5600-PM-BMP0394 6/2016 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF ENVIRONMENTAL PROTECTION BUREAU OF MINING PROGRAMS Applicant: SMAP #: Township: County: ANTHRACITE PREPARATION PLANT PERMIT APPLICATION REVIEW GUIDE Receiving Streams(s): Chapter 93 Water Quality Classification(s): Existing Uses: Public Water Supplies: Agency Date Notified Response Received SMCI Field Review Engineer Hydrogeologist (if applicable) Monitoring & Compliance Specialist Bureau Abandoned Mine Reclamation Bureau Mine Safety Bureau Watershed Management Bureau Oil & Gas Planning and Program Management Bureau of Safe Drinking Water Bureau Topo & Geo Survey Bureau of Point and Non-Point Source Management Bureau of Air Quality Bureau of Waste Management Scenic Rivers Program (DCNR) County Conservation District Fish and Boat Commission Game Commission Historical & Museum Commission Local Municipality PennDOT SRBC U.S. Corps of Engineers (if applicable) Water Companies (list all) / PADWIS# Others (List) -1- Comments/Recommendations 5600-PM-BMP0394 6/2016 Pre-Application Was a pre-application submitted? Yes No If yes, were the deficiences from the pre-application addressed? Yes No If no, list the outstanding deficiencies: Pennsylvania Natural Diversity Inventory (PNDI) Did any of the following agencies report potential impacts associated with the PNDI search? IMPACTS Yes No Yes No Yes No Yes No Yes No Informal conference requested? Yes No Public hearing requested? Yes No DCNR Result/Comment: Game Commission Result/Comment: Fish and Boat Commission Result/Comment: U.S. Fish and Wildlife Result/Comment: Public Comments Were any written comments or objections received? If yes, was a: If a Public Hearing was held: What was the date of the Public Hearing? Yes No Was a Public Hearing report completed? Yes No Were the objectors notified (e.g. letter, report)? Yes No Sample Information System (SIS) SIS Report created? Yes Cumulative Hydrologic Impact Assessment (CHIA) Was the CHIA completed? Yes Surface Mining Conservation Inspector (SMCI) SMCI field review conducted? Yes Inspector comments? Yes Were the Inspectors comments addressed? Yes -2- No 5600-PM-BMP0394 6/2016 Lead Reviewer Recommendation: Hydrogeologist or Mining Engineer Approval Disapproval Date: Approval Disapproval Date: Approval Disapproval Date: Signature: Technical Supervisor Recommendation: Signature: District Mining Manager Recommendation: Signature: -3- 5600-PM-BMP0394 6/2016 MODULE 1: GENERAL INFORMATION Reviewer: Review Date: Approved: Approval Date: Denied: Does the operator have a valid license to mine in Pennsylvania? Yes No Was the application paperwork submitted with the original seal? Yes No Were all of the required signatures submitted? Yes No Was the affidavit included? Yes No Proposed Activities? Yes No Proposed variances? Yes No Was a copy of the public notice placed in a public office in the county where the Yes proposed mining will occurr? No Was the public notice placed in a valid newspaper? Yes No Was the permit acreage accurately provided? Yes No Was the latitude/longitude provided? Yes No Was an original Proof of Publication provided? Yes No If pending, the license number must be listed upon approval. MSHA ID#: Verification of Application (§ 86.18): Public Notice (§§ 86.31, 86.70): Comments: MODULE 2: NPDES INFORMATION Reviewer: Review Date: Approved: Approval Date: Denied: Note: A National Pollutant Discharge Elimination System (NPDES) permit is needed for all mining permits Is a discharge proposed? Yes No Is a Total Maximum Daily Limit (TMDL) required? Yes No Yes No If yes, list here: High Quality Watershed Is a discharge proposed? If yes, list Individual NPDES permit numbers here: -4- 5600-PM-BMP0394 6/2016 Individual NPDES / General Permit 104 (GP 104) Information: Is the acreage consistant with the Surface Mine Permit (SMP)? Yes No Was the Stream Class identified? Yes No Was the PPC included? Yes No Was the NPDES signed, sealed, notarized? Yes No Did the Engineer approve the NPDES and/or GP 104? Yes No Was a Public Notice provided? Yes No Were any discharge(s) identified? Yes No Were the discharges keyed to Map 6.2 and/or 9.0? Yes No Was the Proof of Publication provided? Yes No Was the initial notification published in Pennsylvania a Bulletin? Yes No Was the notification published as a draft in the Pennsylvania a Bulletin? Yes No Was the notification published as final in