Minerals Program Forms

Click on the links below to download fillable forms:

 

Reclamation Permit Application Packages
110(d) Designated Mining Limited Impact Operation 110c Construction Material Limited Impact Operation
110(1) Hard Rock/Metal Mining Limited Impact 111 Construction Material Special Operation
110(1) Hard Rock/Metal Mining Limited Impact(Fillable Form) 111(1)(b) Construction Material Special Operation
110(2) Hard Rock/Metal Mining Limited Impact Operation 112c Construction Material Regular Operation
112 Hard Rock/Metal Mining Regular Operation  
112(d) Designated Mining Regular Operation  

 

Revision Forms
Performance and Financial Warranty Release Request Form
Technical Revision Form
Importation of Inert Fill Technical Revision Request
Temporary Cessation Notice Form
Intermittent Status Application Form

 

Succession of Operator/Permittee Forms
Approved Application - Transfer and Succession of Applicant(Mineral Permit not yet issued, application approved)
Application Under Review - Succession of Permit Applicant(Mineral Application under review)
Existing Permit - Transfer Mineral Permit/Succession of Operators(Mineral Permit has been issued)

 

Financial Warranty Forms
Check for Deposit in State Treasury Certificate of Deposit
Check for Deposit in State Treasury (Third Party) Certificate of Deposit (Third Party)
Check for Deposit in State Treasury on BLM Land Letter of Credit
Irrevocable Letter of Credit Letter of Credit (Third Party)
Irrevocable Letter of Credit (Third Party) Letter of Credit on BLM Land
Irrevocable Letter of Credit on BLM Land Letter of Credit on BLM Land (Third Party)
Irrevocable Letter of Credit on BLM Land (Third Party) Corporate Surety
Corporate Surety (Third Party) State Substitute W-9
Corporate Surety on BLM Land Performance Warranty

Affidavit of Authority - Construction

(this form must be submitted with all financial forms)

Affidavit of Authority - Hard Rock/Metal

(this form must be submitted with all financial forms)

 

Information
Air Quality Requirements for Surface Mining Operations Is It Mining
Location of Lode and Placer Mining Claims in Colorado Minerals Informational Brochure
Information Regarding the Use of Suction Dredges in Colorado Imaged Documents Request Form (mail in)
  Imaged Documents Request Form - electronic order and payment
Authorization to Represent a Party Party Status Withdrawal Form

Guide to Public Participation in the 112 Reclamation Permit Application Process (Revised October 7, 2021)