Form OSM - 76 OSM - 76 PROBLEM AREA DESCRIPTION FORMS (PAD) - OSM 76

30 CFR 886.23(b) and the Abandoned Mine Land Problem Area Description Form, OSM 76

NEW-OSM76

30 CFR 886.23(b) and OSM-76 (PAD)

OMB: 1029-0087

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Chapter 4


PROBLEM AREA DESCRIPTION FORMS (PAD) - OSM 76


U.S. Department of the Interior

Office of Surface Mining Reclamation and Enforcement


ABANDONED MINE LAND

PROBLEM AREA DESCRIPTION


OMB NO. 1029-0087 Expires: 3/31/2007


A. Reason for Entering Information into the AML Inventory


NEW PROBLEM AREA (PA)/REVISED BOUNDARY


1. New PA; then enter


2. State/Tribe



3 . PA Number


4 . PA Name



NEW OR REVISED PROGRAM INFORMATION

5. Check the program area for which data is provided.



(SGA)


(SGB)


(SGC)


(SGD)


(SGE)


(SEA)


(RUA)


(FRA)



(RMA)



(CIA)
















Pre-SMCRA Coal (P1,P2,P3)

State/Tribe Program

Pre-SMCRA Coal (P3 Only)

State/Tribe Program

Pre-SMCRA Coal (P4)

State/Tribe Program

Pre-SMCRA Coal (P5)

State/Tribe Program

Pre-SMCRA Coal (Research--Old

P4) State/Tribe Program

State Emergency Program


RAMP


FRP Non emergency

Remining



Coal Interim Site

Funding


(CSA)



(AMA)


(PVA)


(NCA)


(NCF)


(CLA)



(WCA)



(ENH)



(SSA)















Coal Insolvent Surety Site Funding


Acid Mine Drainage Plan


Other (P1,P2,P3)


Non-Coal (P1,P2,P3)


Non-Coal Sec. 411(f)


Appalachian Clean Streams Initiative


Watershed Cooperative

Agreement Program


Enhanced AML Rule Projects


10% set aside


B. GENERAL INFORMATION


6. Planning Unit (PU) Number:

7. PU Name:

8 . Date Prepared:

9 . Prepared by:

1 0. Telephone Number:

1 1. County:

1 2. FIPS Code:



13. Congressional District:


14. Primary Quad:

15. Coordinates: Latitude: ___o ___= ___@

Longitude: o = @


16. Type of Mining (S,U,B,P,)

(S) Surface, (U) Underground, (B) Both, (P) Processing


C. SURFACE OWNER


17. For applicable owner(s), indicate percentage (%) of ownership, to the nearest whole number, based on acreage of affected area. Total percentage indicated must equal 100%.



(O-PV)


(O-ST)


(O-IN)


(O-NA)






% Private


% State/Local Government


% Tribal Lands


% National Park Service


(O-BLM)



(O-OFS)



(O-OF)







% Bur. of Land

Mgmt.


% U.S. Forest

Service


% Other Federal


D. NON-COAL: TYPE OF MINERAL/ORE


18. Select (x) type(s) of previous mineral/ore mining. Identify keyword(s) and complete cost/unit information (Question 19 for P1, Question 20 for P2, or Question 21 for P3).



