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3 <br />n <br />U <br />(Not for DP Entry) <br /> Permitted Actual Proposed <br />8. Mineral Ownership: <br />Indicate currently permitted acreage for each <br />Federal 7838 7838 0 <br />State 0 0 0 <br />Private 311 311 0 <br />Indian 0 0 0 <br />9. Surface Ownership: <br />Indicate currently permitted acreage for each <br />Federal: 2178 2178 0 <br />State: 0 0 0 <br />Private: 5971 5971 0 <br />Indian: 0 0 0 <br />10. Affected area (in acres) 3547 3547 0 <br />11. Disturbed area (in acres) 144 144 0 <br />12. Acreage of area reclaimed in previous permit <br />tens <br />A. Backfilled and graded N/A 0 N/A <br />B. Retopsoiled N/A 0 N/A <br />C. Reseeded N/A 39 N/A <br />13. Acreage for which bond has been released <br />A. 60 percent N/A 0 NJA <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 envision <br />application form must also be completed for those acreages. <br />15. Type of Mine (Check one): Underground -Surface <br />• _ Combined Surface and Underground <br />Loadout Other <br />Rev. 10/28/97 <br />16. Current Permit Status (Check One): ~ Active _ Temporary Cessation <br />Permanent Cessation (Reclamation Only) Suspended <br />