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<br />3 <br />R <br /> <br />(Not /ar OP Entryl <br /> Permitted Actual Proposed <br />8. Mineral ownership: <br />Indicate currentl ermined acrea a for each <br />Federal: acres O o 0 <br />State: acres ~ o 0 <br />Private: acres 3B. Z 3 8 •Z 38 -~? <br />Indian: acres O o O <br />9. Surface ownership: <br />Indicate currentl ermitted acrea a for each <br />Federal: acres o 0 c <br />State: acres o ~ o <br />Private: acres 38-7 38.E 38.7 <br />Indian: acres ~ O o <br />10. Affected area (in acres) /4. 6 6. 43 6.4 3 <br />11. Disturbed area lin acres) I4. 6 6.93 6. cl 3 <br />12. Acreage of area reclaimed in previous permit <br />term <br />A. Backfilled and raded N7A ~/• 7 ~ N!A <br />B. Reto soiled N/A S• z 4 N/A <br />C. Reseeded N/A 6.`~ 3 N/A <br />13. Acrea a for which bond has been released <br />A. 60 ercent N/A 6. 9 3 N/A <br />B. 85 ercent N/A ~ N/A <br />C. 100 ercent N/A ~ N/A <br />14. Renewal Term Re nested lYearsl N!A NIA <br />Nate: /f the app/ication contains proposed (newl acreage, then a permit revision application <br />form must also be completed /or those acreages. <br />15. Type of Mine (Check one): _ Underground X Surface <br />_ Combined Surface and Underground <br />Loadout Other <br />• 16. Current Permit Status (Check onel: _ Active _ Temporary Cessation <br />~c Permanent Cessation (Reclamation Only) _ Suspended <br />N /H <br />1 7. Current Estimated Life of Mine (in yearsl: _ - <br />