REV11242

• Permit No: C1981014
• IBM Index Class Name: Revision
• Doc Date: 3/4/1999
• Doc Name: REQUEST FOR AVS CHECKS
• Type & Sequence: RN3
• Media Type: D
• Archive: No

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Request for AVpS Checkst ' °" " ~
Permit C-g~ /D/y/_ Application (type S #): l~~/1~~~
Applicant: Sr.,O~.Irf Mmc ~~n~uFM~/s Co../,T2) MSHA ID Number
To: AVS Reviewer From: Sim $fc/~ Date: If l/-k.~l~
Prase conduct an AVS review of this application (adequacy stage of processing, within 30 days of
finding the application complete). Attached is a current list of the owners and controllers for the
applicant and the operators, as required by Rule 2.03.4, Identification of Interests. If applicable, a
list of permits held by the applicant in other states, by numbers and state codes, is also attached.
To: Jew S7a~ t From: A~eviewer Date: /? l~rxl~
AVS Adequacy Review: Date tt lu„ / v9 Recommendation Iss/~
OSM Recommendation': Date tZ lc~ lag Recommendation Iss~•e
To: AVS Reviewer From:
Date:
Please conduct an AVS review of this application for a proposed decision (3-~ days prior).
To:
From: AVS Reviewer Date:
AVS Proposed Decision Review: Date: _/_/_ Recommendation
OSM RecornmendationZ : Date / / Recommendation
To: AVS Reviewer From: Date: / /
Please conduct an AVS review of this application for a proposed issue (3-5 days prior).
To:
From: AVS Reviewer Date:
AVS Issue Review: Date: _/_/ Recommendation
OSM Recommendation'' Date / / Recommendation
To: AVS Reviewer From:
Permit Issue date: _/_!_ Permit Exp. Date
Date: / /
Permitted Acres:
Three AVS checks are required (or new permit, permit revision, permit renewal, and permit transfer applications.
'Copy aaached.