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3 <br /> <br />)Not for OP Entry) <br /> Permitted Actual Proposed <br />8. Mineral ownership: <br />Indicate currently permitted acrea a for each <br />Federal: acres 2400 Z`for~ Z4oo <br />State: acres O ~ O <br />Private: acres 1(a p l Ie D I In 0 <br />Indian: acres O Q V <br />9. Surface ownership: <br />Indicate currently ermitted acrea a for each <br />Federal: acres 2400 Z~IOQ ~Y 00 <br />State: acres O p O <br />Private: acres 1 fad 11017 1~0 <br />Indian: acres ~ Q O <br />10. Affected area (in acres) ZI$q.'i qp. ZI$9. "I <br />11. Disturbed area lin acres) q.5o $. 35 °1. 5O <br />12. Acreage of area reclaimed in previous permit <br />term <br />A. Backfilled and raded N!A Q N/A <br />8. Rota soiled N/A N/A <br />C. Reseeded N/A N/A <br />13. Acrea a for which bond has been released <br />A. 60 percent NIA NIA <br />B. 85 ercent N/A N/A <br />C. 100 percent N/A Q N/A <br />14. Renewal Term Requested (Years) N/A N/A ~ <br />Nofe: /f the application contains proposed (newt acreage, fhen a permit revision application <br />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 />16. Current Permit Status (Check one): X Active _ Temporary Cessation <br />Permanent Cessation (Reclamation Only) _ Suspended <br />