Guidance Documents and Forms

Guidance Documents:
 Guidance Memo  Description
 3-01  Permit Review Procedures
 4-02  Approximate Original Contour Guidelines
 10-05  Haulroad Construction and Design
 11-05  Ground Control Plan
 12-05  Permit Signs and Markers
 14-05  Watersheds with TMDLs   
 15-07  Potential Problem Discharges  
 16-07  Permitting and Bonding Shared Structures 
 17-07  Impoundments - Underground Mining
 18-07  Completed Areas and Gas and Oil Permitted Operations
 19-07  Acreage Amendments, Anniversary Reports, and Temporary Cessations 
 20-07  Permit Applications
 21-07  Submittal of Electronic Engineers Signature and Seals for Maps, Drawings and Plans
 22-08  Forestry Reclamation Approach 
 23-08  Revisions: Insignificant vs. Significant; Acreage Amendments; and Incidental Boundary
 24-08  Clarification of "Depth to Water" for Groundwater Monitoring Wells
 25-08  NPDES Permit and Anniversary Fees
 27-09  Electronic Permitting - Digital Mapping Guidelines
 28-09  Application Processing Time Limits
 29-09  Roads - Maintenance and Fugitive Dust Control
 30-10  Engineering Review of Sediment Basin Design; Excaved Basins
 31-10  Abandoned Mined Land Refuse/Gob Piles - Exploration and Recovery
 34-11  Groundwater Monitoring of Fill Underdrains
 35-11  Receipt of Electronic Correspondence from the Agency
 36-11  Coal Removal from Government Financed Construction Projects
 37-12  Joint Mining (CSMO) and Monitoring (NPDES) Permits - Public Participation
 38-15  Bonding of Mitigation Areas
 39-19  Coal Waste Impoundments
 40-20  Underground Mine Hydrology Post Mine Closure Evaluation
 Form Number (pdf)  Form Number (Word)  Form Name
OMB 1029-0119  OMB 1029-0119 Applicant Violater System (AVS)
OMB 1029-0119  OMB 1029-0119 Instructions for Applicant Violater System Form
DMLR-AML-090  DMLR-AML-090 Standard Bid Bond
DMLR-AML-199  DMLR-AML-199 Application for Payment - Cover Sheet
DMLR-AML-199A  DMLR-AML-199A Addendum to Application for Payment
DMLR-AML-199B  DMLR-AML-199B Addendum to Application for Payment - Schedule
DMLR-AML-199C  DMLR-AML-199C Addendum to Application for Payment - Material Storage
DMLR-AML-314  DMLR-AML-314 Affidavit of Payment
Department of General Services Forms used by AML
 Form Number  Form Name
 DGS-30-004  Architectural / Engineering Firm Data
 DGS-30-076  Workers Compensation Certificate of Insurance
 DGS-30-084  Standard Performance Bond
 DGS-30-088  Standard Labor & Material Payment Bond
Mined Land Repurposing Forms
 Form Number (pdf)  Form Number (Word)  Form Name
 DMLR-211   DMLR-211  Application for Exemption Determination
 DMLR-BCME-03   DMLR-BCME-03  Application for Recertification - DMLR Endorsement - Blaster's Certification
 DMLR-BCME-04   DMLR-BCME-04  Application for DMLR Endorsement - Blaster's Certification - (Coal Surface Mining Operation)
 DMLR-ENF-032v   DMLR-ENF-032v  Vibration Observations
 DMLR-PT-011   DMLR-PT-011  Operator's Seeding Report
 DMLR-PT-012   DMLR-PT-012  Analysis - Premining vs Postmining Hayland
 DMLR-PT-013   DMLR-PT-013  Surety Bond
 DMLR-PT-013A   DMLR-PT-013A  Surety Bond - Federal Lands
 DMLR-PT-013B   DMLR-PT-013B  Surety Bond Rider
 DMLR-PT-017   DMLR-PT-017  Map Legend
 DMLR-PT-026   DMLR-PT-026  Certificate of Deposit
 DMLR-PT-026A   DMLR-PT-026A  Form Letter from Banks Issuing a Certificate of Deposit for Mining on Federal Lands
 DMLR-PT-027   DMLR-PT-027  Request for Relinquishment
