Pennsylvania Department of Environmental Protection Forms
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Form PERA-47 "Fact-Finding Invoice" - Pennsylvania
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47 votes
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Form 5600-PM-MR0387 "Erosion and Sedimentation Plan Designs for Small Noncoal Permits in Special Protection Watersheds" - Pennsylvania
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59 votes
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256 KB
2 pages
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Form 5500-PM-OG0008 "Application for an Order to Clean out and Plug or Replug a Non-producing Gas Well Under Section 12(C) of Act 214" - Pennsylvania
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16 votes
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58 KB
2 pages
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Form 5500-PM-OG0010 "Application for Transfer of Well Permit or Registration" - Pennsylvania
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7 votes
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358 KB
3 pages
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Form 5600-PM-MR0026 "Surface Mining Near Underground Mines - Msha Coordination" - Pennsylvania
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60 votes
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133 KB
5 pages
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Instructions for Form 5600-PM-BP0343 "Anthracite Surface Mine Permit Application" - Pennsylvania
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19 votes
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131 KB
7 pages
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Form 5600-FM-BMP0111 "Abandonment of Water Supply Agreement" - Pennsylvania
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18 votes
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103 KB
3 pages
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Form 5600-PM-BMP0004 "General Permit for Short-Term Construction Projects Bmp-Gp-103 Registration/Application" - Pennsylvania
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23 votes
Size:
162 KB
6 pages
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Form 5600-FM-BMP0086 "Small Noncoal Blast Plan" - Pennsylvania
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18 votes
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224 KB
6 pages
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Form 5600-FM-BMP0086 "Small Noncoal Blast Plan Checklist" - Pennsylvania
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47 votes
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75 KB
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Form 5600-FM-BMP0307 "Application for Government-Financed Construction Contract (Gfcc)" - Pennsylvania
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20 votes
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73 KB
2 pages
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Form 5600-FM-BMP0307 "Module 1: Ownership and Right of Entry" - Pennsylvania
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11 votes
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54 KB
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Form 5600-FM-BMP0307 "Module 4: Operational Information" - Pennsylvania
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25 votes
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76 KB
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Form 5600-FM-BMP0307 "Module 5: Streams and Wetlands" - Pennsylvania
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23 votes
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68 KB
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Form 5600-FM-BMP0307 "Module 2: Environmental Resources" - Pennsylvania
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20 votes
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59 KB
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Form 0210-PM-PIO0001 "General Information Form - Authorization Application" - Pennsylvania
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20 votes
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282 KB
8 pages
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Form 5600-FM-BMP0307 "Contractual Consent of Landowner for Reclamation Contracts" - Pennsylvania
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19 votes
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65 KB
2 pages
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Form 5600-PM-BMP0316 "Small Noncoal (Industrial Minerals) Surface Mine Permit Application" - Pennsylvania
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14 votes
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1 MB
17 pages
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Form 5600-FM-BMP0307 "Government-Financed Construction Contract (Gfcc) Application Checklist" - Pennsylvania
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23 votes
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68 KB
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Form 5600-FM-BMP0151 "Noncoal Exploration Notice of Intent to Explore (Drilling Only)" - Pennsylvania
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(4.3 / 5)
34 votes
