Form MRD-6 "Application for Permit Renewal" - Mississippi

What Is Form MRD-6?

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

Form Details:

  • Released on November 1, 2002;
  • The latest edition provided by the Mississippi Department of Environmental Quality;
  • 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 printable version of Form MRD-6 by clicking the link below or browse more documents and templates provided by the Mississippi Department of Environmental Quality.

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Download Form MRD-6 "Application for Permit Renewal" - Mississippi

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MISSISSIPPI DEPARTMENT OF ENVIRONMENTAL QUALITY
OFFICE OF GEOLOGY
Mining and Reclamation Division
P. O. Box 2279
Jackson, Mississippi 39225-2279
(601) 961-5515
APPLICATION FOR PERMIT RENEWAL
Operator: ____________________________________________________________________________
Address: ____________________________________________________________________________
Phone number: _______________________________________________________________________
Permit number ___________ Date of Issue __________________ Expiration date _________________
Estimated continued life of the operation in the permit area _____________________________________
The operator agrees to the following:
1)
The performance bond (or collateral) will continue in effect for the lands in the permit area.
2)
The insurance coverage required by the Rules and Regulations will continue in effect.
3)
A Permit Renewal Fee of $50 will accompany the Application for Permit Renewal.
I understand and will abide by the conditions set forth in this document and the original application for
the permit.
_______________________________________
Operator
Date ___________________________
By ___________________________________
Signature
PLEASE COMPLETE AND RETURN THIS FORM WITH THE PERMIT RENEWAL FEE NO LATER
THAN THE ABOVE EXPIRATION DATE.
Form MRD-6
rev. 11/02
MISSISSIPPI DEPARTMENT OF ENVIRONMENTAL QUALITY
OFFICE OF GEOLOGY
Mining and Reclamation Division
P. O. Box 2279
Jackson, Mississippi 39225-2279
(601) 961-5515
APPLICATION FOR PERMIT RENEWAL
Operator: ____________________________________________________________________________
Address: ____________________________________________________________________________
Phone number: _______________________________________________________________________
Permit number ___________ Date of Issue __________________ Expiration date _________________
Estimated continued life of the operation in the permit area _____________________________________
The operator agrees to the following:
1)
The performance bond (or collateral) will continue in effect for the lands in the permit area.
2)
The insurance coverage required by the Rules and Regulations will continue in effect.
3)
A Permit Renewal Fee of $50 will accompany the Application for Permit Renewal.
I understand and will abide by the conditions set forth in this document and the original application for
the permit.
_______________________________________
Operator
Date ___________________________
By ___________________________________
Signature
PLEASE COMPLETE AND RETURN THIS FORM WITH THE PERMIT RENEWAL FEE NO LATER
THAN THE ABOVE EXPIRATION DATE.
Form MRD-6
rev. 11/02