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TAB 3 <br />TABLE OF CONTENTS <br />Page <br />1 <br />Introduction <br />1 <br />Rule 2.03.4 Identification of Interests <br />Rule 2.03.4(1) Statement of Incorporation for Hayden Gulch <br />1 <br />Terminal, Inc. <br />1 <br />Rule 2.03.4(2) Names and Addresses <br />1 <br />Rule 2.03.4(2)(a) Owner /Applicant /Operator <br />2 <br />Rule 2.03.4(2)(b) Resident Agent <br />2 <br />Rule 2.03.4(2)(c) Person Responsible for AMLR Fee <br />Rule 2.03.4(3) Ownership Control of Hayden Gulch Terminal, Inc. <br />2 <br />Rule 2.03.4(3)(d) Names Under Which the Applicant or Principle <br />Shareholders Previously Operated a Coal Mine <br />2 <br />Rule 2.03.4(4) Current, Previous and Pending Coal Mining Permits <br />Held by Hayden Gulch Terminal, Inc. or Principle Shareholders <br />3 <br />Rule 2.03.4(6)(a) Owners of Record of the Surface, Coal, Oil, <br />3 <br />Gas and Other Minerals Within the Permit Boundary <br />Rule 2.03.4(6)(b) Holders of Record of Any Leasehold Interest <br />4 <br />Within the Permit Boundary <br />Holders of Record of any Easements on the Property <br />5 <br />Rule 2.03.4(7) Owners of Surface, Coal, Oil and Gas Rights <br />5 <br />Contiguous to the Permit Boundary <br />6 <br />Rule 2.03.4(8) Facility Name and MSHA Number <br />7 <br />Rule 2.03.4(9) Interests in Contiguous Lands <br />7 <br />Rule 2.03.5 Compliance Information <br />Rule 2.03.5(1)(a) Statement of Nonrevocation of Permit <br />7 <br />7 <br />Rule 2.03.5(1)(b) Statement of Bond Forfeiture <br />7 <br />Rule 2.03.5(3) List of Violations <br />Rule 2.03.6 Right of Entry and Operation Information <br />7 <br />Rule 2.03.7 Statement That the Proposed Permit Area is Not Unsuitable <br />8 <br />for Operations <br />9 <br />Rule 2.03.7(3) Ownership Waivers <br />9 <br />Rule 2.03.8 Permit Term Information <br />Revised <br />09/09 <br />i <br />MR -18 <br />