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87 KB
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Form 5600-FM-BMP0152 "Noncoal Exploration Request for Permit Waiver" - Pennsylvania
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39 votes
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94 KB
2 pages
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Form 0210-PM-PIO0001 "General Information Form - Authorization Application Applicant's Checklist" - Pennsylvania
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9 votes
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92 KB
1 page
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Form 5600-PM-BMP0032 "Application for Individual Npdes Permit Associated With Mining Activities" - Pennsylvania
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52 votes
Size:
215 KB
10 pages
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Form 5600-PM-BMP0385 "Coal Mining Activity Permit Renewal Application" - Pennsylvania
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(4.4 / 5)
94 votes
Size:
126 KB
9 pages
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Form 5600-FM-BMP0488 "Discharge Monitoring Report Cover Sheet" - Pennsylvania
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(4.7 / 5)
16 votes
Size:
74 KB
2 pages
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Form 5600-PM-BMP0488 "Discharge Monitoring Report Cover Sheet" - Pennsylvania
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32 votes
Size:
73 KB
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Form 5600-FM-BMP0092 "Coal Exploration Notice of Intent to Explore or Request for Permit Waiver" - Pennsylvania
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26 votes
Size:
101 KB
3 pages
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Form 5600-PM-BMP0027 "General Permit for Bluestone Mining Renewal of Coverage Under Bmp-Gp-105" - Pennsylvania
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43 votes
Size:
87 KB
2 pages
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Form 5600-FM-BMP0439 "Request for Security Access/Portal Account Blasting Activity Permit/Blasting Activity Permit by Rule" - Pennsylvania
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(4.3 / 5)
25 votes
Size:
90 KB
2 pages
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Form 2630-PM-BEC0506 "Storage Tank Installer and Inspector Certification Application" - Pennsylvania
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18 votes
Size:
119 KB
4 pages
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Form 5600-PM-BMP0021 "Blasting Activity Permit" - Pennsylvania
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51 votes
Size:
103 KB
4 pages
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Form 5600-FM-BMP0086 "Small Noncoal Blast Plan" - Pennsylvania
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43 votes
Size:
126 KB
6 pages
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Form 5600-FM-BMP0340 "Blast Report" - Pennsylvania
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26 votes
Size:
99 KB
3 pages
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Form 0210-PM-PIO0001 "General Information Form - Authorization Application" - Pennsylvania
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17 votes
Size:
358 KB
7 pages
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Form 0210-PM-PIO0001 "General Information Form -authorization Application Applicant's Checklist" - Pennsylvania
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26 votes
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142 KB
1 page
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Form 5600-PM-BMP0011 "Coal Ash Beneficial Use Certification" - Pennsylvania
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7 votes
Size:
126 KB
4 pages
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![Form PERA-47 "Fact-Finding Invoice" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/1915/19156/1915631/form-pera-47-fact-finding-invoice-pennsylvania.png "Form PERA-47 "Fact-Finding Invoice" - Pennsylvania")
![Form 5600-PM-MR0387 "Erosion and Sedimentation Plan Designs for Small Noncoal Permits in Special Protection Watersheds" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/1915/19152/1915250/form-5600-pm-mr0387-erosion-and-sedimentation-plan-designs-small-noncoal-permits-in-special-protection-watersheds-pennsylvania.png "Form 5600-PM-MR0387 "Erosion and Sedimentation Plan Designs for Small Noncoal Permits in Special Protection Watersheds" - Pennsylvania")
![Form 5500-PM-OG0008 "Application for an Order to Clean out and Plug or Replug a Non-producing Gas Well Under Section 12(C) of Act 214" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/2035/20354/2035413/form-5500-pm-og0008-application-for-an-order-to-clean-out-and-plug-or-replug-a-non-producing-gas-well-under-section-12-c-of-act-214-pennsylvania.png "Form 5500-PM-OG0008 "Application for an Order to Clean out and Plug or Replug a Non-producing Gas Well Under Section 12(C) of Act 214" - Pennsylvania")
![Form 5500-PM-OG0010 "Application for Transfer of Well Permit or Registration" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/2035/20353/2035343/form-5500-pm-og0010-application-for-transfer-of-well-permit-or-registration-pennsylvania.png "Form 5500-PM-OG0010 "Application for Transfer of Well Permit or Registration" - Pennsylvania")
