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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
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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
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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
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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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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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G04-A - MINE, DEVELOPMENT, AND MINERAL EXPLORATION SUPPLEMENT
(2) Location:
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(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)
Page 6 of 6
(2) No
Metal/Non-Metal Code Please specify
Review before submission
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https://miforms.er.usgs.gov/SA/G04Form.asp
6/21/2016
| File Type | application/pdf |
| File Title | https://miforms.er.usgs.gov/SA/G04Form.asp |
| Author | sstoller |
| File Modified | 2016-06-21 |
| File Created | 2016-06-21 |