Form 5600-FM-BMP0152 "Noncoal Exploration Request for Permit Waiver" - Pennsylvania

What Is Form 5600-FM-BMP0152?

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-FM-BMP0152 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-BMP0152 "Noncoal Exploration Request for Permit Waiver" - Pennsylvania

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5600-FM-BMP0152
Rev. 7/2019
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROTECTION
BUREAU OF MINING PROGRAMS
NONCOAL EXPLORATION
Date Received:
EXPLORATION LOCATION
Municipality:
Date Inspected:
REQUEST FOR PERMIT WAIVER
MCI:
County:
Notice No.
DEP USE ONLY
Site Name:
I. General
A. Exploration Firm, Company, Agent or Individual
B. Period of Intended Exploration
From
/
/
Name
(
)
-
MO
DAY
YEAR
Phone
Address
City
State
Zip
Surface Mine Operator License Number
To:
/
/
MO
DAY
YEAR
(Not required, if exploration is by drilling only or for underground mining.)
Exploration for (type of mining)
Method of Exploration
Surface Mining
Coke Ash Removal
Drilling (Boreholes or Coreholes)
Underground Mining
Metallic Slag Removal
Test Pits/Trenches/Excavation
Type(s) of equipment to be used:
Drill rig
Backhoe
Bulldozer
Front end loader
Blasting
Other (list)
Application Fee
There is a fee required under 25 PA Code Chapter 77.106 for each request for permit waiver. The fee is $60. Is the fee
being submitted with the application?
Yes
No
Attach a 7½ minute U.S.G.S. topographic map showing:
the locations of each test pit or trench (include the approximate dimensions for pits/trenches/excavations) and the
general location of test hole areas.
the extent of the exploration area covered by this exploration notice.
access roads to drill hole locations from existing roads.
name(s) of landowner(s) of the exploration areas.
No exploration activities are allowed on restricted areas or barrier areas as defined under 25 Pa. Code Section 77.504
unless the waiver requirements of Section 77.504 are complied with. Will any of these areas be affected?
Yes
No
If yes, a waiver must be approved prior to exploration activities on these areas.
II. Testing
1. What is the purpose of testing at this site?
Extent of Reserves
Geologic and Hydrologic Information
Resource Quality
2. If the mineral are going to be removed from the site, then please provide:
• name and address of laboratory or processing facility to conduct testing
• amount of noncoal material needed for testing purposes
• completed consent of landowner form (5600-FM-MR0050) for each property
III. Performance and Design Standards
Describe the practices to be followed to protect the environment from adverse impacts in accordance with 25 Pa.
Code 77.109 (regarding noncoal exploration performance and design standards) particularly: sealing of drill holes;
erosion and sediment control; road development; regrading; topsoil handling; stabilization and vegetation; use of any
facilities which are proposed for post exploration uses; habitats of unique value for fish, wildlife, and related
environmental values; stream encroachments; hydrologic balance; and handling of acid forming material (when
applicable). (If additional space is necessary to provide the requested information please attach additional sheets.)
Thank You.
Signature of Responsible Official of the Applicant
Date
(Corporate Officer/Partner/Manager/Principal)
5600-FM-BMP0152
Rev. 7/2019
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROTECTION
BUREAU OF MINING PROGRAMS
NONCOAL EXPLORATION
Date Received:
EXPLORATION LOCATION
Municipality:
Date Inspected:
REQUEST FOR PERMIT WAIVER
MCI:
County:
Notice No.
DEP USE ONLY
Site Name:
I. General
A. Exploration Firm, Company, Agent or Individual
B. Period of Intended Exploration
From
/
/
Name
(
)
-
MO
DAY
YEAR
Phone
Address
City
State
Zip
Surface Mine Operator License Number
To:
/
/
MO
DAY
YEAR
(Not required, if exploration is by drilling only or for underground mining.)
Exploration for (type of mining)
Method of Exploration
Surface Mining
Coke Ash Removal
Drilling (Boreholes or Coreholes)
Underground Mining
Metallic Slag Removal
Test Pits/Trenches/Excavation
Type(s) of equipment to be used:
Drill rig
Backhoe
Bulldozer
Front end loader
Blasting
Other (list)
Application Fee
There is a fee required under 25 PA Code Chapter 77.106 for each request for permit waiver. The fee is $60. Is the fee
being submitted with the application?
Yes
No
Attach a 7½ minute U.S.G.S. topographic map showing:
the locations of each test pit or trench (include the approximate dimensions for pits/trenches/excavations) and the
general location of test hole areas.
the extent of the exploration area covered by this exploration notice.
access roads to drill hole locations from existing roads.
name(s) of landowner(s) of the exploration areas.
No exploration activities are allowed on restricted areas or barrier areas as defined under 25 Pa. Code Section 77.504
unless the waiver requirements of Section 77.504 are complied with. Will any of these areas be affected?
Yes
No
If yes, a waiver must be approved prior to exploration activities on these areas.
II. Testing
1. What is the purpose of testing at this site?
