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3 <br />• <br />• <br />(Not for DP Entry/ <br /> Permitted Actual Proposed <br />B. Mineral ownership: <br />Indicate currently ermitted acrea a for each <br />Federal: acres <br />State: acres <br />Private: 91 33 acres X <br />Indian: acres <br />9. Surface ownership: <br />Indicate currently permitted acrea a for each <br />Federal: acres <br />State: acres <br />Private: 41 33 acres X <br />Indian: acres <br />10. Affected area lin acres) 546 <br />11. Disturbed area lin acres) 1 45 <br />12. Acreage of area reclaimed in previous permit <br />term <br />A. Backfilled and raded N/A N/A <br />B. Retopsoiled N/A N/A <br />C. Reseeded N/A N/A <br />13. Acres a for which bond has been released <br />A. 60 percent N/A N/A <br />B. 85 percent N/A N/A <br />C. 100 percent N/A N/A <br />14. Renewal Term Requested IYearsl N/A N/A <br />Note: if the application contains proposed (new) acreage, then a permit revision application <br />form must also be comp/eted for those acrea es. <br />15. Type of Mine (Check one): X Underground _ Surface <br />_ Combined Surface and Underground <br />_ Loadout _ Other <br />• 16. Current Permit Status (Check one): X Active _ Temporary Cessation <br />_ Permanent Cessation (Reclamation Only) _ Suspended <br />