DOGAMI – MINERAL LAND REGULATION AND RECLAMATION
229 BROADALBIN STREET SW
ALBANY, OR 97321-2246
OPERATING PERMIT APPLICATION
Under ORS 517.750-990
INSTRUCTIONS & REQUIREMENTS:
An Operating Permit is required for mining operations that have an activity level that exceeds one acre and/or 5,000 cubic yards of new
disturbance in any consecutive 12-month period.
To apply for an Operating Permit, a complete application package must be submitted. A complete package consists of the following items:
 Completed application form. Both sides must be completed and must have original signatures.
 Proof of land ownership. A current report from a licensed title company, which may be referred to as a trio, listing packet, or
consumer information report. This report should be free of charge.
 Proof of local land use approval (i.e. county Conditional Use Permit).
 $1,750 application fee. The fee is non-refundable.
 Operating and Reclamation Plan. Must include original signatures of all landowners.
 Application Site Map. See Surveying and Marking Reference document.
A reclamationist will be assigned to process your application, will contact you to schedule an inspection, and be available to answer questions
concerning the map requirements, reclamation plan, etc. Once the site has been inspected and all application items have been received,
DOGAMI will prepare an evaluation of the project, make recommendations on permit conditions, and circulate this information to other
natural resource agencies for their review and comment.
Reclamation security is required for all Operating Permits (ORS 517.810). The department will determine the amount of the reclamation
security after the application has been submitted and DOGAMI has inspected the site. The amount shall not exceed the actual cost of
reclamation of land forecasted to be mined during the next 12 months; in addition to that land presently disturbed, subject to reclamation, and
unreclaimed. Forms to be used for reclamation security will be provided to you upon receipt of a completed application.
If you have questions, please contact us at (541) 967-2039 or [email protected].
Oregon Revised Statutes, Chapter 517 can be found online at:
http://www.leg.state.or.us/ors/517.html
Oregon Administrative Rules, Division 30 can be found online at: http://arcweb.sos.state.or.us/rules/OARS_600/OAR_632/632_030.html
Oregon Administrative Rules, Division 35, can be found online at: http://arcweb.sos.state.or.us/rules/OARS_600/OAR_632/632_035.html
DOGAMI – MINERAL LAND REGULATION AND RECLAMATION
229 BROADALBIN STREET SW
ALBANY, OR 97321-2246
OPERATING PERMIT APPLICATION – PAGE 1
Under ORS 517.750-990
APPLICANT
List the name, address, etc. for the person or company the permit is to be
issued to. Reclamation security must also be provided in this same name.
If the applicant is a business – the name must be registered with the
Secretary of State’s office to do business in Oregon.
Name
Mailing Address
Mailing Address
City / State / Zip
Phone
Fax
E-mail
SITE LOCATION
County
Section(s)
Township(s)
Range(s)
Tax Lot(s)
Is this site located within ¼ of a mile of a state or
federal wild or scenic river corridor?
Yes
No
Is this site located within the limits of a city?
If no, complete the following:
Site is
miles
from
Yes
No
# of miles
LANDOWNER(S)
Is the applicant the landowner of this property?
Yes
If no, list below. (Attach a separate piece of paper if necessary.)
No
N/S/E/W
nearest community
Is the site address and applicant address the same?
Yes
No
If NO, list site address:
Name
Mailing Address
Mailing Address
City / State / Zip
Phone
Fax
E-mail
CONTACT PERSON
List the contact person if different from the applicant.
Name
Phone
Other Phone
E-mail
ACREAGE INFORMATION
What is the total number of acres to be encompassed by the
permit boundary?
How many acres are CURRENTLY affected by mining related
activities?
How many ADDITIONAL acres are to be affected by mining
related activities in the 12 months after the permit is issued?
Site Name:
If this site has been permitted by DOGAMI in the past,
provide the DOGAMI ID number or the permittee’s name:
OPERATION INFORMATION
Date mining to begin:
Check all mining methods and other on-site activities that apply:
Drill & Blast
Rip & Load
Shovel, loader or scraper
Stockpiling removal
Crushing
Screening
Washing
Administration
Other:
LAND-USE
If land-use approval has not been obtained, it may take up to 165 days
after a complete land-use application is filed with the appropriate land-use
agency before we can issue our permit.
Has land-use authorization been obtained?
If yes, provide documentation (copy of CUP, etc.).
If no, explain:
CONTINUED ON PAGE 2
For Office Use ONLY – Assigned DOGAMI ID# __________________
Yes
No
DOGAMI – MINERAL LAND REGULATION AND RECLAMATION
229 BROADALBIN STREET SW
ALBANY, OR 97321-2246
OPERATING PERMIT APPLICATION – PAGE 2
Under ORS 517.750-990
RESERVES & PRODUCTION Reserves and production figures shall not be circulated outside of DOGAMI. Confidential per ORS 517.900.
What is the estimated total quantity (tons) of mineral available (reserves)?
________________________________________
In the previous 12 months, how many tons were excavated?
________________________________________
During the ensuing 12 months, what is the estimated number of tons to be excavated?
________________________________________
COMMODITY
Please indicate the PRIMARY commodity for this site:
Aggregate
cinder
andesite
pumice
basalt
borrow/fill/topsoil
blueschist
bar run
decomposed granite
dredge tailings
granite
sand & gravel
sandstone
_____________
serpentine
shale
PRIMARY use:
construction fill
concrete aggregate
asphalt aggregate
base rock aggregate rip rap
Metals
chromium
gold-placer
gold-lode
copper
silver
nickel
mercury
______________
Industrial Minerals
perlite
zeolite
limestone/marble
bentonite
soapstone
clay-brick
emery
clay-other uses
silica sand
quartz/silica/cristobalite
______________ diatomaceous earth
building/decorative stone
Gemstones/Lapidary/
Mineral Specimens
agate
jasper/picture jasper
thunder eggs
sunstone
zeolite
obsidian
opal
______________
Landowner Signature
Print or Type name of person signing
Applicant’s Signature
Print or Type name of person signing
Title
Date