9-4000-A Mine development and Mineral exploration WEB FORM

Mine, Development, and Mineral Exploration Supplement

G04 Form electronic

Mine, Development, and Mineral Exploration Supplement (Private)

OMB: 1028-0060

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G04-A - MINE, DEVELOPMENT, AND MINERAL EXPLORATION SUPPLEMENT

Page 1 of 6

USGS Form 9-4000-A
(rev. 9/23/2013)

OMB Control No. 1028-0060
Approval expires: 6/30/2016

G04
UNITED STATES
DEPARTMENT OF THE INTERIOR
U.S. GEOLOGICAL SURVEY
986 NATIONAL CENTER
RESTON, VIRGINIA 20192
_______________
MINE, DEVELOPMENT, AND MINERAL
EXPLORATION SUPPLEMENT
_______________
INDIVIDUAL COMPANY DATA - PROPRIETARY
GENERAL INSTRUCTIONS
SPECIFIC INSTRUCTIONS

Please complete all applicable portions of this form

Respondent ID:

Reporting Year: 2015

Base Canvass: C78

Name and location of mine (MIForms)

Name and location of mine (CMS)

Name and location of mine (RCF)

Name

Operation name:

US GEOLOGICAL SURVEY

Operation name:

Address:

12201 SUNRISE VALLEY DR MS
985

City:

AKRON

County:

ADAMS

City:

RESTON

County:

ADAMS

State:

OHIO

State:

VIRGINIA

Controlling
Company:

US GEOLOGICAL
SURVEY2

Zip Code:

20192

Company ID:

33333

Controlling
Company:

US GEOLOGICAL SURVEY2a

Company ID:

33333

USGSxxx

Address
City or town

AKRON

County

ADAMS

State / Territory /
Province

Ohio



ZIP Code / Postal Code
Country

USA



USGS

Section
Township
Range
Give name and address of operator if operated by someone else during year



1. Production status, activity, and type of operation during year. (check all that apply)
STATUS:
ACTIVITY:

TYPE OF OPERATION:

(1) Active

(1) Assessment work only

(1) Open pit, quarry, or strip mine

(2) Idle entire year

(2) Development (Complete Section 3)

(2) Dredging

(3) Exploration (Complete Section 5)

(3) Placer

(4) Shipping from stockpiles

(4) Well or pumping operation

(5) Treating dumps or tailings

(5) Solution

(6) Leaching (specify)

(6) In-situ

(7) Extraction (specify)

(7) Underground

(8) Other (specify)

(8) Offshore

(3) Abandoned (Date

)

(4) Sold or Transferred (Date

)

(5) Other (specify)

Number of mines

(9) Other (specify)
2. Crude material mined or handled during year.
Report the total quantity of crude ore mined, treated and shipped, and waste material from production operations. Crude ore covers both LIQUID and SOLID MATERIALS.
Please identify your REPORTING UNIT by checking the appropriate box.
(01) Pounds

(02) Short tons

(03) Long tons

(04) Cubic yards

(05) Gallons

(06) Kilograms

(07) Metric tons

(08) Cubic meters

(09) Liters

(10) Other (specify)

Item

Code

Underground mining
(2)

Code

Crude ore mined

201

211

Crude ore processed

202

212

Crude ore shipped without processing

203

213

Mine operation waste materials:
Stripped material

https://miforms.er.usgs.gov/SA/G04Form.asp

Surface Mining
(3)

214

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G04-A - MINE, DEVELOPMENT, AND MINERAL EXPLORATION SUPPLEMENT
Other waste material
Other (specify)

205

215

206

216

Page 2 of 6

Official use only
DS

Com. code (SIC Code)

QU

QC

Q

VC

V





Yes

No

Yes

No





Yes

No

Yes

No





Yes

No

Yes

No





Yes

No

Yes

No





Yes

No

Yes

No





Yes

No

Yes

No





Yes

No

Yes

No





Yes

No

Yes

No





Yes

No

Yes

No

3. Development for minerals during year.
"DEVELOPMENT" is work performed in preparing a proved ore body for mining. Include CONTRACT WORK done for you by contracting firms and work done by other units of
your company. Please identify your REPORTING UNIT.
Feet
Type of activity
(1)

