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Indiana Department of Natural Resources

Reclamation > Regulatory Forms Regulatory Forms

Title Form Number Electronic Format
Coal Exploration
Application for Approval to Conduct Coal Exploration Activities under 250 Tons 50616.pdf
Coal Mining Permitting
Request For Renewal Of Blaster Certification 54002.pdf
54002.doc
Application For Blaster Certification 54003.pdf
54003.doc
Application for an Incidental Boundary Revision to a Previously Approved Permit 50617.pdf
Certificate of Liability Insurance 50613.pdf
Report of Coal Production & Reclamation Fee 44984.pdf
Request For Exemption For Coal Extraction Incidental to the Extraction of Other Minerals 50614.pdf
Semi-Annual Seeding Report (B-601) 50619.pdf
Coal Mine Bond
Bond Pool Application 51507.pdf
Collateral Assignment of Certificate of Deposit (CA-1) 50625.pdf
Collateral Assignment of Deposit Account (DA-1) 50624.pdf
Irrevocable Letter of Credit (LC-1) 6733.pdf
Irrevocable Letter of Credit Amendment (LC-2) 50622.pdf
Self-Bond Application 51895.pdf
Self-Bond Indemnity Agreement and Absolute Corporate Guaranty 51892.pdf
Self-Bond Indemnity Agreement and Absolute Corporate Guaranty Rider (SE-1) 51894.pdf
Self-Bond Indemnity Agreement and Absolute Corporate Guaranty Rider with Guarantor (SE-2) 51951.pdf
Surety Bond (SB-1) 50621.pdf
Surety Bond Rider (SB-2) 6732.pdf
Surface Coal Mine Reclamation Bond Pool Fund, New Acres (BP-1) 51509.pdf
Surface Coal Mine Reclamation Bond Pool Fund (BP-2) 51510.pdf
Clay and Shale Mining
Clay and Shale Collateral Assignment of Certificate of Deposit 54963.pdf
Clay and Shale Irrevocable Letter of Credit 54964.pdf
Clay and Shale Surety Bond 54951.pdf
Application for a Permit (R-100) 2192.pdf
Bonding Evaluation Factor Sheet (R-102) 20069.pdf
Plan of Reclamation (R-101) 2191.pdf
Plan of Revegetation (R-301) 2190.pdf
Report of Affected Area (R-200) 2193.pdf
Report of Grading - Maps (R-300) 20065.pdf
Report of Vegetation (R-302) 20063.pdf
Misc Forms
Citizen Complaint and State Inspection Request 50419.pdf