Virginia Department of Mines, Minerals and Energy - Division of Mineral Mining

Forms

Permitting / Licensing
Acrobat Version	Microsoft Word	Form Name
DMM-101	DMM-101	Permit/License Application
DMM-103	DMM-103	Notice of Application to Mine
DMM-104c	DMM-104c	Accident Report
DMM-105	DMM-105	Yearly Progress Report
DMM-107	DMM-107	Bond Form
DMM-109	DMM-109	Map Legend
DMM-112	DMM-112	Relinquishment of Mining Permit
DMM-113	DMM-113	Request for Amendment
DMM-116	DMM-116	Consolidated Biennial Report of Waivered Counties, Cities & Towns
DMM-117	DMM-117	Consolidated Biennial Report of Waivered Counties, Cities & Towns - Individual Mining Companies
DMM-146	DMM-146	Mineral Mining Annual Tonnage Report
DMM-146c	DMM-146c	Mineral Mining Annual Report for Contractors
DMM-148	DMM-148	DMM Application Checklist
DMM-152	DMM-152	DMM Course Evaluation Form
DMM-155	DMM-155	Request for Release of Mine Map
DMM-156	DMM-156	Notice of Operator Intent
DMM-157	DMM-157	License Renewal Application
DMM-158	DMM-158	Training/Mailing List/Exam Request
DMM-161	DMM-161	Permit Transfer Acceptance Form
DMM-163	DMM-163	Permit Renewal Checklist
DMM-164	DMM-164	Notarized Statement - Maps/Map Legends Unchanged
DMM-165	DMM-165	Contractor Annual Report Worksheet
DMM-166	DMM-166	Contractor Identification Form
DMM-167	DMM-167	Surety Bond Rider
DMM-168	DMM-168	Permit For Sand & Gravel Operations Less Than 10 Acres
DMM-169	DMM-169	Certificate of Deposit

Permit Application Package
Acrobat Version	Microsoft Word	Form Name
DMM-101	DMM-101	Permit/License Application
DMM-103	DMM-103	Notice of Application to Mine
DMM-107	DMM-107	Bond Form
DMM-109	DMM-109	Map Legend
DMM-148	DMM-148	DMM Application Checklist

General Permit for Sand & Gravel; 10 Acres Package

Acrobat Version	Microsoft Word	Form Name
DMM-168	DMM-168	Permit For Sand & Gravel Operations Less Than 10 Acres
DMM-101	DMM-101	Permit/License Application
DMM-103	DMM-103	Notice of Application to Mine
DMM-107	DMM-107	Bond Form
DMM-109	DMM-109	Map Legend

Uranium Exploration Related Forms

Acrobat Version

Microsoft Word

Form Name

DMM-U-1	DMM-U-1	Application for a Uranium Exploration Permit
DMM-U-5	DMM-U-5	Uranium Exploration Hole Report of Plugging Completion
DMM-U-6	DMM-U-6	Exploration Hole Plat Certification Legend
DMM-U-7	DMM-U-7	Uranium Exploration Drill Hole Completion
DMM-U-B	DMM-U-B	Uranium Exploration Surety Bond

For additional information about the Division of Mineral Mining, call (434) 951-6310 or by e-mail.

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