Code

Shaft and winze shinking

302

Raising

303

Drifting, crosscutting, or tunneling

304

Stripping

305

Solution mining:
Salt

306

Sulfur

Distance
(2)

Meters

Short tons

Metric tons

Ore and waste removed
(3)

307

Other (specify)

308
309

Well drilling

310

Other (specify)

311

4. Mining methods during year.
For Surface and Underground, enter percentages of your total activities (based on tonnage or tonnage equivalent)
devoted to the following mining operations.
Method
(1)
Surface:
Open pit, quarry, or strip mine:
Mechanical loading and hauling
Preceded by drilling and blasting
NOT Preceded by drilling and blasting
Other loading and hauling
Other surface mining:
Dredging
Mechanical excavation and nonfloat washing
Pumping from wells, ponds, or stations

Code

Percent
(2)

411
412
413
414
415
416

Leaching (specify)
417
Other (specify)
418
Total

419

Underground:
Stoping:
Cut-and-fill

421

Naturally supported rooms (open stoping)

422

Artificially supported (specify)
423

https://miforms.er.usgs.gov/SA/G04Form.asp

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Other (specify)
424
Caving:
Block

425

Sub-level

426

Other (specify)
427
Solution

428

Leaching (specify)
429
Other (specify)
430
Total

431

EXPLORATION
Name and address of Exploration Division, if different from the name and location of mine.
Name
Nearest city or town
State
5. Exploration for minerals by location, major commodity, and type of drilling during year.
Exploration Operation No. 1
(1) Project
Name
(2) Location:
State

Not specified

(1) Project
Name
(2) Location:

State Code



State

County Code

County

Exploration Operation No. 2

Not specified

Section

Township

Township

Range

(Primary commodity)




County Code

County

Section

(3) Major commodities for which
exploration work was done.

State Code



Range

(Primary commodity)

(3) Major commodities for which
exploration work was done.




(Others)

(Others)

(4) Land Classification. (Check all that apply and give percentage.)

(4) Land Classification. (Check all that apply and give percentage.)

Percent

Percent
Private

Private

State or Local

State or Local

Federal: Public Domain

Federal: Public Domain

Acquired

Acquired

Other (specify)

Other (specify)

Agency Managing Surface Rights:

Agency Managing Surface Rights:

Percent

BLM

BLM

U.S. Forest Service

U.S. Forest Service

Other (specify)

Other (specify)

Total

Total

Other (specify)

Other (specify)

TOTAL

TOTAL

Percent

(5) Type of Exploration (Check appropriate boxes)

(5) Type of Exploration (Check appropriate boxes)
Drilling

Prospecting

Drilling

Mapping

Underground Exploration

Mapping

Underground Exploration

Geochemistry

Pitting and Trenching

Geochemistry

Pitting and Trenching

Geophysics

Other (specify)

Geophysics

Other (specify)

Prospecting

(6) Drilling and Pitting and Trenching (Please identify your REPORTING UNIT.)

(6) Drilling and Pitting and Trenching (Please identify your REPORTING UNIT.)
Type
(1)

Feet
Code

Meters

Short tons

Distance
(2)

Metric tons

Type
(1)

Tons
(3)

Feet
Code

01

Diamond

01

Churn

02

Churn

02

Rotary/RVC

03

Rotary/RVC

03

Diamond

https://miforms.er.usgs.gov/SA/G04Form.asp

Meters

Distance
(2)

Short tons

Metric tons

Tons
(3)

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G04-A - MINE, DEVELOPMENT, AND MINERAL EXPLORATION SUPPLEMENT
Percussion

04

Percussion

Other drilling
(specify)

Page 4 of 6

04

Other drilling
(specify)
05

Pitting & trenching

05

08

Pitting & trenching

08

---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Exploration Operation No. 3
(1) Project
Name
(2) Location:
State

(1) Project
Name
(2) Location:

State Code



Not specified

Exploration Operation No. 4

State

County Code

County

Section

Township

Township
(Primary commodity)

(3) Major commodities for which
exploration work was done.




County Code

County

Section

Range

State Code



Not specified

Range

(Primary commodity)

(3) Major commodities for which
exploration work was done.




(Others)

(4) Land Classification. (Check all that apply and give percentage.)

