REV95326

• Permit No: C1984065
• IBM Index Class Name: Revision
• Doc Date: 4/25/2000
• Doc Name: REQUEST FOR AVS CHECKS
• Type & Sequence: TR17
• Media Type: D
• Archive: No

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Request for AVS Checkst
Permit C- 8~-Q (-i Application (type & #): ~K - / /
Applicant: NClG MSHA ID Numb@ GS O 1 ~ / g
To: AVS Reviewer From: /J (,. /,,lp (!T ~r` Date: r~! zs'7 pU
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 [he 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.
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To: ~ p From: AVS Reviewer Date: ~~/~ ~0
AVS Adequacy Review': Date _/_/_ Recommendation V
OSM Recommendation'': Date / / Recommendation
To: AVS Reviewer From:
Date: /
Please conduct an AVS review of this application for a proposed decision (3-5 days prior).
To:
OSM Recommendation' : Date 1 1 Recommendation
From: AVS Reviewer Date:
AVS Proposed Decision Review'-: 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:
Date: / /
Issue/ Decision Final Date: /_/_ Permit Exp. Date: /,/ Permitted Acres:
Three AVS checks are required For new permit, permit revision, permit renewal, and permit transfer applications. An
AVS check is made for SOAP applications and state contracts.
ZCopyattached.