REV99863

• Permit No: C1984065
• IBM Index Class Name: Revision
• Doc Name: REQUEST FOR AVS COMPLIANCE CHECKS
• Type & Sequence: RN4
• Media Type: D
• Archive: No

lIII IIIIIIIIIIIIIIII
REQUEST FOR AVS COMPLIANCE CHECKS
Permit No: C-~S~-~:(GS
Applicant: ~(,' (-r~1n/,1 yl ~/~
Application Type & #: 2~ - (;
MSHA Id No.:
1~t Check: Adequacy of application (within 30 days of completeness)
Attach a current list of the owners and controllers for the applicant and the operators, as required
by Rule 2.03.4, Identification of Interests. if applicable, a list of permits held by the applicant in
other states, by numbers and state codes.
Date AVS: S ' OI Date OSM: ~! /G
AVS Evaluation: /~~~ t/iL' c~'~rm'In
OSM Evaluation: nJ~ ~~~ (~ S
DMG Recommendation: ~~SUP
Note: Once you get the new information back from the operator on any AVS questions or concerns,
please give to AVS person to make sure the concerns have been fixed and AVS can be updated.
2nd Check: Proposed Decision of application (3-5 days prior) ~ jpS~D /
Date AVS: '1 I $ Date OSM: 7 / 0
AVS Evaluation: 'I'~p VID Ct~lliYl9
OSM Evaluation: f~~o il;~a~~tilS
DMG Recommendation: ySSU L'
3rd Check: Issuance of application (3-5 days prior) g ~i~/6
Date AVS: ~ ~ o Date OSM: ~'~`~ ~y1
AVS Evaluation: J IUI~'hU~tr
OSM Evaluation: D i0 d"fItJVIS
DMG Recommendation: ~LSSI.LtZ
Final Check: Afrer Issue/Decision timeframes are over
Date of Issue/Decision: S~y7`-.-Q~ 2 I ~ L
Permit Expiration: pr f~6.,_ q t 1 vo (.~
Permitted Acres: 2 y f1 y t 3
`*•AVS checks are required for new permit, permit revision, permit renewal, and permit transfer/succession of
operator. AVS checks aze also for SOAP applications and state contracts.
M:\coal\share\formsVtequesl for AVS Comphance Checks.doc