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Manitoba's Mineral Resources

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Manitoba Pit & Quarry Rehabilitation Program
Application Form

Last Name:  

First Name:

Address:

Town/City:   Postal Code:

Telephone: (Home):   (Business):

Email address:

Date of Application:

Location of Pit or Quarry

Legal Subdivision or Quarter: Section: Township: Range:

Municipality:

To submit this form electronically, click the button.    

You can also print the completed form and submit by fax or mail to the Director of Mines at:

Manitoba Innovation, Energy and Mines, Mines Branch
Unit 360 - 1395 Ellice Avenue
Winnipeg, MB R3G 3P2
Telephone: (204) 945-6516
Fax: (204) 945-8427

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