Form 5600-FM-BMP0436 "Conventional Bonding for Land Reclamation Bond Calculation Summary" - Pennsylvania

What Is Form 5600-FM-BMP0436?

This is a legal form that was released by the Pennsylvania Department of Environmental Protection - a government authority operating within Pennsylvania. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 1, 2014;
  • The latest edition provided by the Pennsylvania Department of Environmental Protection;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form 5600-FM-BMP0436 by clicking the link below or browse more documents and templates provided by the Pennsylvania Department of Environmental Protection.

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Download Form 5600-FM-BMP0436 "Conventional Bonding for Land Reclamation Bond Calculation Summary" - Pennsylvania

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5600-FM-BMP0436
Rev. 1/2014
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROTECTION
BUREAU OF MINING PROGRAMS
CONVENTIONAL BONDING FOR LAND RECLAMATION
BOND CALCULATION SUMMARY
Permittee:
Year:     
Permit No.:
Municipality:
County:
Approved
Quantity/Bond
Existing Quantity/
Difference
Operation
Obligation in Permit
Bond Obligation on Site
(approved – existing)
Backfilling
Topsoil / Cover Material
Revegetation
Trees
Selective Grading
Ponds
Mobilization/Demobilization
Temporary E&S
Demolition of Structures
Sealing of Mine Openings
Stage 3 Maintenance
Other Items
Total Reclamation Cost
When will the next bond recalculation be submitted? Renewal
Mid-Term
If bond is recalculated at Renewal use: Total Site Bond = (Direct Costs + Indirect Costs) * (1+E)
5
If bond is recalculated at Mid-Term use: Total Site Bond = (Direct Costs + Indirect Costs) * (1+E)
3
Total Site Bond
Total Bond Posted for Site:
Required
Bond Posted is
Additional Bond Needed
$
Adequate
Progress Report
Since the most recent bond review (or site activation, if this is the first bond review) please report the number of acres in
the following categories:
Newly Disturbed
Stage 1 Reclaimed
Stage 2 Reclaimed
Stage 3 Reclaimed
Abandoned Mine Land Reclaimed to Stage 2 Standard
Abandoned Mine Land Reclaimed to Stage 2 Standard as a result of Remining Financial Guarantees
Does any reclamation include prime farmland soils?
No
Yes
(Attach planting and soil test reports for crop land and pastureland, including any available crop yields)
Submitted with this form:
Map/Photo
Landowner Letters
Planting Report (if any area was reclaimed to Stage 2 or Stage 3 standards)
Signature
Title
Date
The details of the calculations must be attached.
5600-FM-BMP0436
Rev. 1/2014
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROTECTION
BUREAU OF MINING PROGRAMS
CONVENTIONAL BONDING FOR LAND RECLAMATION
BOND CALCULATION SUMMARY
Permittee:
Year:     
Permit No.:
Municipality:
County:
Approved
Quantity/Bond
Existing Quantity/
Difference
Operation
Obligation in Permit
Bond Obligation on Site
(approved – existing)
Backfilling
Topsoil / Cover Material
Revegetation
Trees
Selective Grading
Ponds
Mobilization/Demobilization
Temporary E&S
Demolition of Structures
Sealing of Mine Openings
Stage 3 Maintenance
Other Items
Total Reclamation Cost
When will the next bond recalculation be submitted? Renewal
Mid-Term
If bond is recalculated at Renewal use: Total Site Bond = (Direct Costs + Indirect Costs) * (1+E)
5
If bond is recalculated at Mid-Term use: Total Site Bond = (Direct Costs + Indirect Costs) * (1+E)
3
Total Site Bond
Total Bond Posted for Site:
Required
Bond Posted is
Additional Bond Needed
$
Adequate
Progress Report
Since the most recent bond review (or site activation, if this is the first bond review) please report the number of acres in
the following categories:
Newly Disturbed
Stage 1 Reclaimed
Stage 2 Reclaimed
Stage 3 Reclaimed
Abandoned Mine Land Reclaimed to Stage 2 Standard
Abandoned Mine Land Reclaimed to Stage 2 Standard as a result of Remining Financial Guarantees
Does any reclamation include prime farmland soils?
No
Yes
(Attach planting and soil test reports for crop land and pastureland, including any available crop yields)
Submitted with this form:
Map/Photo
Landowner Letters
Planting Report (if any area was reclaimed to Stage 2 or Stage 3 standards)
Signature
Title
Date
The details of the calculations must be attached.