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~. ;:.... p is/196 <br />.,r` - • STIPULATION AND COMMITMENT CODING FORM 1 ~ ~ (a <br />COAL PERMIT COMPLIANCE REQUIREMENT INITIAL ENTRY FORM _ ~-_ ~ ~~ <br />PERMIT N0. ~- ~S ~ - ~ <br />' PERMIT COMPLIANCE TYPE CODE ~~ AB=Drill Hola Abandonment Report, CI=Certification/Inspection, CM=Commitment, <br />MR=Monitoring Report, ST=Stipulation, TR=Technical Report <br />STIPULATION, COMMITMENT, ANNUAL <br />FEE OR REPORT SUBMITTAL NO. ~ (01-991 ~`~"~"'~ <br />STATUS OF COMPLIANCE ~" C- AC=Active, FU=Future, FG=Forgiven, CW=Complied With, TR=Terminated <br />DATE OF ORIGINATION L a- lO Co l ~ ~¢ <br />SOURCE OF ORIGINATION ~ ~ PR=Permit Approval, PS=Performance Standard in Regulations, RV=Revision Approval <br />SUBMITTAL CATEGORY _ _ AM=AOC Monitoring Report, BR=Blasting, CI=Certification/Inspection, GT=Geotechnical, <br />GW=Groundwater, HY=General Hydrology, SO=Soils, SU=Subsidence, SW=Surface <br />Waterq, VE=Vegetation Report, WL=Wildlife, OR=Other <br />DUE DATE FOR PERIODIC SUBMITTALS ~ O~• / 3 ~ / L ~? (Required, unless "Status of Compliance" =Future) <br />FREQUENCY OF SUBMITTALS ~ ~ 01 =Annually, 02=Semi-Annually, Oa=Quarterly, 06=Bi-Monthly, 12=Monthly, 99=0ne- <br />Time Submittal <br />COMPLIANCE REQUIREMENT DESCRIPTION -BRIEF OUTLINE (50 Spaces Maximum) ~'~( <br />oQo,~.~l~~~,~s-0.__. r-e~.octn.~. o,~-P.ra.r~.al , <br />~'••••••`••••`•'••`•`•"`•" ENTER DESCRIPTIVE NARRATIVE PARAGRAPH ON NEXT PAGE •`••••"'•"••'•""••'•`••`• <br />NOTE: All entries are required, with the exception of "Compliance Requirement Description. <br />The purpose of this file is to allow the Specialist to enter those Compliance Requirements placed upon a <br />permit, about which that Specialist desires to be tickled prior to compliance due date. <br />A separate coding form must be completed for each compliance requirement. <br />