Form MP-11 "Mine Site Registration Transfer Request" - Iowa

What Is Form MP-11?

This is a legal form that was released by the Iowa Department of Agriculture and Land Stewardship - a government authority operating within Iowa. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on October 1, 2008;
  • The latest edition provided by the Iowa Department of Agriculture and Land Stewardship;
  • 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 MP-11 by clicking the link below or browse more documents and templates provided by the Iowa Department of Agriculture and Land Stewardship.

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Download Form MP-11 "Mine Site Registration Transfer Request" - Iowa

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State of Iowa
Division of Soil Conservation and Water Quality
Iowa Department of Agriculture and Land Stewardship
MINE SITE REGISTRATION TRANSFER REQUEST
Name of Company
License No.
Mailing Address
City, State, Zip
Bonding Company
Bond No.
Name
Title
Signed
Date
Name of Operation
Township Name
Township #
Range #
Section
Legal Description
Materials Produced
County
Through mutual agreement, the above named Operator transfers registration rights for this site to the Operator
listed below. The Operator listed below, in turn, agrees to accept all responsibilities for the site, pursuant to Iowa
Code Chapter 208 and Division of Soil Conservation and Water Quality rules in the Iowa Administrative Code,
located at 27 IAC Chapter 60, including, but not limited to, all bonding and reclamation activities as required there
under.
Name of Company
License No.
Mailing Address
City, State, Zip
Bonding Company
Bond No.
Name
Title
Signed
Date
S
R
T
A SEPARATE
ITE
EGISTRATION
RANSFER FORM MUST BE FILED FOR EACH SITE AND
A
R
MUST BE ACCOMPANIED BY A COMPLETED
PPLICATION FOR
EGISTRATION FORM.
Mines and Minerals Bureau
Mail to:
Division of Soil Conservation and Water Quality
Wallace State Office Building
Des Moines, Iowa 50319
Phone: (515) 242-5003
MP-11 10/08
VER05
State of Iowa
Division of Soil Conservation and Water Quality
Iowa Department of Agriculture and Land Stewardship
MINE SITE REGISTRATION TRANSFER REQUEST
Name of Company
License No.
Mailing Address
City, State, Zip
Bonding Company
Bond No.
Name
Title
Signed
Date
Name of Operation
Township Name
Township #
Range #
Section
Legal Description
Materials Produced
County
Through mutual agreement, the above named Operator transfers registration rights for this site to the Operator
listed below. The Operator listed below, in turn, agrees to accept all responsibilities for the site, pursuant to Iowa
Code Chapter 208 and Division of Soil Conservation and Water Quality rules in the Iowa Administrative Code,
located at 27 IAC Chapter 60, including, but not limited to, all bonding and reclamation activities as required there
under.
Name of Company
License No.
Mailing Address
City, State, Zip
Bonding Company
Bond No.
Name
Title
Signed
Date
S
R
T
A SEPARATE
ITE
EGISTRATION
RANSFER FORM MUST BE FILED FOR EACH SITE AND
A
R
MUST BE ACCOMPANIED BY A COMPLETED
PPLICATION FOR
EGISTRATION FORM.
Mines and Minerals Bureau
Mail to:
Division of Soil Conservation and Water Quality
Wallace State Office Building
Des Moines, Iowa 50319
Phone: (515) 242-5003
MP-11 10/08
VER05