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REQUEST FOR AVS COMPLIANCE CHECKS <br />Permit No: <br />Applicant: <br />1~' Check: <br />C-Fl/-o7/ <br />Application Type & #: <br />Co/oratde Y"~'xP4 CeaY~~r MSHA Id No.: <br />Rn/_o4 <br />OS- o°3oz <br />Adequacy of application (within 30 days of completeness) <br />Attach a current list of the owners and controllers for the applicant and the operators, as required <br />by Rule 2.03.4, Identification of Interests. If applicable, a list of permits held by the applicant in <br />other states, by numbers and state codes. <br />Date AVS: r/ U Date OSM: ~ ~ / 0/ <br />AVS Evaluation: a(c ~U~`~0~'IS LtS~cl <br />OSM Evaluation: clet Set{levnt~- ~' <br />DMG Recommendation: o~x -f.~SLLP , <br />Note: Once you get the new information back from the operator on any AVS questions or concems, <br />please give to AVS person to make sure the concerns have been fixed and AVS can be updated. <br />2nd Check: <br />Date AVS: <br />Proposed Decision of application (3-5 days prior) <br />Date OSM: ~~ z~ /o/ <br />AVS Evaluation: <br />OSM Evaluation: <br />DMG Recommendation: ('~~,( Sl,L_R~ <br />3rd Check: Issuance of application (3-5 days prior) <br />Date AVS: Date OSM: <br />AVS Evaluation: <br />OSM Evaluation: <br />DMG Recommendation: <br />Final Check: After Issue/Decision timeframes are over <br />Date of Issue/Decision: <br />Permit Expiration: <br />Permitted Acres: <br />""'AVS checks are required for new permit, permit revision, permit renewal, and permit transfer/succession of <br />operator. AVS checks are also for SOAP applications and state contracts. <br />M.\coal~share\fortnsUiequest for AVS Compliance Checks doc <br />