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  Division of Mine Reclamation and Enforcement>  DMRE Electronic Forms
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Last Modified:  7/23/2008
DMRE Electronic Forms

The Division of Mine Reclamation and Enforcement utilizes a variety of forms in its day-to-day operations.  Many of these have been converted to electronic format and are available for download.

Electronic forms on this page are self-extracting compressed files.  The forms will be automatically placed into Word format once they are downloaded and executed.  Opening the forms in Microsoft Word will allow the user to complete the forms and to include additional sections and attachments where appropriate.

Click here to view instructions for downloading electronic forms.

The Attach Tools Microsoft Word template allows you to add attachments to your forms. 

Download Attach Tools in the same way you download an electronic form.

FORM - DESCRIPTION

NCR2 - Application for Surface Disturbance Noncoal Mining Permit

NCR9 - Noncoal Performance Bond

NCR10 - Noncoal Letter of Credit

NCR11 - Noncoal Escrow Agreement

NCR12 - Noncoal Request for Bond Release

NCR14 - Noncoal Citizen's Request for Inspection

NCR15 - Noncoal Request for Reclamation Deferral

NCR18 - Noncoal Planting Report

SME05 - Citizen's Request for Inspection

SME09 - Deferment of Reclamation (Due to adverse conditions beyond the operator's control)

SME21 - Certification of Construction

SME22 - Certification of Maintenance on Impoundments

SME23 - Planting Report

SME29 - Certificate of Liability Insurance

SME30 - Notice of Cancellation (Nonrenewal or change of liability insurance)

SME42 - Performance Bond

SME42F- Performance Bond on Federal Land

SME42SA - Supplemental Assurance

SME64 - Escrow Agreement

SME71 - Request for an on-site investigation

SME72 - Irrevocable Standby Letter of Credit

SME72A - Confirmation of Irrevocable Standby Letter of Credit

SME80 - Minor Field Revision Application

SME87A - Application for Permanent Program Bond Release

SMP04 - Notice of Coal Exploration (not a permit) 

Presubsidence - Presubsidence Survey Form

Application for Blaster Certification - Application for Blaster Certification Form

Letter of Reference for Blaster Certification - Letter of Reference for Blaster Certification Form

Application for Renewal of Blaster Certification - Application for Blaster Certification Renewal Form

Further Assistance with Electronic Forms

For technical assistance in downloading electronic forms, contact Jim Adamson at 502-564-6940

or by e-mail at Jim.Adamson@ky.gov . 

To request a copy of an electronic form, contact Jill Bruckner at 502-564-2340 or by e-mail at Jill.Bruckner@ky.gov .
Division of Mine Reclamation and Enforcement
2 Hudson Hollow Road
Frankfort, KY 40601
Phone: 502-564-2340
Fax: 502-564-5848
E-mail: J.Hamon@ky.gov
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