Free 02191.pdf - Indiana

State Form 2191 (R2/10-03)

Form R-101 Page 1 of 3

STATE OF INDIANA DIVISON OF RECLAMATION INDIANA DEPARTMENT OF NATURAL RESOURCES PLAN OF RECLAMATION Permit Year To

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Name of Pit : Topography (underline) A. Level B. Rolling Prior Use (acres) A. Row Crop B. Pasture C. Forest C. Steep D. Old Fields E. Old Mined Area F. Others (specifiy)

4. AREA AND MINERAL TO BE MINED 5. 6. 7.

Minerals to be mined (underline) A. Coal B. Clay C. Shale Number or Name of the mineral seam(s) to be mined: Average depth of overburden is In the Column to the right, draw a Representative core sample of the Overburden above the mineral to be Mined. Give the type and thickness Of each strata including the thickness Of the mineral seam. If two (2) or More seams are to be mined, include all Material lying between the seams And identify parting if it occurs. Describe briefly the source of the information given in Number 7 above: feet.

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METHOD OF OPERATION

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List below the number, size and type of the overburden removal equipment to be used for this operation.

Form R-101 Page 2 of 3

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Is the separation of unconsolidated material planned for this operation? No If yes, describe by what method and with what equipment Yes it will be accomplished. If parting is encountered in the process of mining two (2) or more seams of coal, briefly describe where such parting will be placed in the spoil.

METHOD OF OPERATION (CONTINUED)

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Underline the method by which the coal will be processed and marketed. A. Mine run only B. Crushed mine run C. Lump, graded D. Washed, graded E. Washed, crushed Give the location of the processing equipment:

14. EROSION AND DRAINAGE CONTROL

Describe proposed measures to control acid conditions resulting from this operation, such as cover crop, impoundments, terraces, etc.

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Describe proposed measures to control acid conditions resulting from this operation, such as runoff, exposed acid-forming materials, etc.

16. 17. GRADING PROGRAM

List below the number, size and type of equipment to be used to complete the grading of the affected area. Indicate below the land use objective(s) for which the affected area will be Graded. (Refer to pages 38-40 for land use grading standards.) A. Acres row crop B. Acres pasture and hay C. Acres range land D. Acres forest land E. Acres other (Describe in detail on a separate sheet of paper if affected area is to be reclaimed to a land use objective other than one of the above.) If water impoundments are planned, give location, number of acres and type.

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Form R-101 Page 3 of 3

19. GRADING PROGRAM

Describe plans for reclamation of other disturbed areas, such as haul or access roads, processing sites, drainage ways, etc., and give the approximate completion date.

20. REFUSE AND DEBRIS 21.

Describe plans for disposal of refuse (i.e., gob and slurry), and debris (i.e., metal, lumber, machinery fluids, office waste, concrete, etc.) resulting from the mining operations.

Describe the species, method, and rate of application of the temporary vegetative cover to be seeded promptly after grading.

22. REVEGETATION AND SOIL AMENDMENTS 23.

Describe the type and method of application of the permanent vegetative cover.

Describe the type(s), amount(s), and method(s) of application of soil amendment(s) and/or conditioners, such as lime, fertilizer, mulch, sludge, etc.

Name of Operator: Responsible Official: Title: Date: Subscribed and sworn to before me this My commission expires day of , 20 . . Notary Public One (1) Notarized Copy
(Revised Oct 2003) I:\Barb forms\R-101_Plan_Reclamation.doc