Bentonite

Cinnabar

Clay

Copper

Feldspar

Fluorite


___

___

___

___

___

___


Gold

Graphite

Iron

Lead

Limestone

Marble


___

___

___

___

___

___


Phosphate

Platinum

Sand & Gravel

Shale

Silver



____

____

____

____

____

____


Sulphur

Tungsten

Uranium

Vermiculite

Zinc

Other


____

____

____

____

____



E. COST/UNIT INFORMATION


KEY TO KEYWORDS--PRIORITY 1 AND PRIORITY 2



KEYWORD


WORK UNITS


Code


Description


English


Metric


CS

CSL

DH

DI

DPE

DS

GHE

UMF

HEF

HWB

IRW

P

PWAI

PWHC

S

SB

VO


Clogged Streams

Clogged Stream Lands

Dangerous Highwalls

Dangerous Impoundments

Dangerous Piles and Embankments

Dangerous Slides

Gases: Hazardous/Explosive

Underground Mine Fires

Hazardous Equip & Facilities

Hazardous Water Bodies

Industrial/Residential Waste

Portals

Polluted Water: Agricultural & Industrial

Polluted Water: Human Consumption

Subsidence

Surface Burning

Vertical Openings


Miles

Acres

Feet

Count

Acres

Acres

Count

Acres

Count

Count

Acres

Count

Count

Count

Acres

Acres

Count


Kilometers

Hectares

Meters

Count

Hectares

Hectares

Count

Hectares

Count

Count

Hectares

Count

Count

Count

Hectares

Hectares

Count


Use of Multiple Funding Resources for AML Reclamation-- Multiple resources are sometimes used to reclaim AML problems. If more than one resource is used, you must answer question 19 and/or 20 for each resource. The PAD will identify the primary funding source and all other resources should be listed separately on the same PAD (will require duplicate copies of questions 19 and/or 20).


Other resources can include, but are not limited to:

  • Other federal agencies such as the Bureau of Land Management, National Park Service, or U.S. Forest Service;

  • Other State, Tribal, or local government organization’s non-OSM funding;

  • Fishing or recreation organizations;

  • Watershed/environmental organizations;

  • In-kind services provided by private companies or various organizations;

  • Other OSM funding sources, e.g., Appalachian Cleans Stream Initiative (CLA) projects may be partially funded with Acid Mine Drainage Plan (AMA) funds. These should be shown as separate funding sources.

  • Net proceeds from the sale of coal mined Aincidental@ to the AML project, e.g., if projects carried out under the February 12, 1999, AEnhancing AML Reclamation@ rule generate money from the sale of coal mined incidental to the AML project, the net proceeds are applied to the project funding and are shown as a separate funding source.


Use your best judgment to allocate costs by problem type to each resource. Often these will be very rough estimates until the reclamation is completed.

E. COST/UNIT INFORMATION (Continued)


PRIORITY 1 PROBLEMS


19. Check box to indicate if this entry is initial data or an updated/revised change or an updated/revised total.


INITIAL DATA UPDATED/REVISED CHANGE UPDATED/REVISED TOTAL (Cannot be used for reclamation completed after

March 31, 2001.)


19a. Are non-Fund resources being used?

NO If YES, see Chapter 2 Part E for instructions.

YES The information in this table must be entered into AMLIS for each non-AML Fund source.


Distribute the cost among the identified work problems by units and cost. Round units to one decimal place. Round dollar values to nearest whole dollar. Also, circle the appropriate type of measure--metric or English--used for each keyword unit. If English measure is used, AMLIS will convert it to metric.




UNFUNDED PORTION

FUNDED PORTION


COMPLETED PORTION (See note below)




Problem


No. Of Units

English Metric


Estimated

Cost


No. Of Units

English Metric


Funded

Cost


No. Of Units

English Metric


Completed

Cost


Completion Date

(MM/YY)


