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Amended OSM-1 Coal Reclamation Fee Report
Use this form to change an OSM-1 report already submitted.
Send this form with any supporting documentation along with
a check or wire transfer for applicable fees to:
indent
Office of Surface Mining Reclamation Enforcement
P.O. Box 360095M
Pittsburgh, PA 15251
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Reporting for
Mater Entity number
Permit number
MSHA number
Mine name
State
Contact name
Telephone number
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triple table
Please explain the changes to your original filing on the back of this form.-
double table
Approved by OMB, no. 1029-0063. Expires 7/97
To submit the query, press:
.
If you have comments or suggestions, email me at haston@henge.com
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