Form DMM-113 "Request for Amendment" - Virginia

What Is Form DMM-113?

This is a legal form that was released by the Virginia Department of Mines, Minerals and Energy - a government authority operating within Virginia. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on June 1, 2016;
  • The latest edition provided by the Virginia Department of Mines, Minerals and Energy;
  • 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 DMM-113 by clicking the link below or browse more documents and templates provided by the Virginia Department of Mines, Minerals and Energy.

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Download Form DMM-113 "Request for Amendment" - Virginia

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Division of Mineral Mining
900 Natural Resources Drive, Suite 400
Charlottesville, VA 22903
(434) 951-6310
REQUEST FOR AMENDMENT
Company Name:________________________________________ Permit No.:_____________
Operating Official:_________________________________ Title:_______________________
An Amendment Is Requested to This Permit As Listed Below:
List of Attached Items:
Operator’s Signature:________________________________ Date:______________________
Inspector’s Comments/Recommendations:
Inspector’s Signature:_______________________________ Date:______________________
FOR OFFICE USE ONLY
Sent Back for Revision and/or Additions As Indicated On Attached Letter.
Signature:__________________________________________ Date:______________________
Amendment:
(
) Approved
(
) Disapproved
Signature:__________________________________________ Date:______________________
DMM-113
Rev 06/16
Division of Mineral Mining
900 Natural Resources Drive, Suite 400
Charlottesville, VA 22903
(434) 951-6310
REQUEST FOR AMENDMENT
Company Name:________________________________________ Permit No.:_____________
Operating Official:_________________________________ Title:_______________________
An Amendment Is Requested to This Permit As Listed Below:
List of Attached Items:
Operator’s Signature:________________________________ Date:______________________
Inspector’s Comments/Recommendations:
Inspector’s Signature:_______________________________ Date:______________________
FOR OFFICE USE ONLY
Sent Back for Revision and/or Additions As Indicated On Attached Letter.
Signature:__________________________________________ Date:______________________
Amendment:
(
) Approved
(
) Disapproved
Signature:__________________________________________ Date:______________________
DMM-113
Rev 06/16