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~ STIPULATION AND COMMITMENT CODING FORM ~j(a~ / ~~ <br />•,~ COAL PERMIT COMPLIANCE REQUIREMENT INITIAL ENTRY FORM <br />~~ <br />PERMIT N0. G - ~ ~ - Q ~ 1 <br />PERMIT COMPLIANCE TYPE CODE <br />STIPULATION, COMMITMENT, ANNUAL <br />FEE OR REPORT SUBMITTAL N0. <br />S7ATUS OF COMPLIANCE <br />DATE OF ORIGINATION <br />SOURCE OF ORIGINATION <br />SUBMITTAL CATEGORY <br />AB=Grill Hole Abandonment Report, CI-Certification/Inspection, CM=Commitment. <br />MR-Monitoring Report, ST-Stipulation, TR=Technical Report <br />a ~- II (D,-98) <br />'~-~ ~"1 AC=Active, FU=Future, FGaForgiven, CW=Complied With, TR=Terminated <br /> <br />~G' 3~~4 <br />s PR=Permit Approval, PS=Performance Standard in Regulations, RV =Revision Approval <br />AM=AOC Monitoring Report, BR-Blasting, CleCertification/Inspection, GT=Geotechnical, <br />GW~Groundwater, HY~General Hydrology, SO~Soils, SU=Subsidence, SW=Surface <br />Water, VE~VegataUon Report, WL~Wildlife, OR-Other <br />DUE DATE FOR PERIODIC SUBMITTALS _ _ / _ _ / _ _ (Required, unless 'Status at Compliance' =Future) JN~ ~ ; ~ <br />r"~ O S NL, <br />FREQUENCY OF SUBMITTALS ~ ~ Ot =Annually, 02.Sem1-Annually,. 04.Quarterly, O6=Bi-Monthly, 12=Monthly, 99=One- <br />Time Submittal <br />COMPLIANCE REQUIREMENT DESCRIPTION -BRIEF OUTLINE 150 Spaces Maximum) <br />.i ,~S~crsrrc.~c ~'~1 _u~ov~ - re So l ~~r_rm O S ~ a~ f~?c . <br />- ~---- <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 ba tickled prior to compliance due date. <br />A separate coding form must be completed for each compliance requirement. <br />