
				Pat Quinn, Governor

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Illinois
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Abandoned
Mine Lands

Land
Reclamation

Mine Safety & Training/
Blasting & Explosives

Oil & Gas

Blasting and Explosives Forms

Aggregate Mining Forms

Procedures	Describes procedures for filing a surface mining application

MLCR 1	Application for aggregate surface mining permit

MLCR 1a	County clerk filing receipt for aggregate surface mining permit application

INCEXP	Application for extraction of coal incidental to extraction of other minerals (LRD)

Refuse Disposal Permit Applications

MLCR 4	Application for a refuse disposal permit

MLCR 4a	County clerk filing receipt for a refuse disposal permit application

Bonding Forms

ILRC	Irrevocable Letter of Credit for aggregate surface mining permit.
	NOTE: Letter must be submitted on bank letterhead.

MLCR 2	Original surety bond form for aggregate surface mining permit

MLCR 2a	Replacement surety bond form for aggregate surface mining permit

MLCR 5	Original surety bond form for a refuse disposal permit

MLCR 5a	Replacement surety bond form for a refuse disposal permit

Permit Related Forms

MLCR 3	Affected acreage reporting form

MCLR 3a	County clerk filing receipt for the affected acreage reporting form

MLCR 6	Notice of completed reclamation (Bond Release form)

Blaster License/Certification

Aggblstlic	Application for Aggregate Blaster Licensure

Coalblstcert	Application for Coal Blaster Certification

Explosives License and Storage Certification

OriForm	Documentation for Fingerprinting.
	Form used to provide information to the fingerprint contractor for accurate delivery of required criminal history documents to the Department.

Due to the special requirements of Explosives Licencse and Storage Certification all other forms must be obtained by contacting the Mine Safety and Training Division directly at (217) 782-9976, or via email.

Awards

Blasting Awards Nominations	The application form for The Blasting Excellence Award (issued to individuals) and The Industry Leadership Award (for companies) who demonstrate excellence in their blasting programs.

Reclamation Award Nominations	Applications for state award for excellence in reclamation of surface mining of non-coal mineral resources.