DHEC Form 3110 (MR-1100) "Mine Annual Report Form" - South Carolina

What Is DHEC Form 3110 (MR-1100)?

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

Form Details:

  • Released on June 1, 2020;
  • The latest edition provided by the South Carolina Department of Health and Environmental Control;
  • 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 DHEC Form 3110 (MR-1100) by clicking the link below or browse more documents and templates provided by the South Carolina Department of Health and Environmental Control.

ADVERTISEMENT
ADVERTISEMENT

Download DHEC Form 3110 (MR-1100) "Mine Annual Report Form" - South Carolina

150 times
Rate (4.6 / 5) 8 votes
Mine Annual Report Form
For Office Use Only:
Form MR-1100 (DHEC-3110)
Date Rec’d:
For July 01, 2019 to June 30, 2020
Charge/Ck#:
EQC – Administration
Invoice #:
This Report, as required by Section 48-20-120 of the S.C. Mining Act, must be completed, signed, and returned with the $375.00 Annual Operating
Fee by July 31, 2020. A $50.00 late fee will be assessed each month the Annual Operating Fee or Report is late. DHEC may initiate permit
revocation for failure to submit the Annual Operating Fee, Report, and/or late fees by January 01, 2021. Make checks payable to S.C. DHEC.
Operator Name:
Permit Number:
Mine Name:
County:
Mailing Address:
Phone: (
)
*
*
*Please use back of page to update contact information
Section I – Annual Report
1. List the amount of acreage affected by mining-related activity in the last 12 months:
ac.
2. List the total amount of acreage affected by mining-related activity to date:
ac.
3. List the amount of new acreage planned to be affected by mining-related activity in the next 12 months:
ac.
4. List the total amount of reclamation carried out in the last 12 months, list segments as appropriate:
Excavations:
ac. Practices:
Stockpiles:
ac. Practices:
Sed. Basins:
ac. Practices:
Other*:
5. List the total amount of reclamation planned to be carried out in the next 12 months, list segments as appropriate:
Excavations:
ac. Practices:
Stockpiles:
ac. Practices:
Sed. Basins:
ac. Practices:
Other*:
Yes 
No 
6. Have you excavated any minerals in the past 24 months?
Section II – Request for Reclamation Inspection
or  N/A
1. State the date that reclamation activities began:
If you believe your reclamation attempts satisfy the minimum reclamation standards set forth in Chapter 89 of the S.C.
Code of State Regulations and your Mine Operating Permit, please indicate on this form, or contact your DHEC
inspector, to set up a reclamation inspection.
 Yes, I would like to set up a reclamation inspection.
Section III - Signature
Signature of Operator or Authorized Representative
Printed E-mail Address
Printed Name and Title
Date
DHEC 3110 (rev. 06/2020)
E-mail questions to:
askmines@dhec.sc.gov
*Use back of page, if necessary
Mine Annual Report Form
For Office Use Only:
Form MR-1100 (DHEC-3110)
Date Rec’d:
For July 01, 2019 to June 30, 2020
Charge/Ck#:
EQC – Administration
Invoice #:
This Report, as required by Section 48-20-120 of the S.C. Mining Act, must be completed, signed, and returned with the $375.00 Annual Operating
Fee by July 31, 2020. A $50.00 late fee will be assessed each month the Annual Operating Fee or Report is late. DHEC may initiate permit
revocation for failure to submit the Annual Operating Fee, Report, and/or late fees by January 01, 2021. Make checks payable to S.C. DHEC.
Operator Name:
Permit Number:
Mine Name:
County:
Mailing Address:
Phone: (
)
*
*
*Please use back of page to update contact information
Section I – Annual Report
1. List the amount of acreage affected by mining-related activity in the last 12 months:
ac.
2. List the total amount of acreage affected by mining-related activity to date:
ac.
3. List the amount of new acreage planned to be affected by mining-related activity in the next 12 months:
ac.
4. List the total amount of reclamation carried out in the last 12 months, list segments as appropriate:
Excavations:
ac. Practices:
Stockpiles:
ac. Practices:
Sed. Basins:
ac. Practices:
Other*:
5. List the total amount of reclamation planned to be carried out in the next 12 months, list segments as appropriate:
Excavations:
ac. Practices:
Stockpiles:
ac. Practices:
Sed. Basins:
ac. Practices:
Other*:
Yes 
No 
6. Have you excavated any minerals in the past 24 months?
Section II – Request for Reclamation Inspection
or  N/A
1. State the date that reclamation activities began:
If you believe your reclamation attempts satisfy the minimum reclamation standards set forth in Chapter 89 of the S.C.
Code of State Regulations and your Mine Operating Permit, please indicate on this form, or contact your DHEC
inspector, to set up a reclamation inspection.
 Yes, I would like to set up a reclamation inspection.
Section III - Signature
Signature of Operator or Authorized Representative
Printed E-mail Address
Printed Name and Title
Date
DHEC 3110 (rev. 06/2020)
E-mail questions to:
askmines@dhec.sc.gov
*Use back of page, if necessary