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3 <br /> <br /> <br />(Not for DP Entry/ <br /> Permitted Actual Proposed <br />8. Mineral ownership: <br />Indicate currently permitted acrea a for each <br />Federal: acres <br />State: acres <br />Private: acres <br />Indian: acres <br />9. Surface ownership: <br />Indicate currently permitted acrea a for each <br />Federal: acres 7 65 N/ A N/ A <br />State: acres 4803 N A N / A <br />Private: acres 17726 N A N A <br />Indian: acres 0 NIA N / A <br />70. Atfected area lin acres) <br />17. Distu-bed area lin acres) 460 N/A NIA <br />12. Acreage of area reclaimed in previous permit <br />term <br />A. Backfilled and raded N/A 3 .7 N/A <br />8. Retopsoiled N/A 39.7 N/A <br />C. Reseeded N/A 39.7 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. 700 percent N/A 0 N/A <br />74. Renewal Term Requested IYeara) NIA NIA 5 <br />Note: If the application contains proposed Inew/ acreage, then a permit revision application <br />form must also be completetl for those acreages. <br />15. Type of Mine (Check one): X Underground _ Surtace <br />_ Combined Surface and Underground <br />~~_ _ Loadout _ Other <br />~` 76. Current Permit Status (Check one1: ~ Active _ Temporary Cessation <br />_ Permanent Cessation (Reclamation Only) _ Suspended <br />~N03 3/ a)oo <br />