CS


Mi


Km




Mi


Km




Mi


Km






CSL


Ac


Ha




Ac


Ha




Ac


Ha






DH


Ft


m




Ft


m




Ft


m






DI


Ct


Ct




Ct


Ct




Ct


Ct






DPE


Ac


Ha




Ac


Ha




Ac


Ha






DS


Ac


Ha




Ac


Ha




Ac


Ha






GHE


Ct


Ct




Ct


Ct




Ct


Ct






UMF


Ac


Ha




Ac


Ha




Ac


Ha






HWB


Ct


Ct




Ct


Ct




Ct


Ct






IRW


Ac


Ha




Ac


Ha




Ac


Ha






P


Ct


Ct




Ct


Ct




Ct


Ct






PWAI


Ct


Ct




Ct


Ct




Ct


Ct






PWHC


Ct


Ct




Ct


Ct




Ct


Ct






S


Ac


Ha




Ac


Ha




Ac


Ha






SB


Ac


Ha




Ac


Ha




Ac


Ha






VO


Ct


Ct




Ct


Ct




Ct


Ct






Completions Note: Because a date must be associated with problems completed after March 31, 2001, it is recommended that the actual completed units and costs associated with the date be entered into AMLIS instead of the revised cumulative totals. While you may still enter revised cumulative totals, you can no longer enter cumulative values for units completed in more than one month except when entering information about units completed prior to March 31, 2001 you may enter one date for all units being entered even if they were completed on multiple dates prior to March 31, 2001 as AMLIS treats all dates on or before March 31, 2001 as March 2001.




PRIORITY 2 PROBLEMS


20. Check box to indicate if this entry is initial data or an updated/revised change or an updated/revised total.


INITIAL DATA UPDATED/REVISED CHANGE UPDATED/REVISED TOTAL (Cannot be used for reclamation completed after

March 31, 2001.)


20a. Are non-Fund resources being used?

NO If YES, see Chapter 2 Part E for instructions.

YES The information in this table must be entered into AMLIS for each non-AML Fund source.

Distribute the cost among the identified work problems by units and cost. Round units to one decimal place. Round dollar values to nearest whole dollar. Also, circle the appropriate type of measure--metric or English--used for each keyword unit. If English measure is used, AMLIS will convert it to metric.






UNFUNDED PORTION


FUNDED PORTION


COMPLETED PORTION (See Note below)




Problem


No. Of Units

English Metric


Estimated

Cost


No. Of Units

English Metric


Funded

Cost


No. Of Units

English Metric


Completed

Cost


Completion Date

(MM/YY)


CS


Mi


Km




Mi


Km




Mi


Km






CSL


Ac


Ha




Ac


Ha




Ac


Ha






DH


Ft


m




Ft


m




Ft


m






DI


Ct


Ct




Ct


Ct




Ct


Ct






DPE


Ac


Ha




Ac


Ha




Ac


Ha






DS


Ac


Ha




Ac


Ha




Ac


Ha






GHE


Ct


Ct




Ct


Ct




Ct


Ct






UMF


Ac


Ha




Ac


Ha




Ac


Ha






HEF


Ct


Ct




Ct


Ct




Ct


Ct






HWB


Ct


Ct




Ct


Ct




Ct


Ct






IRW


Ac


Ha




Ac


Ha




Ac


Ha






P


Ct


Ct




Ct


Ct




Ct


Ct






PWAI


Ct


Ct




Ct


Ct




Ct


Ct






PWHC


Ct


Ct




Ct


Ct




Ct


Ct






S


Ac


Ha




Ac


Ha




Ac


Ha






SB


Ac


Ha




Ac


Ha




Ac


Ha






VO


Ct


Ct




Ct


Ct




Ct


Ct






Completions Note: Because a date must be associated with problems completed after March 31, 2001, it is recommended that the actual completed units and costs associated with the date be entered into AMLIS instead of the revised cumulative totals. While you may still enter revised cumulative totals, you can no longer enter cumulative values for units completed in more than one month except when entering information about units completed prior to March 31, 2001 you may enter one date for all units being entered even if they were completed on multiple dates prior to March 31, 2001 as AMLIS treats all dates on or before March 31, 2001 as March 2001.





