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,~ • 3 - • <br />NOT FOR DP ENTRY Permitted Actual Proposed <br />7 Mineral ownership: <br />(indicate curently <br />permitted acre for each) <br />Federal ac., 0 0 <br />State ac., 80 80 <br />Private ac., 1317.4 1317.4 <br />Indian ac., 0 0 <br />8 Surface Ownership <br />(indicate curently <br />perniried acre for each) <br />Federal ac., 0 0 <br />State ac., 0 0 <br />Private ac., 1397.4 1397.4 <br />Indian ac., 0 0 <br />9 Affected Area (in acres) 370 370 <br />10 Disturbed area (in acres) 370 370 <br />11 Acreage of area reclaimed <br />in previous permit tern <br />a) backfilled and graded n/a 368 n/a <br />b) retopsoiled n/a 388 n/a <br />c) reseeded n/a 368 n/a <br />12 Acreagefor which bond <br />has been released <br />a) 80 percent n/a 509.2 n/a <br />b) 85 percent n/a 141.2 n/a <br />c) 100 percent n/a 141.2 n/a <br />13 Renewal Tern Requested <br />(Years) n/a n/a 5 <br />Note: If the application contains pro posed (new) ac reage, then a p ermit <br />revision a lication form must also be com le ted for those a crea es. <br />14 Type of Mine (check one): Underground, Surtace_XXX_ <br />Combined Surface and underground, Load-out, Other. <br />15 Curent Permit Status (check one): Active,_XXX Temporary Cessation, <br />Permanent Cessation(reclamation only), Suspended <br />16 Curent Estimated Life of Mine in Years: 0 0 <br />Permit Renewal 3 Revised 10/11/94 <br />