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Get State Of Utah Form Mr Ar

FORM MR-AR Revised 12/2011 STATE OF UTAH DEPARTMENT OF NATURAL RESOURCES DIVISION OF OIL GAS AND MINING 1594 West North Temple - Suite 1210 Box 145801 Salt Lake City Utah 84114-5801 Telephone 801 538-5291 Fax 801 359-3940 SMALL MINING OPERATIONS PROGRESS REPORT January 1 20 to December 31 20 The information required in this form are based on provisions of the Mined Land Reclamation Act Title 40-8 and the rules as under the Utah Minerals Regulatory Program. The report is due January 31 each year. Mine Permit Number Mine Name Name of Operator/Permittee Note If Operator s address company representative or phone number have changed please provide a replacement page for the Notice of Intention together with form MR-REV available on the Division s web page at https //fs. ogm*utah. gov/pub/MINES/MineralsRelated/FORMS/MR-REV-SMOEXP. pdf* Report the gross amount of ore mined and waste moved* Gross Ore Mined Waste Material Moved Tons or yd3 Acres New disturbance created during the year Area reclaimed during the year Total Disturbed Area at the end of the year The total disturbed area should not be greater than the permitted/bonded acreage. Briefly describe the reclamation work performed during the past year. A map showing reclaimed areas and dates is suggested* I hereby certify the information provided in this report is true and correct to the best of my knowledge and belief* Name Typed or Print Title of Operator Signature of Operator Date pb O FORMS reports MR-AR-SMO2011. Mine Permit Number Mine Name Name of Operator/Permittee Note If Operator s address company representative or phone number have changed please provide a replacement page for the Notice of Intention together with form MR-REV available on the Division s web page at https //fs. ogm*utah. gov/pub/MINES/MineralsRelated/FORMS/MR-REV-SMOEXP. pdf* Report the gross amount of ore mined and waste moved* Gross Ore Mined Waste Material Moved Tons or yd3 Acres New disturbance created during the year Area reclaimed during the year Total Disturbed Area at the end of the year The total disturbed area should not be greater than the permitted/bonded acreage. ogm*utah. gov/pub/MINES/MineralsRelated/FORMS/MR-REV-SMOEXP. pdf* Report the gross amount of ore mined and waste moved* Gross Ore Mined Waste Material Moved Tons or yd3 Acres New disturbance created during the year Area reclaimed during the year Total Disturbed Area at the end of the year The total disturbed area should not be greater than the permitted/bonded acreage. Briefly describe the reclamation work performed during the past year. A map showing reclaimed areas and dates is suggested* I hereby certify the information provided in this report is true and correct to the best of my knowledge and belief* Name Typed or Print Title of Operator Signature of Operator Date pb O FORMS reports MR-AR-SMO2011. Mine Permit Number Mine Name Name of Operator/Permittee Note If Operator s address company representative or phone number have changed please provide a replacement page for the Notice of Intention together with form MR-REV available on the Division s web page at https //fs. ogm*utah. gov/pub/MINES/MineralsRelated/FORMS/MR-REV-SMOEXP. pdf* Report the gross amount of ore mined and waste moved* Gross Ore Mined Waste Material Moved Tons or yd3 Acres New disturbance created during the year Area reclaimed during the year Total Disturbed Area at the end of the year The total disturbed area should not be greater than the permitted/bonded acreage. Briefly describe the reclamation work performed during the past year. A map showing reclaimed areas and dates is suggested* I hereby certify the information provided in this report is true and correct to the best of my knowledge and belief* Name Typed or Print Title of Operator Signature of Operator Date pb O FORMS reports MR-AR-SMO2011.

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