E. COST/UNIT INFORMATION (Continued)


KEY TO KEYWORDS-- PRIORITY 3



KEYWORD




WORK UNITS


Code


Description


English


Metric


SA

BE

PI

GO

SL

HR

MO

SP

H

EF

DP

WA

O


Spoil Area

Bench

Pits

Gobs

Slurry

Haul Road

Mine Opening

Slump

Highwall

Equipment/Facility

Industrial/Residential Waste

Water Problems

Other


Acre

Acre

Acre

Acre

Acre

Acre

Count

Acre

Feet

Count

Acre

Gallons



Hectare

Hectare

Hectare

Hectare

Hectare

Hectare

Count

Hectare

Meter

Count

Hectare

Liter

Use of Multiple Resources for AML Reclamation. Multiple resources are sometimes used to reclaim AML problems. If more than one resource is used, you must answer question 21 for each source. The PAD will identify the primary funding source and all other resources should be listed separately on the same PAD.


Other resources can include, but are not limited to:


  • Other federal agencies such as the Bureau of Land Management, National Park Service, or U.S. Forest Service;

  • Other State, Tribal, or local government organization’s non-OSM funding;

  • Fishing or recreation organizations;

  • Watershed/environmental organizations;

  • In-kind services provided by private companies or various organizations;

  • Other OSM funding sources;

  • Net proceeds from the sale of coal mined Aincidental@ to the AML project, e.g., if projects carried out under the February 12, 1999, COST/UNIT INFORMATION (continued)



AEnhancing AML Reclamation@ rule generate money from the sale of coal mined incidental to the AML project, the net proceeds are applied to the project funding and are shown as a separate funding source.


Use your best judgment to allocate costs by problem type to each resource. Often these will be very rough estimates until the reclamation is completed.



PRIORITY 3 PROBLEMS


21. Check box to indicate if this entry is initial data, an updated/revised change, or an updated/revised total.


INITIAL DATA UPDATED/REVISED CHANGE UPDATED/REVISED TOTAL (Cannot be used for reclamation completed after

March 31, 2001.)


21a. Are non-Fund resources being used.

NO If YES, see Chapter 2 Part E for instructions.

YES The information in this table must be entered into AMLIS for each non-AML Fund source. Distribute the cost among the identified work problems by units and cost. Round units to one decimal place. Round dollar values to nearest whole dollar. Also, circle the appropriate type of measure--metric or English--used for each keyword unit. If English measure is used, AMLIS will convert it to metric.





UNFUNDED PORTION


FUNDED PORTION


COMPLETED PORTION (See note below)




Prob. Type


No. of Units


Estimated Cost


No. of Units


Funded

Cost


No. of Units


Completed

Cost


Completion Date

(MM/YY)


English


Metric


English


Metric


English


Metric


SA


Ac


Ha




Ac


Ha




Ac


Ha






BE


Ac


Ha




Ac


Ha




Ac


Ha






PI


Ac


Ha




Ac


Ha




Ac


Ha






GO


Ac


Ha




Ac


Ha




Ac


Ha






SL


Ac


Ha




Ac


Ha




Ac


Ha






HR


Ac


Ha




Ac


Ha




Ac


Ha






MO


Ct


Ct




Ct


Ct




Ct


Ct






SP


Ac


Ha




Ac


Ha




Ac


Ha






H


Ft


m




Ft


m




Ft


m






EF


Ct


Ct




Ct


Ct




Ct


Ct






DP


Ac


Ha




Ac


Ha




Ac


Ha






WA


Gal


Liter




Gal


Liter




Gal


Liter






O


















Completions Note: Because a date must be associated with problems completed after March 31, 2001, it is recommended that the actual completed units and costs associated with the date be entered into AMLIS instead of the revised cumulative totals. While you may still enter revised cumulative totals, you can no longer enter cumulative values for units completed in more than one month except when entering information about units completed prior to March 31, 2001 you may enter one date for all units being entered even if they were completed on multiple dates prior to March 31, 2001 as AMLIS treats all dates on or before March 31, 2001 as March 2001.




