The Division of Mine Permits is responsible for reviewing mining applications to ensure that all established standards of operation are met before a mining permit is issued.  These application forms, along with various other forms used by the division, have been converted to electronic format and are available here for download.

Electronic forms on this page are Microsoft Word templates that have been compressed into Zip files. To access the files you will need a compression utility such as WinZip which can be downloaded here. Once the forms have been unzipped, they may be opened in Microsoft Word. The user can then complete the forms, including additional sections and attachments where appropriate.

Click here to view instructions for downloading electronic forms.  For further assistance with electronic forms, download the User Manual.

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

MPA-00 - Preliminary Application

MPA-01 - Permittee Information for a Mining Permit

MPA-02 - Operator Information for a Mining Permit

MPA-03 - Technical Information for a Mining Permit

MPA-03-20.1.b - Surface Owner's Affidavit: Lands historically used for cropland

MPA-03-20.1.c - Disinterested Third Party Affidavit: Lands historically used for cropland

MPA-04 - Application to Revise a Mining Plan

MPA-05 - Update of Permittee or Operator Information

MPA-06 - Change of Corporate Owners, Officers or Directors

MPA-07 - Application to Transfer a Mining Permit

MPA-08 - Revision Application to Change Operator

MPA-09 - Application for Renewal of a Mining Permit

FI - Instructions for MPA-09

MPA-10 - Application for a Coal Marketing Deferment

MPA-11 - Application for Disposal of Coal Combustion By-products

SME-29 - Certificate of Liability Insurance

SME-30 - Notice of Cancellation (Nonrenewal or change of liability insurance)

SME-42 - Performance Bond

SME-42F- Performance Bond on Federal Land

SME-42SA - Supplemental Assurance

SME-64 - Escrow Agreement

SME-72 - Irrevocable Standby Letter of Credit

SME-72A - Confirmation of Irrevocable Standby Letter of Credit

SMP-31A - Certification of Design

SMP-60 - MSHA Joint Approval Form

SMP-61 - Surface Blasting Design Form

GeoInfoForm - Geological Information Form

SOAP - SOAP Application Form

WQ - Water Quality Data Entry Form

DNR-WQC - 401 Water Quality Certification Form 

DNR-WQC - 401 Water Quality Certification Form (PDF)

401 WQC Instructions - Instructions for completing DNR-WQC Form

For technical assistance in downloading electronic forms, contact Jim Adamson at 502-564-2320 or by e-mail at Jim.Adamson@ky.gov.