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(Complete Following Comp /eteness Form for All Revision Types) <br />COAL PERMIT REVISION /BONDING COMPLETENESS CODING FORM <br />(C) MINE ID # OR EXPLORATION ID # C - e C - 0 \ <br />1/1't <br />(C) TYPE OF REVISION MR = Minor Revision, NC = Name Change without Revision, PR = Permit Revision <br />RN = Renewal, SF = Bond (Surety) Forfeiture, SI = Bond (Surety) Increase, <br />SL = Bond (Surety) Release, SO = Succession of Operator, SR = Bond (Surety) <br />Reduction, TC = Temporary Cessation TR = Technical Revision <br />REVISION NUMBER ( Assig n ed by computer) <br />(C) REVISION SUBMITTAL DATE a /1„,a_ / <br />REVISION INCOMPLETENESS DATE / <br />(C) REVISION COMPLETENESS DATE / / . 7 <br />REVISION ADEQUACY DUE DATE \_ <br />REVISION ADEQUACY DATE <br />(C) REVISION DECISION DUE DATE Q 1_ / <br />PERMIT REVISION DESCRIPTION <br />m: \coal \share \forms \rev.com <br />Q ss_ 4 (32 SPACES MAX) <br />OSM INVOLVED IN REVIEW (Y OR N) _ (Y = Yes, N = No) <br />BOND PHASE .. _ _ (00 = 100% in place, 01 = Up to 60% released, 03 = Up to 85% released, <br />04 = Total release, 05 = Pre -law bond) <br />(C) LEAD SPECIALIST (Wang User: Use initials with no punctuation marks or spaces) <br />DOCUMENT GENERATION SELECTION <br />GENERATE DOCUMENTS c— C = Generate Completeness Documents <br />Completeness documents are generated for PRs (Permit Revisions), RNs (Renewals) and TRs (Technical Revisions) ONLY <br />(C) = Required entry <br />Note: The specialist must complete a separate compliance requirement coding form for each condition placed upon permit revision approval. <br />Conditions come with "AC" decision code. <br />