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Click on Submit button to e-mail request to Mn/DOT Geology Unit.
Or Print and fax to Terry Beaudry at 651-366-5461.
You will be contacted within 3 business days with the aggregate source number to use.

New Aggregate Source Number Request Form

* = required field

Date (mm/dd/yy)

Information about you:

Name * Organization *
Phone * e-mail


Be sure to include email address or phone number above.

Information about the aggregate source:

County * Nearest City
Section * Township * Range *
Legal Description (to at least 1/4 section) *
Pit/Quarry local name
Owner * Operator

Additional comments:



   
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Note 1:  For a Mn/DOT leased aggregate source, send copies of  Lease and any survey/prospecting data to:  Mn/DOT Materials Office, Geotechnical Section, Mail Stop 645, attention Terry Beaudry.