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3 <br /> General Description (Miles and direction from nearest town and approximate elevation): <br /> About 8 miles northeast of Rangely. Approximate elevation 5,700 feet. <br /> (Not for DP Entry) <br /> Permitted Actual Proposed <br /> 8. Mineral ownership: <br /> Indicate currently permitted acreage for each <br /> Federal: X acres 13,625.01 13,625.01 13,625.01 <br /> State: acres <br /> Private: acres <br /> Indian: acres <br /> 9. Surface ownership: <br /> Indicate currently permitted acreage for each <br /> Federal: X acres 13,325.01 13,325.01 13,325.01 <br /> State: acres <br /> Private: X acres 320.00 320.00 320.00 <br /> Indian: acres <br /> 10.Affected area(in acres) 8,216.71 8216.71 8216.71 <br /> 11. Disturbed area (in acres) 654.23 654.23 654.23 <br /> 12.Acreage of area reclaimed in previous permit term <br /> A. Backfilled and graded N/A 12.53 N/A <br /> B. Retopsoiled N/A 12.53 N/A <br /> C. Reseeded N/A 12.53 N/A <br /> 13.Acreage for which bond has been released <br /> A. 60 percent N/A 0 N/A <br /> B. 85 percent N/A 0 N/A <br /> C. 100 percent N/A 0 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 <br /> form must also be completed for those acreages. <br /> 15. Tvne of Mine (Check one): [7-Underground 7 Surface <br /> I-;ombined Surface and Underground <br /> r_oadout 7 Other <br />