date primary system installed:
If Yes, what is the composition of the physical treatment system:
Screening Equalization Grit Removal
Oil-Water separation (Floatation) Sedimentation (Primary Setting) If others, please specify:
Is there a chemical treatment?: Yes ✔ No Date primary system installed:
If Yes, what is the composition of the chemical treatment system:
Absorption Disinfection Flocculation/coagulation
pH Adjustment If others, specify: N/A
Is there a secondary treatment
Yes ✔ No Date primary system installed: system?:
Activated Sludge Single Batch Reaction Anaerobic Digestion Oxidation/Stabilization (Pond)
Tricking Filtration Rotating Biological Contract If others, specify: N/A
Note: **Please use generic name. Not brand names, in metric tons of products except for the following subsectors: hog raising (heads), carbonated drinks and beers (m3), slaughtering/preserving meat (ton LWK, electroplating (m2)). Page 3 of 3
NOTARIZED CERTIFICATION
We hereby certify that the above information and attached documents are true and correct to the best of my knowledge. Done this _________________________ day of ________________________, __________________.
Name and Signature of the Pollution Control Chief Executive Officer
Officer (Name, Signature and Position)
SUBSCRIBED AND SWORN to before me a Notary Public. This __________ day of ______________________, affliant exhibiting to me his/her _________________________________________________________________, issued at ___________________________________________________________________________________ on ______________________________________________________________.