Extent of Reserves
Geologic and Hydrologic Information
Resource Quality
2. If the mineral are going to be removed from the site, then please provide:
• name and address of laboratory or processing facility to conduct testing
• amount of noncoal material needed for testing purposes
• completed consent of landowner form (5600-FM-MR0050) for each property
III. Performance and Design Standards
Describe the practices to be followed to protect the environment from adverse impacts in accordance with 25 Pa.
Code 77.109 (regarding noncoal exploration performance and design standards) particularly: sealing of drill holes;
erosion and sediment control; road development; regrading; topsoil handling; stabilization and vegetation; use of any
facilities which are proposed for post exploration uses; habitats of unique value for fish, wildlife, and related
environmental values; stream encroachments; hydrologic balance; and handling of acid forming material (when
applicable). (If additional space is necessary to provide the requested information please attach additional sheets.)
Thank You.
Signature of Responsible Official of the Applicant
Date
(Corporate Officer/Partner/Manager/Principal)
5600-FM-BMP0152
Rev. 7/2019
COMMONWEALTH OF PENNSYLVANIA
Instructions
DEPARTMENT OF ENVIRONMENTAL PROTECTION
BUREAU OF MINING PROGRAMS
NONCOAL EXPLORATION REQUEST FOR PERMIT WAIVER INSTRUCTIONS
Any person who intends to conduct noncoal exploration by drilling only should use Form 5600-FM-MR0151.
Any person who intends to conduct noncoal exploration activities in which noncoal minerals will be removed other than from
boreholes or coreholes (i.e. test pit/trench/excavation) shall obtain a Noncoal Surface Mining Permit unless the Department
grants a permit waiver to remove the minerals for the purpose of testing and analysis of resource properties. The Department
may grant waivers to excavate test pits/trenches/excavations to obtain reasonable quantities (as necessary for testing) of
noncoal minerals. The noncoal exploration activities shall not commence until either a permit or permit waiver is granted by the
Department. Noncoal exploration activities must be conducted in accordance with 25 Pa. Code Section 77.109.
This form is a request for a waiver from the requirement to file a permit application. The exploration activities may not proceed
until a written waiver is received from the Department. No waiver will be granted until a Consent of Landowner form is received
by the Department for all properties on which exploration activities will occur.
Noncoal minerals removed under a Permit Waiver, must be used for testing and analysis of the mineral properties.
If the Notice is considered confidential, attach a cover sheet entitled “CONFIDENTIAL “and list the reason(s) why the notice
should not be public information. The Department will determine if the notice is confidential after reviewing the information
submitted. Information requested to be held as confidential will not be made available to the public until an opportunity to be
heard is afforded to both persons seeking and opposing disclosure of the information. This form has been developed to provide
for completeness and uniformity in the submission of information supporting the filing of a notice of intent to explore for noncoal
or a request for a permit waiver for noncoal exploration. The notice must be filed with the Department prior to conducting the
exploration activities.
One original and one copy of the notice (including the map) should be prepared and submitted to the appropriate District Office
of the Department at least 30 days before exploration begins. All information requested on the exploration form must be
provided. Incomplete notices will be returned for additional information.
Please check with local utility companies before commencing exploration.
Mail this form and the attachments to the appropriate office identified below.
DISTRICT OFFICE
COUNTIES SERVED
New Stanton District Office
Allegheny, Armstrong, Fayette, Greene, Washington, and Westmoreland
P.O. Box 133
New Stanton, PA 15672
Tel: 724-925-5500
Knox District Office
Beaver, Butler, Clarion, Crawford, Elk, Erie, Forest, Jefferson, Lawrence, McKean,
White Memorial Bldg.
Mercer, Venango, and Warren
P.O. Box 669
Knox, PA 16232-0669
Tel: 814-797-1191
Cambria District Office
Adams, Bedford, Blair, Cambria, Cumberland, Franklin, Fulton, Huntingdon, Indiana,
286 Industrial Park Road
Juniata, Mifflin, Perry, and Somerset
Ebensburg, PA 15931-4119
Tel: 814-472-1900
Moshannon District Office
Bradford, Cameron, Centre, Clearfield, Clinton, Lycoming, Potter, Snyder, Sullivan,
186 Enterprise Drive
Tioga, and Union
Phillipsburg, PA 16866
Tel: 814-342-8200
Pottsville District Office
Berks, Bucks, Carbon, Chester, Columbia, Dauphin, Delaware, Lackawanna, Lancaster,
5 West Laurel Blvd.
Lebanon, Lehigh, Luzerne, Montgomery, Pike, Monroe, Montour, Northampton,
Pottsville, PA 17901-2522
Northumberland, Philadelphia, Schuylkill, Susquehanna, Wayne, Wyoming, and York
Tel: 570-621-3118
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