 DMLR-PT-027A   DMLR-PT-027A  Request for PMU Relinquishment
 DMLR-PT-030   DMLR-PT-030  Water Supply Inventory List
 DMLR-PT-034d   DMLR-PT-034d  Permit Application Certification
 DMLR-PT-034info   DMLR-PT-034info  Request for DMLR Permit Data
 DVD-034D   DVD-034D  Diversion Information & Design Data Sheet
 GDM-034D   GDM-034D  Discharge Measurements Sheet
 GSD-034D   GSD-034D  Geologic Stratigraphic Data Sheet
 GWB-034D   GWB-034D  Ground Water Baseline Data Summary
 NMS-034D   NMS-034D  Need and Market Survey
 PSS-034D   PSS-034D  Proposed Sediment Structures
 RFB-034D   RFB-034D  Rainfall Baseline Data
 SBD-034D   SBD-034D  Sediment Basin Design Data Sheet
 SPD-034D   SPD-034D  Soils Profile Data Sheet
 SWB-034D   SWB-034D  Surface Water Baseline Data Summary
 VSS-034D   VSS-034D  Stream Survey Data Sheet
 WCD-034D   WCD-034D  Well Construction Data Sheet
 WSI-034D   WSI-034D  Water Supply Inventory List
 BLD-034D   BLD-034D  Application for a Coal Surface Mining & Reclamation Permit Blasting Plan Data
 DMLR-PT-053   DMLR-PT-053  Well Construction Data Sheet
 DMLR-PT-062   DMLR-PT-062  Coal Exploration Permit
 DMLR-PT-086   DMLR-PT-086  Sediment Basin Design Sheet
 DMLR-PT-092   DMLR-PT-092  Impoundment Construction & Annual Cert. Form
 DMLR-PT-104   DMLR-PT-104  Pre-Blast Survey
 DMLR-PT-105   DMLR-PT-105  Excess Spoil Fills & Refuse Embankments Construction Certification
 DMLR-PT-111   DMLR-PT-111  Stage Area Storage Computations
 DMLR-PT-119   DMLR-PT-119  NPDES Discharge Monitoring Report
 DMLR-PT-119C   DMLR-PT-119C  Water Monitoring Report - Electronic File/Printout Certification
 DMLR-PT-128   DMLR-PT-128  Application - NPDES
 DMLR-PT-128A   DMLR-PT-128A  Application Instructions - NPDES
 DMLR-PT-162   DMLR-PT-162  Coal Surface Mining Reclamation Fund Application
 DMLR-PT-167   DMLR-PT-167  Conditions - Coal Surface Mining Reclamation Fund
 DMLR-PT-178   DMLR-PT-178  Coal Surface Mining Reclamation Fund Tax Reporting Form
 DMLR-PT-210   DMLR-PT-210  Surface Water Monitoring Report Sheet
 DMLR-PT-212   DMLR-PT-212  Application for Performance Bond Release
 DMLR-PT-219   DMLR-PT-219  Public Notice: Application for Transfer, Assignment, or Sale of Permit Rights under Chapter 19, Title 45.1
 DMLR-PT-224   DMLR-PT-224  Line Transect for Forest Land Count
 DMLR-PT-225   DMLR-PT-225  Public Notice: Application for Bond Reduction, Chapter 19, Phase I
 DMLR-PT-226   DMLR-PT-226  Public Notice: Application for Bond Reduction, Chapter 19, Phase II
 DMLR-PT-227   DMLR-PT-227  Public Notice: Application for Bond Reduction, Chapter 19, Phase III
 DMLR-PT-228   DMLR-PT-228  Public Notice: Application for Bond Reduction, Incremental Reduction
 DMLR-PT-233   DMLR-PT-233  Certification of Stream Channel Diversions
 DMLR-PT-236   DMLR-PT-236 Public Display of Application
 DMLR-PT-239   DMLR-PT-239 Quarterly Acid-Base Monitoring Report
 DMLR-PT-240   DMLR-PT-240  Affidavit (Permit Application Information: Ownership & Control & Violation History)
 DMLR-PT-244   DMLR-PT-244  Affidavit (Reclamation Fee Payment)
 DMLR-PT-250   DMLR-PT-250  Affidavit (No Change in a Company's Legal Identity)
 DMLR-PT-251   DMLR-PT-251  Impoundment Inspection Report
 DMLR-PT-255   DMLR-PT-255  Irrevocable Standby Letter of Credit
 DMLR-PT-255A   DMLR-PT-255A  Confirmation of Irrevocable Standby Letter of Credit
 DMLR-PT-265   DMLR-PT-265  Permittee Consent to Service By Electronic Mail
CAD Standards