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Tab 3 <br />TABLE OF CONTENTS <br />Payee <br />Introduction 1 <br />Rule 2.03.4 Identification of Interests 1 <br />(1) Statement of Incorporation for Hayden Gulch Terminal, Inc. 1 <br />(2) Names and Addresses 1 <br />(b) Resident Ageni 1 <br />(c) Paxson Responsible for AMLR Fee 1 <br />(3) Ownership Control of Hayden Gulch Terminal, Inc. 1 <br />(d) Names Under Which the Applicant or Principal Shareholder Operate or Previously <br />Operated a Coal Mine 2 <br />(4) Current, Previous and Pending Coal Mining Permits Held by Hayden Gulch <br />Terminal, Inc. and Principal Shareholders 2 <br />(6) Owners of Record of Surface Property and Coal Resources Within the Permit <br />$oundary 3 <br />(7) Owners of Record of Surface Property and Coal Resources Contiguous to the <br />Permit Boundary 3 <br />. (8) Facility Name and MSHA Number 4 <br />(9) Interests in Contiguous Lands 4 <br />Rule 2.03.5 Compliance Information 4 <br />(1) Statement of Nonrevocation of Permit 4 <br />(b) Statement of Bond Forfeiture 4 <br />(2} List of Violations 4 <br />Rule 2.03.6 Right of Entry and Operation Information 4 <br />(1) Right of Surface Entry 4 <br />Rule 2.03.7 Relationship to Areas Designated Unsuitable for Minhig 5 <br />(1) Statement that the Proposed Permit Axea is not Unsuitable for Operations 5 <br />(3} Ownership Waiver 5 <br />Rule 2.03.8 Permit Tetm Information 5 <br />Rule 2.03.9 Personal Injury and Property Damage Insurance Information 5 <br />(1) Insurance Information 5 <br />Rule 2.03.10 Identification of Other Licenses and Permits 5 <br />• Rule 2.03.11 Locations of Public Offices for Filing Applications 6 <br />MR_19 i Revised 04/06 <br />