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3 <br />(Not for DP Entry) <br /> Permitted Actual Proposed <br />8. Mineral ownership: <br />Indicate currently permitted acrea a far each <br />Federal: acres 0 0 <br />State: acres 80 80 <br />Private: acres 1317.4 1317.4 <br />Indian: acres 0 0 <br />9. Surface ownership: <br />Indicate currently permitted acrea a for each <br />Federal: acres 0 0 <br />State: acres 0 0 <br />Private: acres 1397.4 1397.4 <br />Indian: acres 0 0 <br />10. Affected area lin acres) 370 370 <br />11. Disturbed area lin acres) 370 370 <br />12. Acreage of area reclaimed in previous permit <br />term <br />A. Backfilled and raded N/A 368 N/A <br />B. Retopsoiled N/A 368 N/A <br />C. Reseeded N/A 368 N/A <br />13. Acrea a for which bond has been released 5 , 2 <br />A. 60 percent N/A 141.2 N/A <br />B. 85 percent N!A 141.2 N/A <br />C. 100 percent N/A N/A <br />14. Renewal Term Requested (Years) N!A NIA 5 <br />Note: if the application contains proposed Inewl 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 />