REV16067

• Permit No: C1980004
• IBM Index Class Name: Revision
• Doc Date: 6/30/1999
• Doc Name: MEMO AVS REVIEW PERMIT TRANSFER PN C-81-020
• From: DMG
• To: DAN MATHEWS
• Type & Sequence: SO2
• Media Type: D
• Archive: No

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Request for AVS Checks'

Permit C-~ 1- 0 2 O Application (type & #): Tx-raj fP /- dS0 3
Applicant: LoflP s/a,~ ~,,,-.-o < L-i ~ N[SHA ID Number
To: AVS Reviewer From: ,Cis f4,~Js Date: _/_/_
Please 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, Identitication of Interests. If applicable, a
list of permits held by the applicant in other states, by numbers and state codes, is also attached.
To: 0,.., ~, /4. ws From: AVS Reviewer Date: ~a l~Kl 4' q
AV S Adequacy Review': Date L / l~l 49 Recommendation ~'-s s v ~
OSM Recommendationz: Date G % lu /~ Recommendation ,z'ssv e--.
To: AVS Reviewer From: Date: / /
Please conduct an AVS review of this application for a proposed decision (3-5 days prior).
To:
From: AVS Reviewer Date: / /
AVS Proposed Decision Review': Date:
OSM Recommendation' : Date
To: AVS Reviewer From:
//_ Recommendation-
! / Recommendation
Date: / /
Please conduct an AVS review of this application for a proposed issue (3-~ days prior).
To:
AVS Issue Review':
OSNt Recommendation'
From: AVS Reviewer Date: / /
Date: _/_/_ Recommendation
Date / / Recommendation
To: AVS Reviewer From:
Date: / /
Issue/ Decision Final Date: // Permit Exp. Date: // Permitted Acres:
'Three AVS checks are required for new permit, permit revision, permit renewal, and permit transferapplications. An
A VS chick is made for SOAP applications and state contrac[s.
Copy attached.
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