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REQUEST FOR AVS COMPLIANCE CHECKS <br />Permit No: C I C) C)-a0 181 Application Type & #: f? 0 3 <br />Applicant: HC, 7 -I_ MSHA Id No.: 05'- O 3 j 3 <br />1" Check: 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: 7- U-Q Date OSM: <br />AVS Evaluation: o Vi b 1@110 11q <br />OSM Evaluation: <br />DMG Recommendation: <br />lrt,? <br />Note: Once you get the new information back from the operator on any AVS questions or concerns, <br />please give to AVS person to make sure the concerns have been fixed and AVS can be updated. <br />nd? ? 3?? <br />3E2 Check: Proposed Decision of application (3-5 days prior) 24 <br />? 12,112j6E <br />? [q (?? ' /? of ?-h??? <br />Date AVS: 7 12E- Date OSM: <br />i CZ <br />AVS Evaluation: O??o I 0' ?)o Nd V <br />OSM Evaluation: - c?Q? ?SSU 2_ <br />DMG Recommendation: 1'sS U-cp <br />3rd Check: Issuance of application (3-5 days prior) <br />Date AVS: I -U :Q9 -7 ` f Date OSM: `- <br />AVS Evaluation: V p a+ b Vl <br />OSM Evaluation: <br />DMG Recommendation: <br />SU P <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\forms\Request for AVS Compliance Checks.doc / <br />