Form DMM-146C "Mineral Mining Annual Report for Contractors" - Virginia

What Is Form DMM-146C?

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 May 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-146C 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-146C "Mineral Mining Annual Report for Contractors" - Virginia

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DIVISION OF MINERAL MINING
900 NATURAL RESOURCES DRIVE, STE. 400
CHARLOTTESVILLE, VIRGINIA 22903
(434) 951-6310
MINERAL MINING ANNUAL REPORT FOR CONTRACTORS
REPORT FOR CALENDAR YEAR
1.
CONTRACTOR NAME
2.
DMM CONTRACTOR IDENTIFICATION NO.
_
3.
TOTAL NUMBER OF EMPLOYEES WHO WORKED AT MINERAL MINE SITES
DURING THE PAST CALENDAR YEAR
MINE COMPANY NAME
TOTAL WAGES
DMM PERMIT
NUMBER
HOURS
NUMBER
WORKERS
WORKED
*Must be completed for sites where the total wages exceed $1,000. Do not include materials.
REPORT REQUIRED BY LAW -
§ 45.1-161.292:35(B)
of the Code of Virginia requires this form
to be filled out and returned to this office by the 15th day of February each year. Contractors that
fail to submit annual reports will be subject to a closure order.
I, the undersigned, hereby certify that all information provided on this report is true and accurate
to the best of my knowledge and belief. I further certify that all occupational injuries involving
contractor employees occurring on mine sites have been reported for calendar year
.
SIGNED
TITLE
DATE
PRINT NAME
EMAIL
DMM-146C
REV. 05/16
DIVISION OF MINERAL MINING
900 NATURAL RESOURCES DRIVE, STE. 400
CHARLOTTESVILLE, VIRGINIA 22903
(434) 951-6310
MINERAL MINING ANNUAL REPORT FOR CONTRACTORS
REPORT FOR CALENDAR YEAR
1.
CONTRACTOR NAME
2.
DMM CONTRACTOR IDENTIFICATION NO.
_
3.
TOTAL NUMBER OF EMPLOYEES WHO WORKED AT MINERAL MINE SITES
DURING THE PAST CALENDAR YEAR
MINE COMPANY NAME
TOTAL WAGES
DMM PERMIT
NUMBER
HOURS
NUMBER
WORKERS
WORKED
*Must be completed for sites where the total wages exceed $1,000. Do not include materials.
REPORT REQUIRED BY LAW -
§ 45.1-161.292:35(B)
of the Code of Virginia requires this form
to be filled out and returned to this office by the 15th day of February each year. Contractors that
fail to submit annual reports will be subject to a closure order.
I, the undersigned, hereby certify that all information provided on this report is true and accurate
to the best of my knowledge and belief. I further certify that all occupational injuries involving
contractor employees occurring on mine sites have been reported for calendar year
.
SIGNED
TITLE
DATE
PRINT NAME
EMAIL
DMM-146C
REV. 05/16