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AVS CHECK REQUEST <br />Permit No.: C-1982-019�M�in7eame: Colowyo Mine <br />Applicant: Tri-State G&Permit Action:��PR�-04 � C MSHA ID #: Specialist <br />Request Date <br />ADEQUACY <br />q Attach a current list of Che owners and controllers for the applkant and the aperatars, os required by Rule 2.03.4, Identification of interests. <br />( � � if applicable, attach a list of permits held by the applicant in other states, by numbers and state cedes. <br />Date of Check <br />Application Yes No AVS Check Result: <br />Adequate? <br />.--- `-' d F AV ADEQUACY, IF APPLICABLE <br />Request Dat April 11, 2016 Attach any updated information. <br />Application Yes No AVS Check Result: <br />Adequate? <br />3Rn ADEQUACY, IF APPLICABLE <br />Date of Check Attach any updated information. <br />Application Yes No AVS Check Result: <br />Adequate? <br />PROPOSED DECISION —REQUEST 3-5 DAYS PRIOR <br />�RequetDateDate <br />f Check ���AVSCheck Result: <br />PERMIT ISSUANCE — REQUEST 3-5 DAYS PRIOR <br />Request Date Ownership and Control Information Current, per Rule 2.03.4(5)? Yes No, revised information is attached <br />Date of Check <br />Permit Application and Yes No, Revision Required AVS Check Result: <br />AVS Consistent? <br />Date Final: DECISION FINAL <br />n. to r_ _ <br />uauitereu in AVS: l <br />