5600-PM-BMP0324 2/2012 Module 28: Underground Bituminous Coal Surface Blasting Plan Instructions: Information submitted under this Module must be prepared and signed by a licenced blaster authorized to preform this activity. Permittee: Permit No.: County: Township: New Revised Module’s 28.1 through 28.7 must be submitted with the permit application. Module’s 28.8 through 28.12 must be submitted prior to blast plan approval. There shall be no blasting until a blast plan has been approved by the Department. DO NOT ENTER DATA IN SECTIONS DESIGNATED “DEPARTMENT USE ONLY.” 28.1 Underground Mines Any coal mining activities that will include blasting within 500 feet of an active underground mine must be jointly approved by the Department and the Mine Safety and Health Administration (MHSA). Any coal mining activities that will include blasting within 500 feet of an abandoned underground mine must be approved by the Department. a. Will blasting occur within 500 feet to any point over or adjacent to an active or abandoned portion of an active underground mine. Yes No If yes, submit four (4) copies of form "Surface Mining near Underground Mines – MHSA Coordination" (5600-PM-MR0026) along with the permit application to the Department. The Department will forward the information to MSHA. 28.2 Streams a. If blasting will occur within 100 feet of a stream, identify the stream and indicate the distance that blasting will occur from the stream. Stream: 28.3 Distance (ft) Utilities, Pipeline, Storage Facilities a. Are any of the following located within 200 feet of the area where blasting will occur? Disposal wells Petroleum or gas storage Municipal water storage Fluid transmission pipelines Yes Yes Yes Yes No No No No Gas or oil collection lines Water and sewage lines Utilities Gas or oil wells Yes Yes Yes Yes No No No No If yes, attach a copy of the notification sent to the owner that describes any precautionary measures that will be taken. (Note: when blasting within 200 feet of buried or underground utility line or line making contact with the surface of the ground the provisions of 25 Pa. Code Section 211.182 apply. The Department considers limiting ground vibration to 2.0 in/sec or less or designing blasts to a scaled distance of 50 or greater acceptable to meet the requirements of Section 211.182(a) to “keep the resulting vibration and actual ground movement to the lowest level possible.”) 28-1 5600-PM-BMP0324 28.4 2/2012 Blast Loading Plan Overburden Blasting a. Provide specific blast design criteria for blast that occur most frequently at the mine site (e.g., overburden) will be designed. Number of holes per pattern: Number of rows (Burden): Diameter of holes (inches): Maximum Maximum Maximum Minimum Minimum Minimum Maximum Minimum Spacing (feet): Maximum Minimum Depth (feet): Maximum Minimum Scaled Distance Burden: Length of stemming (feet): Type of stemming: Maximum explosives weight per delay (8 MS or greater): Method of blast initiation: Electric Non-Electric Other Explain Other Development/Construction Blasts, Parting/Binder Blasts, Etc. b. Provide specific blast design criteria for blasts that differ significantly from the blasts that occur most frequently at the mine site will be designed. If this section is not applicable please do not complete Number of holes per pattern: Maximum Number of rows (Burden): Maximum Diameter of holes (inches): Burden: Maximum Spacing (feet): Minimum Length of stemming (feet): Minimum Type of stemming: Maximum explosives weight per delay (8 MS or greater): Method of blast initiation: Electric Minimum Maximum Minimum Maximum Minimum Maximum Minimum Scaled Distance: Depth (feet): Non-Electric Other Explain Other 28.5 Peak Particle Velocity and Airblast Limits Blasts shall be designed and conducted to achieve either a minimum scaled distance of 90 or meet the maximum allowable peak particle velocity indicated by Figure 1 of 25 PA Code Chapter 211.151 (c) and not exceed the noise levels specified in Table 1 of 25 PA Code Chapter 211.151 (d) at the closest building not owned or leased by the permittee or its customer. The Department may establish an alternative peak particle velocity or airblast level if it determines that an alternative standard is appropriate or if the owner and lessee, if leased to another party, of a structure located on the permit area have each signed a waiver releasing the vibration limit. The waiver shall be clear, knowing and specific. a. Is the permittee requesting an alternative peak particle velocity or airblast level? Yes No If yes, provide the documentation requested in the instructions forementioned section. NOTE: Alternative peak particle velocity or airblast levels are only available at buildings located on the surface mine permit. Additional review time will be necessary if the applicant submits a waiver for an alternative peak particle or airblast limit at a structure. 