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REQUEST FOR AVS COMPLIANCE CHECKS <br />Permit No: Z-/980 - 60 / Application Type & #: SO -1 <br />Applicant: Ny'&d AAi,,ii,W A"d MSHA Id No.: 06 -- 00303 <br />1St 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: (c DatIC <br />OSM_ : <br />AVS Evaluation: c? C D OSM Evaluation: <br />DMG Recommendation: --V Sued <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 />2"d Check: Proposed Decision of application (3-5 days prior) <br />Date AVS: 31 D S Date OSM: l 3 <br />AVS Evaluation: N?Q 66-0 <br />OSM Evaluation: <br />DMG Recommendation: ay--w'e- <br />3?d Check: Issuance of application (3-5 days prior) <br />Date AVS: ?? L ? Date OSM: <br />AVS Evaluation: ti <br />OSM Evaluation: <br />DMG Recommendation: 1 A 4 <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 />MAcoallshare\forms\Request for AVS Compliance Checks.doc