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Document 1130F, Page 1 Last Revised: Ju1v 12, 1985 <br /> [STEP 3C - Completed After Staff OPrisinnj <br /> 1 <br /> AMCRDEOI COAL PERMIT COMPLIANCE REQUIREMENT INITIAL, ENTRY CODING FORM <br /> [C) MINE ID # OR EXPLORATION ID #. ............. .. - <br /> PFTDl PFID2 PFTD3 <br /> [C) PERMIT COMPLIANCE TYPE CODE............ [CL-CM: AB=Drill Hole Abandonment Report, AN=Annual Fee f. Report, <br /> CI=Certification/Tnspection, CM=Commitment, MR=Monitoring <br /> Report, ST=Stipulation, TR=Technical Report, OR=Other] <br /> [C) STIPULATION, COMMITMENT, ANNUAL FEE, <br /> OR REPORT SUBMITTAL #... D [01-99) <br /> XXXXXXXXXX XXXXXX XXXXXXXX XXXXXX...... <br /> [C] STATUS OF COMPLIANCE................... [AC=Active, FU=Future, FC=Forgiven, CW=Complied With, TR=Terminated] <br /> [C] DATE OF ORIGINATION.................... <br /> [C] SOURCE OF ORIGINATION.................. c [CL-SC: IE=Inspection h Enforcement Requirement, OS=OSM Oversight <br /> Inspection, PR=Permit Approval, PS=Performance Standard in <br /> Regulations, RV=Revision Approval] <br /> [C] SUBMITTAL CATEGORY..................... Y [CL-CG: AM=AOC Monitoring Report, AN=Annual Fee & Report, <br /> BR=Blasting, CR=Certification/Inspection, GT=Geotechnical, <br /> GW=Ground Water, HY=General Hydrology, SO=Soils, <br /> SU=Subsidence, SW=Surface Water, VE=Vegetation Report, <br /> WL=Wildlife, OR=Other] <br /> [C) DUE DATE FOR PERIODIC SUBMITTALS....... — — / / [Required, unless "Status of Compliance" _ "FU" (Future). ) <br /> ( [C] FREQUENCY OF SUBMITTALS................ _ _ [CL-FQ: 01=Annually, 02=Semi-Annuallv, 04=Quarterly, 06=Bi-Monthly, <br /> 12=Monthly, 99=One Time Submittal) <br /> COMPLIANCE REQUIRMENT DESCRIPTION...... 7- ,fl t> K 0 1� 4- P E�- N ?. C 1-1 T" 1 Ci <br /> — — — — — — — — — — — — — — — — — — — — — — — — — <br /> (BRIEF OUTLINE) C,. {' r T �_� I ' "� O �_ U SE <br /> [50 Spaces Max] <br /> ********************* TURN OVER TO ENTER DESCRIPTIVE NARRATIVE PARAGRAPH ******************** <br /> NOTES: (1) [C] = Required entry for all Coal permit files. <br /> (2) The purpose of this file is to allow the Specialist to enter those Compliance Requirements placed <br /> upon a permit, about which that Specialist desires to be tickled prior to compliance due dates. <br /> (3) A separate coding form must be completed for each compliance requirement (Stip, Commitment, Certification). <br />