Form 5600-PM-BMP0385 "Renewal Application Coal Mining Activity Permit" - Pennsylvania

What Is Form 5600-PM-BMP0385?

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 July 1, 2019;
  • 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-PM-BMP0385 by clicking the link below or browse more documents and templates provided by the Pennsylvania Department of Environmental Protection.

ADVERTISEMENT
ADVERTISEMENT

Download Form 5600-PM-BMP0385 "Renewal Application Coal Mining Activity Permit" - Pennsylvania

1110 times
Rate (4.4 / 5) 78 votes
5600-PM-BMP0385
Rev. 7/2019
COMMONWEALTH OF PENNSYLVANIA
Instructions
DEPARTMENT OF ENVIRONMENTAL PROTECTION
BUREAU OF MINING PROGRAMS
INSTRUCTIONS FOR COMPLETING
RENEWAL APPLICATION
COAL MINING ACTIVITY PERMIT
Address – The legal mailing address of the
GENERAL INFORMATION
applicant.
1. This information is provided to assist the applicant
Applicant Contact – Provide the name, title, and
in completing the application to renew a coal
daytime telephone number and email address of
mining activity permit.
A coal mining activity
the
person
representing
the
applicant
permit is issued for a fixed term and must be
(organization).
renewed every five (5) years as long as a bond
remains on the operation.
Please read these
The person must be an employee of the
instructions prior to completing the Application.
organization and must be located at the mailing
address
of
the applicant and
will receive
2. Complete the Application by typing or printing
correspondence on behalf of the applicant.
clearly. If additional space is required to provide
information, attach an 8½" X 11" sheet of paper
Application Type – Check appropriate box for type
appropriately labeled.
of organization.
3. Copies of this Application must be completed and
Mine Operator’s License Number or Identification
submitted to the appropriate DEP District Mining
Number – The Applicant’s current mining license
Office (see Appendix A of these instructions for a
number or identification number, as applicable.
listing of the names, addresses and telephone
numbers of these offices along with the counties
Section B. Description of Activity
for which the office reviews and processes these
Applications). The renewal application must be
Application Type – Check appropriate box. The
submitted at least 180 days prior to the permit
NPDES permit may be checked for renewal in lieu
expiration date. Copies of renewal applications
of
submitting
a
completely
new
NPDES
are to be submitted as follows:
application.
However, an entirely new NPDES
Bituminous Surface Mine Permits original and
application must be submitted if revisions are
one (1) copy.
made that modify the effluent limits assigned to
the permit. The NPDES box must be checked if
Anthracite
permits
original
and
two
discharges requiring treatment exist on the site.
(2) copies.
Type of Mining Activity – Check the appropriate
Bituminous Underground Permits - original
box(es) which identify the coal mining activities
and four (4) copies.
conducted under this Permit.
Bituminous Coal Refuse Disposal and Coal
Preparation
Plants
-
Original
and
three (3) copies.
Section C. Site Information
4. Notification
packets
must
be
provided
for
Location of Operation – Indicate the municipality
Bituminous
Underground,
Bituminous
Coal
and county of the permitted mine site.
Refuse Disposal and Bituminous Coal Preparation
Operation Name – Indicate the name used to
Plant permit renewals. The packets must contain
identify the operation.
the following:
Modules 1, 2, 6.1, 10.1 and
Permit Number – Coal mine permit number
when
applicable
Module 12
and
Form
5600-PM-BMP0032 - Application for Individual
assigned by DEP.
NPDES Permit Associated with Mining.
Permit Issuance Date – Date mine permit was
Five copies of the packet plus an additional copy
originally issued by DEP.
for each municipality that exists within the permit
Permit Expiration Date – Date present permit
boundary is required.
expires.
Site Contact – Provide the name, title, mailing and
Section A. Applicant Information
email address, and telephone number of the
person
who
has
overall
responsibility
for
Applicant – The person who seeks to renew their
environmental matters at this mine site.
permit to conduct coal mining activities.
Surface Area Maps, Plans and Cross-Sections –
Applicant Name – The name under which the
Check the appropriate block that reflects the
Application is filed.