(Others)

(4) Land Classification. (Check all that apply and give percentage.)
Percent

Percent

Private

Private

State or Local

State or Local

Federal: Public Domain

Federal: Public Domain

Acquired

Acquired

Other (specify)

Other (specify)

Agency Managing Surface Rights:

Percent

Agency Managing Surface Rights:

BLM

BLM

U.S. Forest Service

U.S. Forest Service

Other (specify)

Other (specify)

Total

Percent

Total

Other (specify)

Other (specify)

TOTAL

TOTAL

(5) Type of Exploration (Check appropriate boxes)

(5) Type of Exploration (Check appropriate boxes)

Prospecting

Drilling

Prospecting

Drilling

Mapping

Underground Exploration

Mapping

Underground Exploration

Geochemistry

Pitting and Trenching

Geochemistry

Pitting and Trenching

Geophysics

Other (specify)

Geophysics

Other (specify)

(6) Drilling and Pitting and Trenching (Please identify your REPORTING UNIT.)
Type
(1)

Feet
Code

Meters

Short tons

Distance
(2)

(6) Drilling and Pitting and Trenching (Please identify your REPORTING UNIT.)
Metric tons

Type
(1)

Tons
(3)

Feet
Code

Diamond

01

Diamond

01

Churn

02

Churn

02

Rotary/RVC

03

Rotary/RVC

03

Percussion

04

Percussion

04

Other drilling
(specify)

Short tons

Metric tons

Tons
(3)

Other drilling
(specify)
05

Pitting & trenching

Meters

Distance
(2)

05

08

Pitting & trenching

08

---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Exploration Operation No. 5
(1) Project
Name

https://miforms.er.usgs.gov/SA/G04Form.asp

Exploration Operation No. 6
(1) Project
Name

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(2) Location:

Page 5 of 6

(2) Location:

State



Not specified

County

State Code

State

County Code

County

Not specified

State Code
County Code

Section

Section

Township

Township

Range



Range

(3) Major commodities for which
exploration work was done.

(Primary commodity)




(3) Major commodities for which
exploration work was done.

(Primary commodity)




(Others)

(4) Land Classification. (Check all that apply and give percentage.)

(Others)

(4) Land Classification. (Check all that apply and give percentage.)
Percent

Percent

Private

Private

State or Local

State or Local

Federal: Public Domain

Federal: Public Domain

Acquired

Acquired

Other (specify)

Other (specify)

Agency Managing Surface Rights:

Percent

Agency Managing Surface Rights:

BLM

BLM

U.S. Forest Service

U.S. Forest Service

Other (specify)

Other (specify)

Total

Total

Other (specify)

Percent

Other (specify)

TOTAL

TOTAL

(5) Type of Exploration (Check appropriate boxes)

(5) Type of Exploration (Check appropriate boxes)

Prospecting

Drilling

Prospecting

Drilling

Mapping

Underground Exploration

Mapping

Underground Exploration

Geochemistry

Pitting and Trenching

Geochemistry

Pitting and Trenching

Geophysics

Other (specify)

Geophysics

Other (specify)

(6) Drilling and Pitting and Trenching (Please identify your REPORTING UNIT.)
Type
(1)

Feet
Code

Meters

Short tons

Distance
(2)

(6) Drilling and Pitting and Trenching (Please identify your REPORTING UNIT.)
Metric tons

Type
(1)

Tons
(3)

Feet
Code

Diamond

01

Diamond

01

Churn

02

Churn

02

Rotary/RVC

03

Rotary/RVC

03

Percussion

04

Percussion

04

Other drilling
(specify)

Short tons

Metric tons

Tons
(3)

Other drilling
(specify)
05

Pitting & trenching

Meters

Distance
(2)

05

08

Pitting & trenching

08

Remarks: (up to 1,000 characters)



Person to be contacted regarding this report.
First name:

Last name:

Title:
E-mail:
Address:
City:
State / Territory / Province:



Not specified

ZIP Code / Postal Code:
Country:
Phone:



USA

-

-

Ext

May tabulations be published which could indirectly reveal the data reported above?

https://miforms.er.usgs.gov/SA/G04Form.asp

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G04-A - MINE, DEVELOPMENT, AND MINERAL EXPLORATION SUPPLEMENT
(1) Yes
Data Source Code 0 

Previous screen

Date of Receipt 20160621 (yyyymmdd)

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(2) No

Metal/Non-Metal Code Please specify 

Review before submission

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