![Form 5600-PM-MR0026 "Surface Mining Near Underground Mines - Msha Coordination" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/1915/19151/1915103/form-5600-pm-mr0026-surface-mining-near-underground-mines-msha-coordination-pennsylvania.png "Form 5600-PM-MR0026 "Surface Mining Near Underground Mines - Msha Coordination" - Pennsylvania")
![Instructions for Form 5600-PM-BP0343 "Anthracite Surface Mine Permit Application" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/1915/19151/1915135/instructions-for-form-5600-pm-bp0343-anthracite-surface-mine-permit-application-pennsylvania.png "Instructions for Form 5600-PM-BP0343 "Anthracite Surface Mine Permit Application" - Pennsylvania")
![Form 5600-FM-BMP0111 "Abandonment of Water Supply Agreement" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/2212/22129/2212922/form-5600-fm-bmp0111-abandonment-of-water-supply-agreement-pennsylvania.png "Form 5600-FM-BMP0111 "Abandonment of Water Supply Agreement" - Pennsylvania")
![Form 5600-PM-BMP0004 "General Permit for Short-Term Construction Projects Bmp-Gp-103 Registration/Application" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/2212/22129/2212930/form-5600-pm-bmp0004-general-permit-for-short-term-construction-projects-bmp-gp-103-registration-application-pennsylvania.png "Form 5600-PM-BMP0004 "General Permit for Short-Term Construction Projects Bmp-Gp-103 Registration/Application" - Pennsylvania")
![Form 5600-FM-BMP0086 "Small Noncoal Blast Plan" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/2185/21852/2185265/form-5600-fm-bmp0086-small-noncoal-blast-plan-pennsylvania.png "Form 5600-FM-BMP0086 "Small Noncoal Blast Plan" - Pennsylvania")
![Form 5600-FM-BMP0086 "Small Noncoal Blast Plan Checklist" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/2185/21852/2185259/form-5600-fm-bmp0086-small-noncoal-blast-plan-checklist-pennsylvania.png "Form 5600-FM-BMP0086 "Small Noncoal Blast Plan Checklist" - Pennsylvania")
![Form 5600-FM-BMP0307 "Application for Government-Financed Construction Contract (Gfcc)" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/2185/21852/2185205/form-5600-fm-bmp0307-application-for-government-financed-construction-contract-gfcc-pennsylvania.png "Form 5600-FM-BMP0307 "Application for Government-Financed Construction Contract (Gfcc)" - Pennsylvania")
![Form 5600-FM-BMP0307 "Module 1: Ownership and Right of Entry" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/2185/21852/2185203/form-5600-fm-bmp0307-module-1-ownership-and-right-of-entry-pennsylvania.png "Form 5600-FM-BMP0307 "Module 1: Ownership and Right of Entry" - Pennsylvania")
![Form 5600-FM-BMP0307 "Module 4: Operational Information" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/2185/21851/2185195/form-5600-fm-bmp0307-module-4-operational-information-pennsylvania.png "Form 5600-FM-BMP0307 "Module 4: Operational Information" - Pennsylvania")
![Form 5600-FM-BMP0307 "Module 5: Streams and Wetlands" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/2185/21852/2185213/form-5600-fm-bmp0307-module-5-streams-and-wetlands-pennsylvania.png "Form 5600-FM-BMP0307 "Module 5: Streams and Wetlands" - Pennsylvania")
![Form 5600-FM-BMP0307 "Module 2: Environmental Resources" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/2185/21852/2185214/form-5600-fm-bmp0307-module-2-environmental-resources-pennsylvania.png "Form 5600-FM-BMP0307 "Module 2: Environmental Resources" - Pennsylvania")
![Form 0210-PM-PIO0001 "General Information Form - Authorization Application" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/2192/21922/2192267/form-0210-pm-pio0001-general-information-form-authorization-application-pennsylvania.png "Form 0210-PM-PIO0001 "General Information Form - Authorization Application" - Pennsylvania")
![Form 5600-FM-BMP0307 "Contractual Consent of Landowner for Reclamation Contracts" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/2192/21921/2192118/form-5600-fm-bmp0307-contractual-consent-of-landowner-for-reclamation-contracts-pennsylvania.png "Form 5600-FM-BMP0307 "Contractual Consent of Landowner for Reclamation Contracts" - Pennsylvania")
![Form 5600-PM-BMP0316 "Small Noncoal (Industrial Minerals) Surface Mine Permit Application" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/2185/21853/2185326/form-5600-pm-bmp0316-small-noncoal-industrial-minerals-surface-mine-permit-application-pennsylvania.png "Form 5600-PM-BMP0316 "Small Noncoal (Industrial Minerals) Surface Mine Permit Application" - Pennsylvania")
![Form 5600-FM-BMP0307 "Government-Financed Construction Contract (Gfcc) Application Checklist" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/2185/21852/2185217/form-5600-fm-bmp0307-government-financed-construction-contract-gfcc-application-checklist-pennsylvania.png "Form 5600-FM-BMP0307 "Government-Financed Construction Contract (Gfcc) Application Checklist" - Pennsylvania")
![Form 5600-FM-BMP0151 "Noncoal Exploration Notice of Intent to Explore (Drilling Only)" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/2185/21853/2185317/form-5600-fm-bmp0151-noncoal-exploration-notice-of-intent-to-explore-drilling-only-pennsylvania.png "Form 5600-FM-BMP0151 "Noncoal Exploration Notice of Intent to Explore (Drilling Only)" - Pennsylvania")