28-2 5600-PM-BMP0324 2/2012 DEPARTMENT USE ONLY Name of Structure(s) Owner and Description of Structure(s): Alternative Maximum Allowable Peak Particle Velocity Level: Alternative Maximum Allowable Airblast Level: 28.6 Blasting near Dwellings, Public Buildings or Schools a. Will blasting occur within 1,000 feet of any dwelling, public building or school? Yes No (Note: If blasting will occur within 1,000 feet of a public building or school, a notification that was approved by the Department, is required 24 hours prior to the blast.) b. c. 28.7 If blasting will occur within 1,000 feet of any dwelling, public building or school, provide the following information: i. A description of the proposed method of notification and how notification required by 25 Pa Code Section 87.127(f)(3) will be made. ii. The distance to the nearest dwelling or structure, neither owned nor leased by Permittee, from the area where blasting will occur. (feet) If blasting is proposed within 300 feet of an occupied dwelling, provide a notarized written waiver from the owner of the dwelling specifying the distance blasting may occur to the dwelling. (Note: If the waiver includes an increase in the peak particle velocity limits or in the airblast limits, 25 Pa Code Section 87.127 specifies that the alternative limits must be specified in the waiver). Blast Loading Plan when blasting within 1,000 feet of a dwelling or other occupied building A specific blast design criteria for blasts that will be conducted within 1,000 feet of dwellings, public building or school is required. a. Will blasting occur within 1,000 feet of a dwelling or other occupied building? If yes, provide the following information: Number of holes per pattern: Maximum Number of rows (Burden): Maximum Diameter of holes (inches): Burden: Maximum Spacing (feet): Minimum Length of stemming (feet): Minimum Type of stemming: Maximum explosives weight per delay (8 MS or greater): Method of blast initiation: Electric Yes No Minimum Maximum Minimum Maximum Minimum Maximum Minimum Scaled Distance: Depth (feet): Non-Electric Other Explain Other b. Describe the additional precautions beyond the blast design (i.e. blast orientation, matting, enhanced notification.) that will used to ensure that citizens will be secure and buildings will not be damaged when blasting within 1,000 feet of a dwelling or other occupied building. c. Describe the procedures for notification of all persons who may have access to the blast area: 28-3 5600-PM-BMP0324 28.8 Blast Area a. 28.9 28.10 28.11 2/2012 Provide a description on how the blast area, as defined in 25 Pa Code Section 211.101, will be determined, secured and safeguarded. Public Notice of Blasting Schedule a. Provide a copy of the notarized proof of publication of the blasting schedule that is published in a newspaper of general circulation in the locality of the area where blasting will occur. (Note: Notarized proof of publication must be submitted yearly to the Department.) b. Provide a list of the names of residents, owners of dwellings or other structures, local governments, and public utilities that are located within ½ mile of the area where blasting will occur. (Note: These residents shall be sent a copy of the blasting schedule.) c. Submit a dated copy of the notice sent to those owners of dwellings or other structures listed in 28.9b informing them of their right to a preblast survey and how they may request such survey. Pre-Blasting Survey a. A list of the names of persons who have requested a pre-blasting survey must be submit to the Department. b. Upon completion of pre-blasting surveys, a copy of each report shall be sent to each appropriate person, and the Department no later than 30 days following the completion of each pre-blasting survey. No blasting shall be conducted prior to receipt of the surveys, both by the home or structure owner and Department, unless written permission has been granted by the Department. Storage of Explosives a. Will explosives be stored on the surface mining permit? If yes, provide the security plan number. Security Plan #: 28.12 Explosive Purchase a. If the permittee is not employing a contract blaster, list the permit to purchase number: Permit to Purchase.#: 28.13 28.14 Map a. Provide a map that shows the location of the blasting will occur,and all dwellings or other occupied buildings. b. Include a boundary that extends 1,000 feet beyond where the blasting will occurr on the map. Blast Plan Preparer (Note: The Pennsylvania licensed blaster who prepared this application must sign below.) Signature of Licensed Blaster / Date General Authorization DEPARTMENT USE ONLY PADEP Blasting Inspector: Recommendation: Approval Disapproval Comments: 28-4 License Number