KEY TO KEYWORDS-- PRIORITY 4, 5, and 411(f)


PRIORITY 4, 5 and 411(f) PROBLEMS





PROBLEM TYPE


WORK UNITS


Code



P4 COAL

P4 COAL

P4 COAL



P5 COAL

P5 COAL

P5 COAL



411(f)

411(f)

411(f)

411(f)

411(f)

411(f)


Description



RCF Recreational Facilities

CNF Conservation Facilities

ROD Roads



OSB Open Space Benefits

RCT Recreation Purpose

HST Historic Purpose



UTL Public Utilities

STR Public (Infra) Structure

ROD Roads

RCF Recreational Facilities

CNF Conservation facilities

O Other


English



Count

Count

Feet



Acres

Acres

Acres



Count

Count

Feet

Count

Count

Count



Metric



Count

Count

Meters



Hectares

Hectares

Hectares



Count

Count

Meters

Count

Count

Count

E. COST/UNIT INFORMATION (continued)


PRIORITY 4, 5, AND 411(f) PROBLEMS


22. Check box to indicate if this entry is initial data, an updated/revised change or an updated/revised total.


INITIAL DATA UPDATED/REVISED CHANGE UPDATED/REVISED TOTAL (Cannot be used for reclamation completed after

March 31, 2001.)


22a. Are non-Fund resources being used.

NO If YES, see Chapter 2 Part E for instructions.

YES The information in this table must be entered into AMLIS for each non-AML Fund source. Distribute the cost among the identified work problems by units and cost. Rounds units to one decimal place. Round dollar values to nearest whole dollar. Also, circle the appropriate type of measure--metric or English--used for each keyword unit. If English measure is used, AMLIS will convert it to metric.



Priority


Prob. Type


No. of Units


Cost (See note below)


Completion Date

(MM/YY)


English


Metric


P4 COAL


UTL


Ct


Ct






P4 COAL


STR


Ct


Ct






P4 COAL


ROD


Ft


m






P4 COAL


RCF


Ct


Ct






P4 COAL


CNF


Ct


Ct






P5 COAL


RCT


Ac


Ha






P5 COAL


HST


Ac


Ha






P5 COAL


CNP


Ac


Ha






P5 COAL


RCM


Ac


Ha






P5 COAL


OSB


Ac


Ha






411(f)


UTL


Ct


Ct






411(f)


STR


Ct


Ct






411(f)


ROD


Ft


m






411(f)


RCF


Ct


Ct






411(f)


CNF


Ct


Ct






411(f)


O











Completions Note: Because a date must be associated with problems completed after March 31, 2001, it is recommended that the actual completed units and costs associated with the date be entered into AMLIS instead of the revised cumulative totals. While you may still enter revised cumulative totals, you can no longer enter cumulative values for units completed in more than one month except when entering information about units completed prior to March 31, 2001 you may enter one date for all units being entered even if they were completed on multiple dates prior to March 31, 2001 as AMLIS treats all dates on or before March 31, 2001 as March 2001.















PAPERWORK REDUCTION STATEMENT


The Paperwork Reduction Act of 1995 (44 U.S.C. 3501) requires us to inform you that: Federal Agencies may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. This information is being collected in order to update the abandoned mine lands inventory system. This information will be used to ensure that the most serious problem areas are selected for reclamation through apportionment of funds to States and Tribes. The obligation to respond is required to obtain a benefit.


Public reporting burden for this form is estimated to average 2 hours per response to update the form and 4 hours for each new submission, including time for reviewing instructions, gathering and maintaining data, and completing and reviewing the form. Direct comments regarding the burden estimate or any other aspect of this form to the Information Collection Clearance Officer, Office of Surface Mining Reclamation and Enforcement, Room 210 SIB, 1951 Constitution Ave, NW, Washington, D.C. 20240.


AML Inventory Manual 2 March 2001

File Typeapplication/msword
File TitlePROBLEM AREA DESCRIPTION FORMS (PAD) - OSM 76
AuthorOffice of Surface Mining
Last Modified Byjtreleas
File Modified2005-01-11
File Created2004-01-06

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