the Pennsylvania a Bulletin? Yes No Was the notification sent to the U.S. Environmental Protection Agency, if applicable? Yes No Comments: MODULE 3: OWNERSHIP / COMPLIANCE INFORMATION (§§ 86.62, 86.63) Reviewer: Review Date: Approved: Approval Date: Denied: Is the applicant licensed? Yes No Will there be a contract operator? Yes No Was Module 3 provided and complete? Yes No Compliance report comments? Yes No Comments: MODULE 4: AREAS WHERE MINING IS PROHIBITED OR LIMITED (§§ 86.102-86.103, 88.22, 88.56) Reviewer: Review Date: Approved: Are there any restricted areas? Approval Date: Denied: Yes No Yes Yes Yes Yes No No No No If yes, list: House(s) Stream(s) Road(s) Utilities -5- 5600-PM-BMP0394 6/2016 Was the Public Notice provided? Yes No Was the original proof of publication provided? Yes No Was the Cutural Resource notice provided? Yes No Were the original certified mail receipts included? Yes No Act 67/68 -General Information Form (GIF) Comments: MODULE 5: PROPERTY INTERESTS/RIGHT OF ENTRY(§§ 86.37(a)(7), 86.62(a)(2), 86.64) Reviewer: Review Date: Approved: Approval Date: Denied: Was the original Consent of Landowner Form provided? Yes No Was the landowner consent notarized and recorded? Yes No Was a signed map attached to the consent? Yes No Were the right of entry documents provided? Yes No Yes No If yes, list (e.g. lease, deed): Are the right of entry documents valid? (Note the right of entry at the minium, needs the following information - names of the parties involved in the lease, mining activity to be conducted on the permit, term of the lease, map or legal description of the lease area, acrage amount of lease and signature page.) Comments: MODULE 6: ENVIRONMENTAL RESOURCES MAPS (§§ 86.15, 88.31) Reviewer: Review Date: Approved: Approval Date: Denied: Was an accurate topographic map provided? Yes No Was the Environmental Resource Map provided? Yes No Was the Environmental Resource Map complete? Yes No Was the Environmental Resource Map sealed? Yes No Comments: -6- 5600-PM-BMP0394 6/2016 MODULE 7: GEOLOGY INFORMATION (§§88.24, 88.25, 88.31) Reviewer: Review Date: Approved: Approval Date: Denied: Overburden Analysis Was a Waiver of Overburden Analysis requested? Yes No If yes, was a narrative explanation and documentation supporting the basis for the waiver provided? Yes No Was the Waiver of Overburden Analysis request approved or denied? Denied Approved Provide a brief description of why the Waiver of Overburden Analysis was approved: Stratigraphy (if applicable) Was the required stratigraphy information included? Yes No Comments: MODULE 8: HYDROLOGY (§§ 88.25, 88.26) Reviewer: Review Date: Approved: Approval Date: Denied: Were six (6) months of background samples results provided? Yes No Was a permanent monitoring plan submitted? Yes No Was any mine pool information provided? Yes No Was this information keyed to Map 6.2 and/or 9.0? Yes No Were all references cited? Yes No Were there any potential impacts reported (e.g. stream, public water, private water)? Yes No If yes, list: Comments: -7- 5600-PM-BMP0394 6/2016 MODULE 9: OPERATIONS MAP (§ 88.44) Reviewer: Review Date: Approved: Approval Date: Denied: Was the Operations Map accurate? Yes No Was the Operations Map sealed? Yes No Comments: MODULE 10: OPERATIONAL INFORMATION (§§88.41, 88.42) Reviewer: Review Date: Approved: Approval Date: Denied: Was there an adequate plan for proposed mining? Yes No Were there any existing structures? Yes No Yes No Was a bond provided? Yes No Was the bond total adquate? Yes No Was a land owner letter provided allowing the buildings to remain? Yes No Yes No was a bond provided? Yes No Are the roads common use? Yes No If yes, provide verification of common use. Yes No Will any roads remain post mining? Yes No If yes, was a landowner letter provided allowing the roads to remain post mining? Yes No If no, was a bond submitted? Yes No If yes, list: Buildings Will any buildings remain post mining? If yes, list: Roads List acre of roads: acres Are road improvements proposed? If yes, -8- 5600-PM-BMP0394 6/2016 Is a Highway Occupancy Permit needed? Yes No If yes, was a copy provided? Yes No Were all existing structures keyed to Map 6.2 and/or 9? Yes No Comments: MODULE 11: COAL REFUSE DISPOSAL (§ 88.59) Reviewer: Review Date: Approved: Approval Date: Denied: Is there any coal refuse disposal sites proposed? Yes No If yes, list sources: Comments: MODULE 