Form MP-01 "Annual Mine Report" - Iowa

What Is Form MP-01?

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 August 1, 2014;
  • 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-01 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-01 "Annual Mine Report" - Iowa

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State of Iowa
Division of Soil Conservation and Water Quality
Iowa Department of Agriculture and Land Stewardship
ANNUAL MINE REPORT
For year ending December 31, 2020
Please use a copy of this form to report calendar year activity for each mine site registered under your license.
A spreadsheet-type may be substituted for companies with multiple sites.
Company Name
______________________________________________________________________________________________
(Print or Type)
Company Contact
_____________________________________________________________________________________________
(Print or Type)
Mailing Address
_______________________________________________________________________________________________
License No.
__________________________________________________________________Reg. No._______________
___________
Name of Operation
____________________________________________________________________________________________
Township Name _______________________ Township#
Range#
Section
___________
____________
______________
Legal Description
County
____________________________________________________________________
__________________
(Quarter of Quarter Section)
Materials Produced
Type of Operation
____________________________________
___________________________________
)
(Sand, Gravel, Limestone
(Surface, Underground, River or Pond Dredge)
Date of original Registration
Size of registered area ________________ acres.
_____________________________
Activity at this site during this report year could best be described as;
Select most appropriate response
Discontinued on a permanent basis
_____
Operator should file a Release Request form
No activity this year but may activate in the future
_____
Material was taken from stockpiles only
_____
Stripping of topsoil and overburden and stockpiling of material
_____
Will off-site material be brought in for reclamation purposes
yes or
no. If yes, please contact the
Mines and Minerals Bureau with further details.
This site is
leased or
owned by the Licensee.
If leased, when does current agreement expire?
____________________________________________
Anticipated date of completion of mining at this site:
________________________________________
Signed ____________________________________________________
Date ___________________
Title ______________________________________________________
(Please complete reverse side of form)
Return by January 31, 2016, to:
Ryan Starkey (ph: 515-242-5003)
Mines & Minerals Bureau
Division of Soil Conservation and Water Quality
th
502 East 9
Street
Des Moines, Iowa 50319
MP-01 8/14 VER11
Page 1
State of Iowa
Division of Soil Conservation and Water Quality
Iowa Department of Agriculture and Land Stewardship
ANNUAL MINE REPORT
For year ending December 31, 2020
Please use a copy of this form to report calendar year activity for each mine site registered under your license.
A spreadsheet-type may be substituted for companies with multiple sites.
Company Name
______________________________________________________________________________________________
(Print or Type)
Company Contact
_____________________________________________________________________________________________
(Print or Type)
Mailing Address
_______________________________________________________________________________________________
License No.
__________________________________________________________________Reg. No._______________
___________
Name of Operation
____________________________________________________________________________________________
Township Name _______________________ Township#
Range#
Section
___________
____________
______________
Legal Description
County
____________________________________________________________________
__________________
(Quarter of Quarter Section)
Materials Produced
Type of Operation
____________________________________
___________________________________
)
(Sand, Gravel, Limestone
(Surface, Underground, River or Pond Dredge)
Date of original Registration
Size of registered area ________________ acres.
_____________________________
Activity at this site during this report year could best be described as;
Select most appropriate response
Discontinued on a permanent basis
_____
Operator should file a Release Request form
No activity this year but may activate in the future
_____
Material was taken from stockpiles only
_____
Stripping of topsoil and overburden and stockpiling of material
_____
Will off-site material be brought in for reclamation purposes
yes or
no. If yes, please contact the
Mines and Minerals Bureau with further details.
This site is
leased or
owned by the Licensee.
If leased, when does current agreement expire?
____________________________________________
Anticipated date of completion of mining at this site:
________________________________________
Signed ____________________________________________________
Date ___________________
Title ______________________________________________________
(Please complete reverse side of form)
Return by January 31, 2016, to:
Ryan Starkey (ph: 515-242-5003)
Mines & Minerals Bureau
Division of Soil Conservation and Water Quality
th
502 East 9
Street
Des Moines, Iowa 50319
MP-01 8/14 VER11
Page 1
QUESTIONNAIRE
Please complete the following questionnaire for the site listed on the front of this form.
If this site was closed on a permanent basis in a previous year, the questionnaire does not need to be completed.
1) Total registered area (leased or owned):
______________________ acres
2) Total registered area affected by mining since 1968:
______________________ acres
This includes stripped or excavated areas, settlement ponds,
overburden and product stockpile areas, crushing, washing,
processing areas, and all other areas disturbed by activities
related to the mining process on this site since 1968.
(see Iowa Code section 208.2(2))
3) Total area stripped of overburden:
______________________ acres
(Since 1968)
4) Thickness of overburden materials:
______________________ feet
5) Overburden materials have been;
Select appropriate response(s)
_____ Stockpiled for future use
_____ Backfilled into the pit
_____ Used to build berms, roads, or levees
_____ Used to construct level areas for stockpile storage
_____ Pushed out of the way
(Other, Please Specify)
6) Total registered area still undisturbed by mining:
______________________ acres
(NOTE: Line 6 + Line 2 should = Line 1)
7) Total area reclaimed since 1968:
______________________ acres
(See Iowa Code section 208.17)
8) Total clean pit floor area:
______________________ acres
(Area not included in Lines 7 & 9)
9) Total water impoundment areas:
______________________ acres
(Area not included in Lines 7 & 8)
10) Exempt area (Line 7 + Line 8 + Line 9):
______________________ acres
(Not to be greater than Line 2)
11) Total area reclaimed during reporting year:
______________________ acres
(January 1 thru December 31)
12) Total remaining reclamation area (Line 2 - Line 10):
______________________ acres
This Section to be completed by all bonded operators
13) Round Line 12 up to the next whole acre:
______________________ acres
14) Minimum bond (Greater of A or B)
A) Acres Affected (Line 13) x 500
OR
B) $2,000 per site established by rule
$ _____________________
NOTE: Formula for acreage is (length X width) / 43560 = acres
MP-01 8/14 VER11
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