![Form 5600-FM-BMP0152 "Noncoal Exploration Request for Permit Waiver" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/2185/21853/2185315/form-5600-fm-bmp0152-noncoal-exploration-request-for-permit-waiver-pennsylvania.png "Form 5600-FM-BMP0152 "Noncoal Exploration Request for Permit Waiver" - Pennsylvania")
![Form 0210-PM-PIO0001 "General Information Form - Authorization Application Applicant's Checklist" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/2192/21922/2192262/form-0210-pm-pio0001-general-information-form-authorization-application-applicant-s-checklist-pennsylvania.png "Form 0210-PM-PIO0001 "General Information Form - Authorization Application Applicant's Checklist" - Pennsylvania")
![Form 5600-PM-BMP0032 "Application for Individual Npdes Permit Associated With Mining Activities" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/2185/21852/2185256/form-5600-pm-bmp0032-application-for-individual-npdes-permit-associated-with-mining-activities-pennsylvania.png "Form 5600-PM-BMP0032 "Application for Individual Npdes Permit Associated With Mining Activities" - Pennsylvania")
![Form 5600-PM-BMP0385 "Coal Mining Activity Permit Renewal Application" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/2185/21852/2185245/form-5600-pm-bmp0385-coal-mining-activity-permit-renewal-application-pennsylvania.png "Form 5600-PM-BMP0385 "Coal Mining Activity Permit Renewal Application" - Pennsylvania")
![Form 5600-FM-BMP0488 "Discharge Monitoring Report Cover Sheet" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/2035/20352/2035207/form-5600-fm-bmp0488-discharge-monitoring-report-cover-sheet-pennsylvania.png "Form 5600-FM-BMP0488 "Discharge Monitoring Report Cover Sheet" - Pennsylvania")
![Form 5600-PM-BMP0488 "Discharge Monitoring Report Cover Sheet" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/2068/20684/2068496/form-5600-pm-bmp0488-discharge-monitoring-report-cover-sheet-pennsylvania.png "Form 5600-PM-BMP0488 "Discharge Monitoring Report Cover Sheet" - Pennsylvania")
![Form 5600-FM-BMP0092 "Coal Exploration Notice of Intent to Explore or Request for Permit Waiver" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/2035/20351/2035184/form-5600-fm-bmp0092-coal-exploration-notice-of-intent-to-explore-or-request-for-permit-waiver-pennsylvania.png "Form 5600-FM-BMP0092 "Coal Exploration Notice of Intent to Explore or Request for Permit Waiver" - Pennsylvania")
![Form 5600-PM-BMP0027 "General Permit for Bluestone Mining Renewal of Coverage Under Bmp-Gp-105" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/2035/20352/2035255/form-5600-pm-bmp0027-general-permit-for-bluestone-mining-renewal-of-coverage-under-bmp-gp-105-pennsylvania.png "Form 5600-PM-BMP0027 "General Permit for Bluestone Mining Renewal of Coverage Under Bmp-Gp-105" - Pennsylvania")
![Form 5600-FM-BMP0439 "Request for Security Access/Portal Account Blasting Activity Permit/Blasting Activity Permit by Rule" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/1915/19151/1915198/form-5600-fm-bmp0439-request-for-security-access-portal-account-blasting-activity-permit-blasting-activity-permit-by-rule-pennsylvania.png "Form 5600-FM-BMP0439 "Request for Security Access/Portal Account Blasting Activity Permit/Blasting Activity Permit by Rule" - Pennsylvania")
![Form 2630-PM-BEC0506 "Storage Tank Installer and Inspector Certification Application" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/2035/20352/2035276/form-2630-pm-bec0506-storage-tank-installer-and-inspector-certification-application-pennsylvania.png "Form 2630-PM-BEC0506 "Storage Tank Installer and Inspector Certification Application" - Pennsylvania")
![Form 5600-PM-BMP0021 "Blasting Activity Permit" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/1915/19151/1915173/form-5600-pm-bmp0021-blasting-activity-permit-pennsylvania.png "Form 5600-PM-BMP0021 "Blasting Activity Permit" - Pennsylvania")
![Form 5600-FM-BMP0086 "Small Noncoal Blast Plan" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/1915/19151/1915181/form-5600-fm-bmp0086-small-noncoal-blast-plan-pennsylvania.png "Form 5600-FM-BMP0086 "Small Noncoal Blast Plan" - Pennsylvania")
![Form 5600-FM-BMP0340 "Blast Report" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/1915/19151/1915196/form-5600-fm-bmp0340-blast-report-pennsylvania.png "Form 5600-FM-BMP0340 "Blast Report" - Pennsylvania")
![Form 0210-PM-PIO0001 "General Information Form - Authorization Application" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/1915/19152/1915299/form-0210-pm-pio0001-general-information-form-authorization-application-pennsylvania.png "Form 0210-PM-PIO0001 "General Information Form - Authorization Application" - Pennsylvania")
![Form 0210-PM-PIO0001 "General Information Form -authorization Application Applicant's Checklist" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/1915/19152/1915289/form-0210-pm-pio0001-general-information-form-authorization-application-applicant-s-checklist-pennsylvania.png "Form 0210-PM-PIO0001 "General Information Form -authorization Application Applicant's Checklist" - Pennsylvania")
![Form 5600-PM-BMP0011 "Coal Ash Beneficial Use Certification" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/1915/19152/1915251/form-5600-pm-bmp0011-coal-ash-beneficial-use-certification-pennsylvania.png "Form 5600-PM-BMP0011 "Coal Ash Beneficial Use Certification" - Pennsylvania")