12: EROSION AND SEDIMENTATION CONTROLS (§§ 88.50, 88.51, 88.52, 88.53 &, Chapter 102) Reviewer: Review Date: Approved: Approval Date: Denied: Diversion Controls Was a plan for the collection and conveyance to a natural drainage way of the runoff from upslope undisturbed areas provided? Yes Was a separate general design for a temporary highwall diversion which limits the amount of runoff which can enter the pit (where applicable) plan? Yes Was the following information included on Module 12.1 Diversion/Collection Ditches: 1) 2) 3) 4) 5) 6) Design criteria Capacity calculations Profile of proposed channel slopes Typical cross sections Required erosion resistant channel linings Additional applicable details No No Yes Yes Yes Yes Yes Yes No No No No No No Was a complete plan for the control of erosion and sedimentation for lands within the permit area to be disturbed by surface mining activities? Yes No Were all facilities shown to scale on Exhibit 9 and Exhibit 18? No Erosion and Sediment Control Haul Roads/Access Roads Was the required information for each road to be constructed, reconstructed or used in the operation submitted? -9- Yes 5600-PM-BMP0394 6/2016 Will a PennDOT highway occupancy permit be needed? Yes No If yes, was the permit number provided prior to permit activation? Yes No Was a Notification form for activities proposed to be conducted under General Permit for Temporary Road Crossings (BMR-GP-101) and General Permit for Access Road Crossings (BMR-GP-102) must include a completed Notification Form provided? Yes No Comments: MODULE 13: IMPOUNDMENTS / TREATMENT Reviewer: Review Date: Approved: Approval Date: Denied: Treatment (§ 88.49(b)(1)) Was a construction and maintenance narrative submitted? Yes No Was a detailed plan view and cross-section drawings submitted? Yes No Was the Design criteria and engineering calculations included? Yes No Were the pond certification data sheets included? Yes No Detailed design and construction plans? Yes No Construction narrative? Yes No Detailed plan view and cross-section drawings Yes No Design criteria and engineering calculations Yes No Pond certification data sheets Yes No Are there any pond(s) with >100 acres of drainage area? Yes No Are there any pond(s) with maximum storage elevation >15 feet? Yes No Are there any pond(s) with a maximum storage volume >50 acre-feet? Yes No If yes, was the fee of $1,500 submitted? Yes No Was the Operation and Maintenance narrative submitted? Yes No Was a dewatering timetable submitted? Yes No Yes No Sedimentation Ponds, Dams and Impoundments (§ 88.53) Class C Dams (Chap. 105) Operation and Maintenance Requirements Removal Was the pond reclamation narrative included? Comments: - 10 - 5600-PM-BMP0394 6/2016 MODULE 14: STREAMS / WETLANDS Reviewer: Review Date: Approved: Approval Date: Denied: Mining Activities within 100 Feet of a Stream (§§ 86.102(12), 88.138(b)) Was the proof of publication submitted? Yes No Will mining activities occur within the floodway or 50 feet from the top of the stream bank? Yes No If yes, Was the drainage area(s) at that point >100 acres submitted ($200 fee)? Yes No Does the activity qualifies as a small project (as defined in § 105.1) ($100 fee)? Yes No Is the activity authorized under a BMP-GP-101 or BMP-GP-102 (no fee)? Yes No Was the proof of publication submitted? Yes No Is the drainage area >100 acres? Yes No If yes, was a $300 is submitted? Yes No Do wetlands exist? Yes No Will they be affected? Yes No Were any Exceptional Value Wetlands identified? Yes No Is a Wetland Impact Analysis/Assessment provided? Yes No Is an alternative analysis completed and included? Yes No Will the proposed mining activities directly affect the wetlands? Yes No Will any wetlands within the proposed permit or adjacent area be indirectly affected? Yes No Stream Relocation and Channel Changes (Chap. 105.18a) Wetland Related Information Wetland Impact Analysis/Assessment Wetland Mitigation/Replacement Is wetland mitigation or wetland replacement proposed? Yes No Are the location(s) of replacement wetland sites shown on the Operations Map (Exhibit 9) and the Land Use and Reclamation Map (Exhibit 18)? Yes No What is the wetland replacement ratio? Yes No Has the applicant completed and attached the “PASPGP-4 Cumulative Impacts Project Screening Form (3150-PM-BWEW0050)” and supporting documents listed below to this module? Yes No Has the applicant