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<br />REQUEST FOR AVS COMPLIANCE CHECKS <br />Permit No: C- 19 8'3 -d5 9 Application Type & #: / ,/V -5 <br />Applicant: 7C-2R0 R- cezEEN Co In PsN MSHA Id No.: 05 -0 3 $/ $ <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 />OSM Evaluation: <br />DMG Recommendation: a1Su-C- <br />Date AVS: S t l 10 b Date OSM: 5- ? I 0 <br />AVS Evaluation: Q() \AVV OnY <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: 5-2-0-0- Date OSM: - <br />AVS Evaluation: E)n vi ?(u+o <br />OSM Evaluation: <br />DMG Recommendation: .R6SLk-L. <br />3rd Check: Issuance of application (3-5 days prior) <br />Date AVS: 7.-1 ?Q9? D to OSM: <br />AVS Evaluation: <br />OSM Evaluation: <br />DMG Recommendation: <br />SU.e <br />Final Check: After Issue/Decision timeframes are over <br />Date of Issue/Decision: <br />Permit Expiration: <br />Permitted Acres: <br /> <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 />MlcoaNhare\forms\Request for AVS Compliance Checks.doc