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DIVISION OF MINERAL MINING

PRINTABLE FORMS

The Division of Mineral Mining offers an electronic forms submittal system, DMM e-Forms Center which allows permitted operators and independent contractors to file required forms rapidly and efficiently. If you prefer to do business in paper, most of our forms are available here for downloading and printing. Printable forms should be mailed or faxed back to the Division. These forms may also be obtained by contacting us. See Contact Us for mailing address and phone number.


Posters
Mine Inspector Area Map PDF
Report Mine Safety Violation Poster PDF

New Permit
Permit/License Application DMM-101
Permit/License Application For Sand & Gravel < 10 Acres Only DMM-168
Notice of Application to Mine DMM-103
Bond Form DMM-107
Irrevocable Letter of Credit Form DMM-108
Certificate of Deposit DMM-169
Map Legend DMM-109
Contractor Identification Form DMM-166
Virginia Requirements for New Permits Brochure
Fees

Permit Renewal
License Renewal Application DMM-157
Yearly Progress Report DMM-105
Map Legend DMM-109
Statement of no map changes DMM-164
Surety Rider DMM-167
Contractor Identification Form DMM-166
Fees

Permit Transfer
License Renewal Application DMM-157
Relinquishment of Mining Permit DMM-112
Permit Transfer Acceptance Form DMM-161
Annual Tonnage Report DMM-146
Fees

Annual Reporting
Annual Tonnage Report DMM-146
Contractor Annual Report DMM-146C

Permit Amendment
Request for Amendment DMM-113
Notice of Operator Intent DMM-156

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

Accident Reporting
Accident Form DMM-104C

Contractor Forms
Contractor Registration/Update DMM-166
Annual Report for Contractors DMM-146c
Instructions for Annual Report for Contractors Instructions
Virginia Requirements for Independent Contractors Brochure

Certification Forms
Application for Certification Examination DMM-BMME-1
Verification of Work Experience DMM-BMME-2
Application for Renewal DMM-BMME-3
Application for DMM Reciprocity DMM-200