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Document 1050E Revised: June 11, 1985 <br />i ISTEP 1 - Complete Fo llowing Completeness for Amendments b Conve rsione; <br /> Following Dec ieion For All Other Revision Types] <br /> <br />I AMPRDF.O1 MINERAL PERMIT REVISION COMPLETENESS CODING FORM <br />j IMI MINE ID b OR EXPLORATION ID d ... ........... - - - <br /> PFIDL PFID2 'PFID3 CL-ID <br /> IM] TYPE OF EVLSTON ................ ICL-KV: AM=Amendment, CN=Conversion, SF=Surety <br /> _ _ Forfeiture, SI=Surety Increase, <br /> SL=Surety Release, SO=Succ ton of <br /> Operator, SR=Surety R c[ion, <br />i TC=Temporary Cess on, TR=Techn i[al <br /> Revision, OR= er] <br /> IMI REVISION NUMBER ....... ......... _ _ I01-99] <br /> <br /> IMI REVISION SUBMITTAL DATE,...... .. _ _ / <br /> REVISION INCOMPLETENESS DATE.... / <br />/ <br /> IMI _ <br />_ _ <br /> REVISION COMPLETENESS DATE...... / <br /> xxxxxxxx xxxxxxxx xxx xxxx...... <br /> xxxxxxxx xxxxxxxx xxxx..,...... <br /> REVISION DE CIS CON DUE DAT .... / / <br />PERMIT REVISION F ~ _ _ ~ _ _ [Round to Ne est Dollar] <br />LEAD SPECIAL ................. _ _ _ [S: WANG User iD se Init isle With <br />No Punc [ua[ion ks or Spates[ <br />• PF.RMi EViSION DESCRIPTION..... _ _ _ _ _ _ _ _ _ _ _ _ _ _ <br />_ _ _ _ _ _ (32 Spac Maa] <br />DOCUMENT GENERATION SELECTION <br />GENERATE DOCUMENTS .............. _ [C = Generale Completeness Documents <br />I = Generate Incompleteness Le[[erI <br />NOTE: (1) IM] = Required entry for all files. <br />(2) TIIE SPECIALIST MUST COMPLETE A SEPARATE COM PI.I ANCE REQUIREI~NT CODING FROM FOR EACH CONDITION <br />PLACEU UPON APPROVAL OF THE REVISION. <br />F., <br />