- 1 -
5600-PM-BMP0385
Rev. 7/2019
COMMONWEALTH OF PENNSYLVANIA
Instructions
DEPARTMENT OF ENVIRONMENTAL PROTECTION
BUREAU OF MINING PROGRAMS
INSTRUCTIONS FOR COMPLETING
RENEWAL APPLICATION
COAL MINING ACTIVITY PERMIT
Address – The legal mailing address of the
GENERAL INFORMATION
applicant.
1. This information is provided to assist the applicant
Applicant Contact – Provide the name, title, and
in completing the application to renew a coal
daytime telephone number and email address of
mining activity permit.
A coal mining activity
the
person
representing
the
applicant
permit is issued for a fixed term and must be
(organization).
renewed every five (5) years as long as a bond
remains on the operation.
Please read these
The person must be an employee of the
instructions prior to completing the Application.
organization and must be located at the mailing
address
of
the applicant and
will receive
2. Complete the Application by typing or printing
correspondence on behalf of the applicant.
clearly. If additional space is required to provide
information, attach an 8½" X 11" sheet of paper
Application Type – Check appropriate box for type
appropriately labeled.
of organization.
3. Copies of this Application must be completed and
Mine Operator’s License Number or Identification
submitted to the appropriate DEP District Mining
Number – The Applicant’s current mining license
Office (see Appendix A of these instructions for a
number or identification number, as applicable.
listing of the names, addresses and telephone
numbers of these offices along with the counties
Section B. Description of Activity
for which the office reviews and processes these
Applications). The renewal application must be
Application Type – Check appropriate box. The
submitted at least 180 days prior to the permit
NPDES permit may be checked for renewal in lieu
expiration date. Copies of renewal applications
of
submitting
a
completely
new
NPDES
are to be submitted as follows:
application.
However, an entirely new NPDES
Bituminous Surface Mine Permits original and
application must be submitted if revisions are
one (1) copy.
made that modify the effluent limits assigned to
the permit. The NPDES box must be checked if
Anthracite
permits
original
and
two
discharges requiring treatment exist on the site.
(2) copies.
Type of Mining Activity – Check the appropriate
Bituminous Underground Permits - original
box(es) which identify the coal mining activities
and four (4) copies.
conducted under this Permit.
Bituminous Coal Refuse Disposal and Coal
Preparation
Plants
-
Original
and
three (3) copies.
Section C. Site Information
4. Notification
packets
must
be
provided
for
Location of Operation – Indicate the municipality
Bituminous
Underground,
Bituminous
Coal
and county of the permitted mine site.
Refuse Disposal and Bituminous Coal Preparation
Operation Name – Indicate the name used to
Plant permit renewals. The packets must contain
identify the operation.
the following:
Modules 1, 2, 6.1, 10.1 and
Permit Number – Coal mine permit number
when
applicable
Module 12
and
Form
5600-PM-BMP0032 - Application for Individual
assigned by DEP.
NPDES Permit Associated with Mining.
Permit Issuance Date – Date mine permit was
Five copies of the packet plus an additional copy
originally issued by DEP.
for each municipality that exists within the permit
Permit Expiration Date – Date present permit
boundary is required.
expires.
Site Contact – Provide the name, title, mailing and
Section A. Applicant Information
email address, and telephone number of the
person
who
has
overall
responsibility
for
Applicant – The person who seeks to renew their
environmental matters at this mine site.
permit to conduct coal mining activities.
Surface Area Maps, Plans and Cross-Sections –
Applicant Name – The name under which the
Check the appropriate block that reflects the
Application is filed.
- 1 -
5600-PM-BMP0385
Rev. 7/2019
Instructions
current maps, plans and cross-sections of the
Reclamation Fee - The Federal Surface Mining
permit.
Control and Reclamation Act requires a coal
operator to pay a reclamation fee of 35 cents per
ton of surface mined coal and 15 cents per ton of
Section D.
Bituminous Underground Coal Mine
underground mined coal to the Federal Office of
Five-Year Subsidence Control Plan
Surface Mining.
Indicate whether these fees
required to be paid by the applicant have been
Bituminous underground mines should include the
made.
subsidence control plan for the next five (5) year
period.