submitted an “Individual Permit” to the Corps? No United States Army Corp of Engineers Permits Comments: - 11 - Yes 5600-PM-BMP0394 6/2016 MODULE 17: AIR POLLUTION CONTROL PLAN (§§ 88.48, 88.114) Reviewer: Review Date: Approved: Approval Date: Denied: Will an Air Quality Permit be required? Yes No Was a General Permit 12 submitted? Yes No Comments: MODULE 18: LAND USE AND RECLAMATION MAP (§ 88.44) Reviewer: Review Date: Approved: Approval Date: Denied: Was an accurate land use map provided? Yes No Was Map 18 signed and sealed? Yes No Comments: MODULE 19: LAND USE / VEGETATION / FISH AND WILDLIFE / PRIME FARMLAND Reviewer: Review Date: Approved: Approval Date: Denied: Existing land use? (§ 88.30) Yes No Are prime farmland soils present? (§ 88.32)? Yes No If yes, was a letter from the landowner provided requesting alternative to Approximate Original Contour (AOC)? Yes No Are there any spoil storage area proposed? (§ 88.58) No Yes Comments: - 12 - 5600-PM-BMP0394 6/2016 MODULE 20: POST-MINING LAND USE (§§ 88.55, 88.133) Reviewer: Review Date: Approved: Approval Date: Denied: Was a post-mining land use plan provided? Yes No Is post-mining land use consistent with the regulations? Yes No Comments: MODULE 21: SOILS (§§ 88.88, 88.89) Reviewer: Review Date: Approved: Approval Date: Denied: Was Module 21 completed? Yes No Comments: MODULE 22: PRIME FARMLAND RECONSTRUCTION (§ 88.61) Reviewer: Review Date: Approved: Approval Date: Denied: Was Module 22 completed? Yes No Was Module 22 approved, signed, and dated? Yes No Comments: MODULE 23: REVEGETATION (§§ 88.46, 88.121 – 88.130.30) Reviewer: Review Date: Approved: Is the revegetation plan consistent with post mining land use? Comments: - 13 - Approval Date: Denied: Yes No 5600-PM-BMP0394 6/2016 MODULE 24: SOCIAL AND ECONOMIC STATEMENT FOR HIGH QUALITY WATERS Reviewer: Review Date: Approved: Approval Date: Denied: Was Form 5600-PM-BMP0028 "Social or Economic Justification (SEJ) and Water Use Demonstration (for projects in high quality [HQ] waters only)" completed? Yes No Comments: MODULE 26: REMINING OF AREAS WITH PREEXISTING POLLUTIONAL DISCHARGES Reviewer: Review Date: Approved: Approval Date: Denied: Was a Subchapter G submitted? Yes No Abandoned mine drainage information Yes No Remining Map (§ 88.504(a)(1)) Yes No Preexisting pollutional discharges (§ 88.504(a)(2)) Yes No Abatement Plan (§ 88.504 (a)(3)) Yes No Revegetation Plan: (§ 88.505(a)(5)) Yes No If yes, was the following information submitted? Comments: MODULE 27: BENEFICIAL USE AS A SOIL ADDITIVE / SUBSTITUTE Reviewer: Review Date: Approved: Were soil additive(s) proposed Approval Date: Denied: Yes No Was the coal ash certification as soil substitute or soil additive included? Yes No If proposal for sewage sludge, was the public notification provided? Yes No If yes, was the proposed additive for: Sewage sludge Composted sewage sludge Coal ash - 14 - 5600-PM-BMP0394 6/2016 Was the P.O.P provided? Yes No Was the soil information attached? Yes No Was the chemical analyses for the sewage sludge provided? Yes No Was the groundwater information provided? Yes No Was an erosion and sediment control plan submitted? Yes No Was an Operational Narrative provided? Yes No Was the proposed application rate justified? Yes No Was a monitoring plan for the soil; sewage sludge, composted sludge, or coal ash; and the surface and groundwater to be performed provided? Yes No Maps and Related Information Was the location of the sludge or coal ash application and storage areas and monitoring points identified on Operations Map and Land Use and Reclamation Map? Yes No Was the landowners acknowledgement/consent included? Yes No Was Module 27A provided (if coal ash not certified for beneficial use as a soil substitute or soil additive)? Yes No Was a generator certification provided? No Yes Comments: - 15 - 5600-PM-BMP0394 6/2016 BONDING Permit area: Mining area: Operational area: Was the Bond Calculation: Sheet completed? Yes No Yes No Was the Agreement submitted? Yes No Was a Finicial Guarantee requested? Yes No Yes No Yes No Calculated bond amount: Inflation factor: (3 years / 5 years?) Was a Land Reclamation Finicial Guarantee requested? If yes, amount: $ If yes, Acres: Acreage keyed to Map 9? Amount: $ Was a Phased deposit provided? Amount: $ 25% or $10,000: Amount per year: $ Number of years: - 16 -
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