REV106079

• Permit No: M1977062
• IBM Index Class Name: Revision
• Doc Date: 4/21/1994
• Doc Name: CERTIFIED MAIL
• Type & Sequence: CN1
• Media Type: D
• Archive: No

Step 1: To Be Coupleted FollovlnB Adequacy Revie~ for Aoendwtents,
Technical Revisions, Conversions, and any other change
to a Pylrml}~~5d Operatlonl
PERMIT REVISION PROCESS SPEC INITIALS:
PERMIT REVISION COMPLETENESS EDIT
PERNIT REVISION FILE ENTRY DATE: T72ffi.
CM] MINE -IU 9 012 E`(I'LORAiIUN IU 'A ... M - - -
--- --- --- --- --- --- ---
CM] TYPE OF' REVISION ................ ___ ___ CCL-KV: AM+Amundmunt, CN+Convorslon, SF=Surety
Forfeiture, SI=Surety Increase,
SL•Surety Release, SO=Succession of
Operator, SR=Surety Reduction,
TC•Temporary Cessation, TF+Technical
Revision]
CM] REVISION NUMBER ................. ___ ___
CM] REVISION SI1BMfTTAL llATE......... / /
REVISION INCUMPLEiENE55 DATE.... / /
CM] 12EVISIUN COMI'LEiENESS -0ATE...... / /
XXKXXX%XXXXXXXXXXKXXXXXXXX......
XXXXXXXXXXXXXXXXXXXXXX..........
REVISION DECISION UUE DATE...... ____ / ____ / ____
REVISION FEE .................. 'i --- ---'--- ---.
REVISION DESCRIPTION..... __ __ __ __
-- -- -- -- -- -- -- -- -- -- -- --
-- -- -- -- -- -- -- -- -- -- -- -- -- -- - -- C32 Spacr•. Maz]
[M] LEAD SPECIALIST ................. ___
GENERATE COMI`LECENESS lC) OR INCOMPLETENESS (I) ___
•
1050E