Minerals and Mining Program - Mine License Forms 

 

The following forms/applications are available for either downloading or completion online, or both:

 

  • Downloadable forms are available in a PDF format and may be printed out and completed by hand.
  • *Online forms are available in a PDF format and provide you either one or more of the following options:

 

  • complete the form online and then print and mail the form, or
  • complete the form online and submit the form electronically

 

These icons associated with forms/applications on this page are links to:


PDF online icon "online" forms/applications
download and print icon "downloadable" forms/applications
information icon   information regarding forms/applications

 

*In order to complete an online PDF form you need to have Acrobat Reader version 5.05 or higher installed on your computer.  You can check the version by starting Acrobat Reader, selecting "Help" from the menu bar and then selecting "About Acrobat Reader" -- your version of Acrobat Reader will  be shown near the top of the opened window.  If you do not have Acrobat Reader installed, you can download the free Acrobat Reader plug-in.

 

PDF online icon    download and print icon    information icon Mine License Application Form
 
PDF online icon    download and print icon    information icon

Certification of Applicant Form
 
PDF online icon    download and print icon    information icon

Notice of Intent to Mine

      

       

 

Notification of Other Operators to Mine Under License  New icon

 
        print icon    information icon

List of Government Agencies to be Notified
 
PDF online icon    download and print icon    information icon

Cash Deposit Form for Mine Licenses 
 
PDF online icon    download and print icon    information icon

Surety Bond Form:  Minerals and Mining
       

        download and print icon    information icon

 

Letter of Credit Form for Mine Licenses (Must be issued on bank letterhead and/or bank safety paper) New icon

       

        download and print icon    information icon

 

Letter of Credit Amendment Form for Mine Licenses (Must be issued on bank letterhead and/or bank safety paper) New icon

 

For assistance in completing the mine license application forms, please contact Thomas Cline or call (605) 773-4201.