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
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
ILRC Irrevocable Letter of Credit for aggregate surface mining
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
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
MLCR 6 Notice of completed reclamation (Bond Release form)
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.
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.
Nominations Applications for state award for excellence in reclamation
of surface mining of non-coal mineral resources.