Form MO780-0016 "Surety Bond - Surface Mining of Minerals" - Missouri

What Is Form MO780-0016?

This is a legal form that was released by the Missouri Department of Natural Resources - a government authority operating within Missouri. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on February 1, 2015;
  • The latest edition provided by the Missouri Department of Natural Resources;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form MO780-0016 by clicking the link below or browse more documents and templates provided by the Missouri Department of Natural Resources.

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Download Form MO780-0016 "Surety Bond - Surface Mining of Minerals" - Missouri

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MISSOURI DEPARTMENT OF NATURAL RESOURCES
MISSOURI GEOLOGICAL SURVEY
LAND RECLAMATION PROGRAM
SURETY BOND – SURFACE MINING OF MINERALS
SURETY COMPANY NAME
BOND NUMBER
SURETY COMPANY ADDRESS
TELEPHONE NUMBER WITH AREA CODE
KNOW ALL MEN BY THESE PRESENTS, That the undersigned
(NAME OF PERMITTEE)
of
as principal,
(MAILING ADDRESS OF PERMITTEE)
and
,
(NAME OF SURETY)
of
as surety, are held
(MAILING ADDRESS OF SURETY)
and firmly bound unto the State of Missouri, Land Reclamation Program, in the penal sum of
dollars for
the payment of which sum, well and truly to be made, we hereby jointly and severally bind ourselves, our heirs, administrators,
executors, successors, and assigns.
THE CONDITION OF THE ABOVE OBLIGATION IS SUCH, that whereas, the above named principal did on the day of
,
, file with the Land Reclamation Program an application to secure a permit to
engage in surface mining in the State of Missouri, under the terms and provisions of Sections 444.760 to 444.790, RSMo, that in
said application the principal estimated
acres of land are affected or will be affected by surface mining during the
period corresponding with Permit No.
.
Now if the said principal faithfully performs all requirements of the Land Reclamation Act and complies with all rules of the Land
Reclamation Program at 10 CSR Division 40 and satisfactorily reclaims all lands within the State of Missouri affected by surface
mining by said principal under permit in accordance with Sections 444.760 to 444.790, RSMo then this obligation shall be null and
void; otherwise it shall remain in full force and effect.
The Surety shall not cancel this bond, for any reason whatsoever, including, but not limited to, nonpayment of premium,
bankruptcy or insolvency of the Principal, or issuance of notices of violations or cessation orders and assessment of penalties with
respect to the operations covered by this bond, unless the Surety shall first give actual notice in writing to both the Program and the
Principal of intent to cancel the bond, stating the reasons therefore, 90 days in advance of such cancellation. The obligations of the
bond may not be cancelled as to acreage affected prior to the expiration of the 90 day notice period.
Application for release of the obligations of this bond may be made to the Land Reclamation Program in accordance with the
provisions of Sections 444.760 and 444.790, RSMo.
MO 780-0016 (02-15)
Page 1
MISSOURI DEPARTMENT OF NATURAL RESOURCES
MISSOURI GEOLOGICAL SURVEY
LAND RECLAMATION PROGRAM
SURETY BOND – SURFACE MINING OF MINERALS
SURETY COMPANY NAME
BOND NUMBER
SURETY COMPANY ADDRESS
TELEPHONE NUMBER WITH AREA CODE
KNOW ALL MEN BY THESE PRESENTS, That the undersigned
(NAME OF PERMITTEE)
of
as principal,
(MAILING ADDRESS OF PERMITTEE)
and
,
(NAME OF SURETY)
of
as surety, are held
(MAILING ADDRESS OF SURETY)
and firmly bound unto the State of Missouri, Land Reclamation Program, in the penal sum of
dollars for
the payment of which sum, well and truly to be made, we hereby jointly and severally bind ourselves, our heirs, administrators,
executors, successors, and assigns.
THE CONDITION OF THE ABOVE OBLIGATION IS SUCH, that whereas, the above named principal did on the day of
,
, file with the Land Reclamation Program an application to secure a permit to
engage in surface mining in the State of Missouri, under the terms and provisions of Sections 444.760 to 444.790, RSMo, that in
said application the principal estimated
acres of land are affected or will be affected by surface mining during the
period corresponding with Permit No.
.
Now if the said principal faithfully performs all requirements of the Land Reclamation Act and complies with all rules of the Land
Reclamation Program at 10 CSR Division 40 and satisfactorily reclaims all lands within the State of Missouri affected by surface
mining by said principal under permit in accordance with Sections 444.760 to 444.790, RSMo then this obligation shall be null and
void; otherwise it shall remain in full force and effect.
The Surety shall not cancel this bond, for any reason whatsoever, including, but not limited to, nonpayment of premium,
bankruptcy or insolvency of the Principal, or issuance of notices of violations or cessation orders and assessment of penalties with
respect to the operations covered by this bond, unless the Surety shall first give actual notice in writing to both the Program and the
Principal of intent to cancel the bond, stating the reasons therefore, 90 days in advance of such cancellation. The obligations of the
bond may not be cancelled as to acreage affected prior to the expiration of the 90 day notice period.
Application for release of the obligations of this bond may be made to the Land Reclamation Program in accordance with the
provisions of Sections 444.760 and 444.790, RSMo.
MO 780-0016 (02-15)
Page 1
PRINCIPAL’S SIGNATURE
SIGNATURE
PRINTED NAME
OFFICIAL TITLE
NOTARY SIGNATURE
NOTARY PUBLIC EMBOSSER OR
STATE
COUNTY (OR CITY OF ST. LOUIS)
BLACK INK RUBBER STAMP SEAL
SUBSCRIBED AND SWORN BEFORE ME, THIS
DAY OF
YEAR 20
NOTARY PUBLIC SIGNATURE
MY COMMISSION
USE RUBBER STAMP IN CLEAR AREA BELOW
EXPIRES
NOTARY PUBLIC NAME (TYPED OR PRINTED)
SURETY’S SIGNATURE
SIGNATURE
PRINTED NAME
OFFICIAL TITLE
NOTARY SIGNATURE
NOTARY PUBLIC EMBOSSER OR
STATE
COUNTY (OR CITY OF ST. LOUIS)
BLACK INK RUBBER STAMP SEAL
SUBSCRIBED AND SWORN BEFORE ME, THIS
DAY OF
YEAR 20
NOTARY PUBLIC SIGNATURE
MY COMMISSION
USE RUBBER STAMP IN CLEAR AREA BELOW
EXPIRES
NOTARY PUBLIC NAME (TYPED OR PRINTED)
The amount of this bond shall be calculated as follows: $8,000 for each permit up to eight acres and $500 for each acre or portion
thereafter of land to be affected by mining operations. Bonding requirements are per 444.778, RSMo.
Where one signs by virtue of Power of Attorney for a surety company, such Power of Attorney must be filed with the bond.
Any notices to or correspondence with the surety hereunder shall be to the following name and address:
BONDING COMPANY NAME
ADDRESS
CITY
STATE
ZIP CODE
Submit all forms to:
Missouri Department of Natural Resources
Phone: 573-751-4041
Land Reclamation Program
Fax: 573-751-0534
PO Box 176
Website:
www.dnr.mo.gov
Jefferson City, MO 65102-0176
FOR DEPARTMENT USE ONLY
BOND ACCEPTED BY THE DIRECTOR (SIGNATURE)
DATE
PERMIT NUMBER
MO 780-0016 (02-15)
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