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<br />3 <br /> <br />)Not for DP Entry) <br /> Permitted Actual Proposed <br />8. Mineral ownership: <br />Indicate currently permitted acreage for each <br />Federal: ~_ acres <br />State: 0 acres 0 0 <br />Private: 31 2 acres 31 2 31 2 <br />Indian: 0 acres 0 0 <br />9. Surface ownership: <br />Indicate currently permitted acreage for each <br />Federal: ~_ acres <br />State: p acres 0 0 <br />Private: acres <br />Indian: 0 acres 0 0 <br />10. Aftected area (in acres) <br />11. Disturbed area (in acres) 73.5 73. 5 <br />12. Acreage of area reclaimed in previous permit <br />term <br />0 <br />0 <br />A. Backfilled and graded N/A N/A <br />B. Retopsoiled N/A 0 N/A <br />C. Reseeded N/A 0 N/A <br />13. Acreage for which bond has been released 7 3.5 7 3.5 <br />A. 60 percent N/A N!A <br />B. 85 percent N/A N/A <br />C. tOC percent N/A 0 N/A <br />14. Renewal Term Requested (Years) N/A N/A <br />Note: if the app/ication contains proposed (newt acreage, then 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): _ Active _ Temporary Cessation <br />~ Permanent Cessation (Reclamation Only) _ Suspended <br />17. Current Estimated Life of Mine (in years): ~0_ <br />