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General Description (Miles and direction from nearest town and approximate elevation): <br />Approximately 2 miles east of Somerset, Colorado on SH 133 at approximately 6,500 ft. (ASL) <br />(Not for DP Entry) Total Permitted Acres = 17, 954.9 <br />Permitted <br />Actual <br />Proposed <br />8. Mineral ownership: (as revised per PR -12) <br />Indicate currently permitted acreage for each <br />Federal: acres <br />13,795.00 <br />13,795.00 <br />N/A <br />State: ------- acres <br />N/A <br />N/A <br />N/A <br />Private: -------acres <br />3,359.90 <br />3,359.90 <br />N/A <br />Indian: --------acres <br />N/A <br />N/A <br />N/A <br />9. Surface ownership: <br />Indicate currently permitted acreage for each <br />Federal: -------acres <br />11 758.40 <br />11 758.40 <br />N/A <br />State: ---------- acres <br />N/A <br />N/A <br />N/A <br />Private: acres <br />5,396.50 <br />5,396.50 <br />N/A <br />Indian: --------acres <br />N/A <br />N/A <br />N/A <br />10. Affected area in acres(per SL06 <br />14,632.10 <br />14,632.10 <br />N/A <br />11. Disturbed area in acres(per SLOB) <br />560.15 <br />560.15 <br />N/A <br />12. Acreage of area reclaimed in previous permit <br />term cumulative acres per SL05, 07 & 08 <br />A. Backfilled and graded <br />43.13 Ac. <br />43.13 Ac. <br />NIA <br />B. Reto soiled <br />43.13 Ac. <br />43.13 Ac. <br />N/A <br />C. Reseeded <br />43.13 Ac. <br />43.13 Ac. <br />NIA <br />13. Acreage for which bond has been released <br />A. 60 percent (per SL01, 02, 03, 05, 07 & 08) <br />111.51 Ac. <br />111.51 Ac. <br />N/A <br />B. 85 percent(per SL04 <br />67.60 Ac. <br />67.60 Ac. <br />N/A <br />C. 100 percent(per SL06 & 09 <br />24.20 Ac. <br />24.20 Ac. <br />22.10 <br />14. Renewal Term Requested (Years) <br />N/A <br />N/A <br />5 <br />Note: If the application contains proposed (new) acreage, then a permit revision application form must also be <br />completed for those acreages. <br />