|
USGS Form 9-4008-A
<br />IIIIIII III III I IIII IIII II I II I III II II III' IIII (IIII II I'll III
<br />Ind. (rev. 01 /9/2012)
<br />* G 1 0 0 5 0 4 9 2 2 9 1 0
<br />UNITED STATES
<br />DEPARTMENT OF THE INTERIOR
<br />G10 U.S. GEOLOGICAL SURVEY
<br />986 NATIONAL CENTER
<br />RESTON, VIRGINIA 20192
<br />CONSTRUCTION SAND AND GRAVEL
<br />SOLD OR USED
<br />91 ANNUAL REPORT 2014 - SECOND REQUEST
<br />G100504922 08 66666 A
<br />14420 123 WELD
<br />MILLER -HFI LLC
<br />SAND AND GRAVEL OPERATION
<br />010835 0000835
<br />428 N 2ND ST
<br />LA SALLE CO 80645
<br />(Please correct if name or address has changed.)
<br />OMB. Control No. 1028 -0062
<br />Approval expires: 11/30/2015
<br />INDIVIDUAL COMPANY
<br />DATA - PROPRIETARY
<br />Unless authorization is granted in the
<br />section above the signature, the data
<br />furnished in this report will be treated
<br />in confidence by the Department of the
<br />Interior, except that they may be
<br />disclosed to Federal defense agencies,
<br />or to the Congress upon official request
<br />for appropriate purposes. Unless
<br />objection is made in writing to the
<br />USGS, the information furnished in this
<br />report may be disclosed to the
<br />respondent's State Geological Survey
<br />(or similar State Agency) if the State
<br />has appropriate safeguards to prevent
<br />disclosing company proprietary data.
<br />FACSIMILE NUMBER
<br />1- 800 - 543 -0661
<br />Public reporting burden for this voluntary collection of information is estimated to average 45 MINUTES per response. A Federal agency may not conduct or sponsor, and a
<br />person is nut requited w rospond to a collection of unlecc ;t disp!ays , , ?!id nnng control numhar Comments regarding this collection of information should be
<br />directed to: U.S. Geological Survey, Statistics and Information Systems Section, 988 National Center, Reston, VA 20192. Please do not mail canvass forms to this address.
<br />Collection of nonfuel minerals information is authorized by Public Law 96 -479 and the Defense Production Act. This information is used to support
<br />executive policy decisions pertaining to emergency preparedness, national defense, and analyses for minerals legislation and industrial trends. The USGS
<br />relies on your voluntary and timely response to assure that its information is complete and accurate.
<br />Please complete and return a separate form for each operation that was active during the calendar year in the enclosed envelope or fax to the above
<br />toll -free number. A single operation consists of one extraction area, or several extraction areas that are adjacent to each other within a county. Boulders
<br />and /or cobbles from the mining of sand and gravel that were crushed, and sized should be reported as sand and gravel, not crushed stone.
<br />In completing this form, reasonable estimates should be used wherever exact data are not available. If you do not have production to report, please
<br />complete Items 1 through 4, sign and return this form. Use zero (0) when appropriate. Please do not make entries in shaded areas. Additional forms are
<br />available upon request.
<br />NOTE: Federal, State, or local agencies that operated a pit, a pit and plant for processed material, or dredge, with their own crew and /or equipment
<br />should also complete this form. Give market value of material produced, including royalties.
<br />If you have any questions concerning completion of this form, please contact the Mineral Commodities Data Unit, U.S. Geological Survey, 985 National
<br />Center, Reston, VA 20192, Telephone (703) 648 -7960.
<br />For your convenience, when completing Sections 1 -6, you may provide information only in those areas that have changed since your last report. Areas
<br />may be left blank that have not changed since the last report. Previously reported information for these sections will be used. If you do not know what
<br />you filed the previous year, or if this is the first time you have completed this canvass, you should attempt to fill in Sections 1 -6 as fully as possible.
<br />1. Name and location of operation.
<br />Name Nearest town
<br />State
<br />County
<br />Section
<br />If operating company is a subsidiary, please name controlling company
<br />Please indicate number of pits or extraction areas covered in this report
<br />2. Status during year.
<br />❑ (1) Active From
<br />2"(3) Idle entire year
<br />To
<br />❑ (4) Went out of business - Date
<br />If ownership changed during year, give date of change
<br />Township
<br />Range
<br />OR, Is this a sales yard ONLY? F-1 Yes EJ No
<br />(2) Shipping from stockpile only
<br />[J (5) Purchased E] (6) Sold
<br />Name and address of other party to or from whom transferred
<br />3. Type of operation. (Check one or more) (1) Open pit F-1 (3) Dredge F-1 (6) Sales yard
<br />4. Type of processing plant. ❑ (1) Stationary 5?"(�2) Portable ❑ (3) Both U (4) None
<br />Rated capacity of processing plant
<br />Number of days processing plant operated during year
<br />tons /hour.
<br />days.
<br />FOR BUREAU USE
<br />5. If production is reported in cubic yards, indicate pounds per cubic yard: Sand Gravel
<br />6. Did your operation produce any INDUSTRIAL SAND such as glass making, foundry, metallurgical, abrasives, fillers, ceramic, coal
<br />washing, hydraulic fir cturing sand, etc.?
<br />(1) Yes (2) No
<br />OVER
<br />
|