Operating Permit Application Checklist



-190490Oregon Department of Geology and Mineral IndustriesMineral Land Regulation and Reclamation Program229 Broadalbin Street SWAlbany, OR 97321-2246(541) 967-2039Fax (541) 967-2075Division 30/35 Operating Permit Application - Fee Schedule and ChecklistTo determine your application fee please indicate all of the applicable forms that will be submitted with this application. Please note that if DOGAMI determines at a later date that a supplemental form is required for your site, it must also be accompanied by the processing fee.Operating Permit Application Fee Schedule – Applies to New and Amendment Applications?Operating Permit Application Fee – Required for All applications $2,000$2,000?Floodplain Supplemental Application Fee$2,000 FORMTEXT ??????Groundwater Supplemental Application Fee$2,000 FORMTEXT ??????Slope Stability Supplemental Application Fee$2,000 FORMTEXT ??????Wetland Supplemental Application Fee$2,000 FORMTEXT ?????Total Due FORMTEXT ?????Please note that all fields on the application form are required to be completed and the correct fee must be included with the application. Additionally, the signature page must be signed and dated by the applicant and all land and mineral interest owners.All Operating Permit Applications Require the Following Submittals:?Application Fee?Operating Permit Application Form?Proof of Land Ownership (trio)?Permit Boundary Survey Map?Site Plan Map?Reclamation Plan MapPlease indicate which of the following are also included with this application:?DOGAMI Signature Authority Form Local Land Use Jurisdiction Approval(s)?DOGAMI Designated Agent Form?Conditional Use Permit/Special Use Permit?Floodplain Supplemental Application Form?Comprehensive Plan Amendment?Groundwater Supplemental Application Form?Pre-Existing Non-Conforming Use Authorization? Slope Stability Supplemental Application FormDEQ Water Quality Permits? Wetland Supplemental Application Form?WPCF-1000?NPDES 1200-A?Other: FORMTEXT ????? ................
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