Bureau of Mining Programs

Forms

Form No.	Title File Format
BMP0020	Good Samaritan Application

Form No.	Title File Format
BMP0025	Application Form - Mining License, Contract Operator Approval and Ownership and Control Registration

Form No.	Title File Format
MR0026	Surface Mining Near Underground Mines - MSHA Coordination Form
BMP0010	Landowner Consent Coal "Supplemental C"
BMP0054	General Permit for the Construction, Operation and Maintenance of a Temporary Road Across a Watercourse
BMP0058	Application for Transfer of a Permit (Coal and Industrial Minerals)
BMP0059	General Permit for the Construction, Operation and Maintenance of an Access Road Across a Watercourse
BMP0092	Coal Exploration Notice of Intent to Explore or Request for Permit Waiver
BMP0094	Mine Employment and Production Report
BMP0113	Cover Sheet for Reporting and Certifying Water Monitoring Data
BMP0307	Application for Government Financed Construction Contract (GFCC)
BMP0312	Application for Authorization to Conduct Surface Coal Mining Activities
BMP0311	Bituminous Surface Mine Permit Application
BMP0315	Large Noncoal (Industrial Minerals) Mine Permit
BMP0321	Anthracite Underground Mine Permit Application
BMP0324	Application for Bituminous Underground Mine, Coal Preparation Plant and/or Coal Refuse Disposal Area
BMP0343	Anthracite Surface Mine Permit Application
BMP0372	Completion Report for Large Noncoal Mine
BMP0385	Coal Mining Activity Permit Renewal Application
BMP0032	Application for Individual NPDES Permit Associated with Mining Activities
BMP0008	GP-104 Stormwater NPDES
BMP0487	Effluent Characterization Requirement Instructions and NPDES Toxics Monitoring Form
BMP0488	Discharge Monitoring Report Cover Sheet

Form No.	Title File Format
BMP0027	Application for Examination and Licensed Blaster
BMP0021	Instructions and Application for Blasting Activity Permit
BMP0031	Instructions and Application for Explosives Storage License
BMP0086	Small Noncoal Blast Plan
BMP0311	Bituminous Coal Blast Plan (Module 16)
BMP0315	Large Noncoal Blast Plan (Module 16)
BMP0315	Additional Blast Loading Plan - 77.453 (Module 16)
BMP0321	Anthracite Underground Surface Blast Plan (Module 15)
BMP0324	Bituminous Underground Mine, Coal Preparation Plant and-or Refuse Disposal Area
BMP0340	Pennsylvania Standardized Blast Report
BMP0343	Anthracite Surface Mine Permit Application Blast Plan (Module 16)
BMP0439	Request for Security Access/Portal Account Blasting Activity Permit/ Blasting Activity Permit by Rule

Form No.	Title File Format
BMP0049	Planting and Soil Test Report for Coal
BMP0073	Appeal Bond Surety Guarantee
BMP0074	Appeal Bond Escrow Deposit
BMP0370	Coal Completion Report
BMP0374	Bond Release Request for Small Noncoal
BMP0405	Surety Bond-Mining (General)
BMP0406	Collateral Bond-Mining (General)
BMP0407	Collateral Bond-Mining (Subsidence)
BMP0408	Surety Bond-Mining (Subsidence)
BMP0409	Assignment of Certificate of Deposit Under Collateral Bonding-Mining
BMP0410	Mining Bond Amendment - Permit Acres
BMP0411	Partial Replacement of Collateral Under Collateral Bond
BMP0412	Schedule for Deposit of Collateral Bond
BMP0414	Loan Agreement for Emergency Bond Fund Applicant
BMP0436	Conventional Bonding for Land Reclamation Annual Bond Calculation Summary
BMP0443	Surety Bond-Mining (Water Supply Operation and Maintenance Costs)
BMP0451	Cost Comparisons and Bond Calculation for Existing and Replacement Supplies

Form No.	Title File Format
BMP0004	Short-Term Construction Projects BMP-GP-103
BMP0050	Contractual Consent Of Landowner (Noncoal/Industrial Minerals) (Word)
BMP0094	Mine Employment and Production Report
BMP0151	Noncoal Notice of Intent to Explore (Drilling Only)
BMP0152	Noncoal Exploration Request for Permit Waiver
BMP0304	Bonding Increment Application and Authorization to Conduct Noncoal Mining Activities
BMP0316	Permit Application for a Small Noncoal (Industrial Minerals) Surface Mine
BMP0027	General Permit for Bluestone (5 Acres or Less) Mining BMP-GP-105
MR0387	MR0387 E&S Plan for Small Noncoal application in special protection watersheds

Form No.	Title File Format
BMP0110	Consent to Lesser Water Supply Agreement
BMP0111	Abandonment of Water Supply Agreement
BMP0445	Release of the Obligation to Pay Increased Operation and Maintenance Costs for an Affected Water Supply
BMP0451	Cost Comparisons and Bond Calculation for Existing and Replacement Supplies

Form No.	Title File Format
BMP0011	Coal Ash Beneficial Use Certification Application
BMP0012	Coal Ash Quality Assessment for Beneficial Use
BMP0014	Coal Ash Water Quality Monitoring Report
BMP0149	Contractual Consent of Landowner for Beneficial Use of Coal Ash

Other applications, forms, or publications not listed on this page can be found by searching DEP’s eLibrary.

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