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Stipulation and Commitment Coding Form <br />Coal Permit Compliance Acknowledgment/Ediling Form <br />Petmit No. ~ - ~ ~ - <br />Permit Compliance Code ~ L_ AB -Drill Hole Abandonment Report, CI - Certification/Inspection, CM -Commitment, <br />MR -Monitoring, ST -Stipulation, TR -Technical Report <br />Stipulation, Commitment No. ~ ~ (01 - 99) <br />~~ <br />Status of Compliance ~ ~ ` AC - Active, FU - Fu[ure, CW -Complied Wilh, FU -Forgiven, WD -Withdrawn, <br />TR -Terminated <br />Status Date ~ ~ / l _ S / ~ ~ <br />** Submittal Category AM - AOC Monitoring Reports, BR -Blasting, CI - Cerlification/Inspcction, <br />GT- Geothecnical, GW -Groundwater, HY -General Hydrology, SO -Soils, <br />SU - Subsidence, SW -Surface Water, VE -Vegetation Report, WL -Wildlife, OR-Other <br />** Frequency of Submittals Ol -Annually, 02 -Semi-Annually, 04 -Quarterly, 06 - Bi-Monthly, 12 -Monthly, <br />99 -One Time Submittal <br />** Revision Type and Number _ _ - _ _ <br />* * Due Date For Compliance _ _ / _ _ / _ _ <br />** Description <br />•• For Editing Compliance Requirements <br />All entries are required. <br />Note: All entries are required, with the exception of the editing entries. <br />A separate coding form must be completed for each compliance requirement. <br />connsharcVorm~tc,ding I.frtn <br />