Contractor – If a contractor will be conducting the
operation provide the name, address, telephone
number, and email address of the contractor and
Section E. Application Fee
if the contractor is a business entity other than a
Determine the permit application fee for the type
single
proprietor,
provide
the
names
and
of activities conducted and provide a check
addresses of the respective principals, officers,
payable to the "Commonwealth of Pennsylvania"
and resident agents.
for the total application fee.
Ownership Interest
Liability Insurance (insurance must remain in force
Section F. Additional Related Information
until all bonds have been released).
Permit Renewal Application Date – Date this
Newspaper Public Notice - Provide the name of
Application was completed and forwarded to the
the newspaper in which the public notice
appropriate DEP District Mining Office.
advertisement will appear and a copy of the
proposed public notice. The public notice should
not start until the renewal application is accepted
Section G. Affidavit
by the District Office. The advertisement must be
List the name, title and address of the person
published once a week for four (4) consecutive
authorized to make this Application for permit.
weeks in a newspaper of general circulation in the
The person’s signature along with being attested
locality of the mine site. Proof of publication must
by a notary public is required.
be
submitted
to
the
District
Office
upon
completion of the public notice.
- 2 -
5600-PM-BMP0385
Rev. 7/2019
Instructions
APPENDIX A
DISTRICT MINING OFFICES
DISTRICT OFFICE
COUNTIES
KNOX DISTRICT OFFICE
Beaver, Butler, Clarion, Crawford, Erie, Elk, Forest, Jefferson,
Lawrence, McKean, Mercer, Venango and Warren
PA Department of Environmental Protection
Knox District Office
White Memorial Building
P.O. Box 669
Knox, PA 16232-0669
(814) 797-1191
CAMBRIA DISTRICT OFFICE
Adams, Bedford, Blair, Cambria, Cumberland, Franklin, Fulton,
Huntingdon, Indiana, Juniata, Mifflin, Perry and Somerset
PA Department of Environmental Protection
Cambria District Office
286 Industrial Park Road
Ebensburg, PA 15931
(814) 472-1900
NEW STANTON DISTRICT OFFICE
Allegheny,
Armstrong,
Fayette,
Greene,
Washington
and
Westmoreland
PA Department of Environmental Protection
New Stanton District Office
P.O. Box 133
New Stanton, PA 15672
(724) 925-5500
MOSHANNON DISTRICT OFFICE
Bradford, Cameron, Centre, Clearfield, Clinton, Lycoming, Potter,
Snyder, Sullivan, Tioga and Union
PA Department of Environmental Protection
Moshannon District Office
186 Enterprise Drive
Philipsburg, PA 16866
(814) 342-8200
POTTSVILLE DISTRICT OFFICE
Carbon, Columbia, Dauphin, Lackawanna, Lebanon, Luzerne,
Northumberland, Schuylkill, Susquehanna and Wayne
PA Department of Environmental Protection
Pottsville District Office
5 West Laurel Blvd.
Pottsville, PA 17901-2522
(570) 621-3118
CALIFORNIA DISTRICT OFFICE
All counties in which underground coal mining occurs, except the
counties covered by the Pottsville District Office.
PA Department of Environmental Protection
California District Office
25 Technology Drive
Coal Center, PA 15423
(724) 759-1100
Renewal applications should be submitted to the District Mining Offices as follows:
Surface Mines
Underground Mines
Coal Preparation, Coal Refuse Disposal
Knox (bituminous)
California (bituminous)
California (bituminous)
New Stanton (bituminous)
Pottsville (anthracite)
Pottsville (anthracite)
Cambria (bituminous)
Pottsville (anthracite)
Moshannon (bituminous)
- 3 -
DEP USE ONLY
5600-PM-BMP0385
Rev. 7/2019
COMMONWEALTH OF PENNSYLVANIA
Date Received
DEPARTMENT OF ENVIRONMENTAL PROTECTION
BUREAU OF MINING PROGRAMS
RENEWAL APPLICATION
COAL MINING ACTIVITY PERMIT
Before completing this form, read the step-by-step instructions provided with this Renewal Application Package.
SECTION A. APPLICANT INFORMATION
Applicant Name
Applicant Type
Individual
PA Corporation
Mailing Address
Non-PA Corporation
General Partnership
(Street # and Name or P.O. Box)
Limited Partnership
Municipality
Other
(City)
(State)
(Zip Code + Four)
Mine Operator’s License
Application Contact
# or I.D. # (as applicable)
(Last Name)
(First Name)
(MI)
(Telephone #)
(Ext.)
