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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. (ASU <br />(Not for DP Entry) Total Permitted Acres = 19, 854.9 <br />8. Mineral ownership: (as revised per PR-15) <br />_Indicate currently permitted acreage for each <br />Federal: acres <br />State: -----------acres <br />Private: ---------acres <br />Indian: --------- acres <br />9. Surface ownership: <br />Indicate currently permitted acreage for each <br />Permitted <br />Actual <br />Proposed <br />13,358.4 <br />13,358.4 <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />6,496.5 <br />6,496.5 <br />N/A <br />N/A <br />Federal: -------- acres <br />13,358.4 <br />13,358.4 <br />N/A <br />State: -----------acres <br />N/A <br />N/A <br />N/A <br />Private: acres <br />Indian: --------- acres <br />10. Affected area (in acres) (per SL11) <br />11. Disturbed area in acres (per SL11) <br />12. Acreage of area reclaimed in previous permit <br />term cumulative acres per SU 0 & SL12 <br />6,496.5 <br />6,496.5 <br />N/A <br />N/A <br />N/A <br />N/A <br />15,937.85 <br />15,937.85 <br />N/A <br />562.23 <br />562.23 <br />N/A <br />A. Backfilled and graded <br />32.55 Ac. <br />32.55 Ac. <br />N/A <br />B. Reto soiled <br />32.55 Ac. <br />32.55 Ac. <br />32.55 Ac. <br />N/A <br />C. Reseeded <br />32.55 Ac. <br />N/A <br />13. Acreage for which bond has been released <br />A. 60 percent (per SL01, 02, 03, 05, 07, 08 & 10) 121.48 Ac. 121.48 Ac. ±22.58 (SL12) <br />B. 85 percent(per SL04 67.60 Ac. 67.60 Ac. ±41.6 SL13 <br />C. 100 percent er SL06, 09 & 11) 61.55 Ac. _ 61.55 Ac. N/A <br />14, Renewal Term Requested (Years) N/A N/A 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 />