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Division of Reclamation Regulatory Forms

  • Reclamation
  • Current: Division of Reclamation Regulatory Forms
TitleForm Number Electronic Format
Coal Exploration
Application for Approval to Conduct Coal Exploration Activities under 250 Tons50616.pdf
Coal Mining Permitting
Request For Renewal Of Blaster Certification54002.pdf
54002.doc
Application For Blaster Certification54003.pdf
54003.doc
Application for an Incidental Boundary Revision to a Previously Approved Permit50617.pdf
Certificate of Liability Insurance50613.pdf
Report of Coal Production & Reclamation Fee44984.pdf
Request For Exemption For Coal Extraction Incidental to the Extraction of Other Minerals50614.pdf
Semi-Annual Seeding Report (B-601)50619.pdf
Coal Mine Bond
Bond Pool Application51507.pdf
Collateral Assignment of Certificate of Deposit (CA-1)50625.pdf
Collateral Assignment of Deposit Account (DA-1)50624.pdf
Irrevocable Letter of Credit (LC-1)6733.pdf
Irrevocable Letter of Credit Amendment (LC-2)50622.pdf
Self-Bond Application51895.pdf
Self-Bond Indemnity Agreement and Absolute Corporate Guaranty51892.pdf
Self-Bond Indemnity Agreement and Absolute Corporate Guaranty Rider (SE-1)51894.pdf
Self-Bond Indemnity Agreement and Absolute Corporate Guaranty Rider with Guarantor (SE-2)51951.pdf
Surety Bond (SB-1)50621.pdf
Surety Bond Rider (SB-2)6732.pdf
Surface Coal Mine Reclamation Bond Pool Fund, New Acres (BP-1)51509.pdf
Surface Coal Mine Reclamation Bond Pool Fund (BP-2)51510.pdf
Clay and Shale Mining
Clay and Shale Collateral Assignment of Certificate of Deposit54963.pdf
Clay and Shale Irrevocable Letter of Credit54964.pdf
Clay and Shale Surety Bond54951.pdf
Application for a Permit (R-100)2192.pdf
Bonding Evaluation Factor Sheet (R-102)20069.pdf
Plan of Reclamation (R-101)2191.pdf
Plan of Revegetation (R-301)2190.pdf
Report of Affected Area (R-200)2193.pdf
Report of Grading - Maps (R-300)20065.pdf
Report of Vegetation (R-302)20063.pdf
Misc Forms
Citizen Complaint and State Inspection Request50419.pdf

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