(Title)
(FAX #)
Application Contact Email Address:
SECTION B. DESCRIPTION OF ACTIVITY
Type of Renewal Application
Coal extraction, coal preparation, coal refuse disposal or coal refuse reprocessing
NPDES
Note: A renewal application for coal extraction (or coal preparation, coal refuse disposal, coal refuse reprocessing) does not have to be
submitted for permits with only reclamation activities and no mine drainage treatment occurring. The provisions of 25 PA Code Section
86.55(c),(i) and (j), relating to providing written notice to the Department, apply for permits with only reclamation activities occurring.
Type of Mining Activity(ies)
Surface Mining
Underground Mining
Coal Preparation Plant/
Processing Facility
Coal Refuse Reprocessing
Coal Refuse Disposal
Other (specify)
SECTION C. SITE INFORMATION
Location of Operation
Municipality(ies)
County(ies)
Operation Name:
Permit No.
Permit Issuance Date
Permit Expiration Date
1 - 3
5600-PM-BMP0385
Rev. 7/2019
SECTION C. SITE INFORMATION (continued)
Site Contact
(Last Name)
(First Name)
(MI)
(
)
Ext.
(Title)
(Telephone #)
(FAX #)
Site Contact email address:
____________________________________________________
Mailing Address
(Street # and Name or P.O. Box)
(City)
(State)
(Zip Code + Four)
Surface Area Maps, Plans, and Cross-Sections. (See Section D for the mapping requirements for bituminous underground
mines, coal preparation plants, and mine refuse disposal sites.)
It is required that each permit contain up-to-date maps, plans, and cross-sections that depict all existing and permitted facilities. Check
either block below that is appropriate to this permit renewal application.
The original maps, plans and cross-sections submitted and approved with the application for permit accurately depict the surface
facilities and structures at the coal mining activity site.
Revised maps, plans and cross-sections were submitted and approved that accurately depict the surface facilities and structures at
the coal mining activity site.
Date of most recent revised maps, plans and cross-sections:
Date of most recent permit revisions:
or
Date of most recent bond increment approval:
If either block cannot be checked, revisions must be submitted with this renewal application in accordance with 25 PA Code
Section 86.52.
SECTION D. BITUMINOUS UNDERGROUND MINE, COAL PREPARATION AND COAL REFUSE DISPOSAL PLANTS
The following Modules must be included with this application:
Module 1
Application
Yes
No
Module 2
General Information (including the proposed public notice text)
Yes
No
Module 5
Property Interests, Right of Entry
Yes
No
Module 6
Environmental Resource Maps (Sections 6.1, 6.2, and 6.3)
Yes
No
Module 8
Form 8.15A Monitoring Program Summary
Yes
No
Module 9
Operations Maps - Surface Mining Activity Sites (Section 9.1)
Yes
No
Module 10.1
General Description of Mining Activities
Yes
No
Module 12
Treatment Systems
Yes
No
Module 16
Air Quality and Noise Control (for GP-12 renewals only)
Yes
No
Module 19
Reclamation Schedule and Cost Information
Yes
No
Module 22
Subsidence Control and Underground Mine Maps
Yes
No
(for Bituminous Underground permit renewals only)
BAQ-GPA/GP-12:
General Permit: Air Quality (if Applicable)
Yes
No
5600-PM-BMP0032:
Application for Individual NPDES Permit Associated with Mining Activities
Yes
No
Submit one (1) original and four (4) copies for Bituminous Underground Permits. Submit one (1) original and three (3) copies for
Bituminous Coal Refuse Disposal and Coal Preparation Plants. If "no" is checked, attach a narrative explaining why this information
has not been included.
SECTION E. APPLICATION FEE
250.00 – Surface Mining/Coal Refuse Reprocessing/Coal Refuse Disposal and Anthracite Mining
$
250.00 – Bituminous Underground Mining
$
250.00 – Bituminous Coal Preparation Plant/Processing Facility
$
$ 1,000.00 – BAQ-GPA/GP-12 – General Permit: Air Quality
500.00 – NPDES (Renewal)
$
$
TOTAL APPLICATION FEE
2 - 3
Page of 8