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C~ <br />• <br />-3- <br />"` <br />S, Mineral ownership: <br />(indicate currently <br />penattted acre for each) <br />Federal: ac., <br />State: - ac:, <br />Private: - ac., <br />Indian: _ ac. <br />9. Surface Ownership: <br />(indicate currently <br />pertoitted acreage for <br />each ) <br />Federal: ac., <br />State: - ac., <br />Private: _ ac., <br />Indian: _ ac. <br />10. Affected area (in acres) <br />11, Disturbed area (in acres) <br />12. Acreage of area reclaimed <br />in previous permit term <br />a) backf111ed and graded <br />b) retopsoiled <br />c ) reseeded <br />13. Acreage for which bond <br />has been released <br />a) 60 percent <br />b) 85 percent <br />c) 100 percent <br />]4. Renewal Term Requested <br />(Years ) <br /> <br />4133 <br />4133 <br />4133 1 4133 <br />597 546 <br />196 145 <br />0 6~ 3 <br />n/a <br />n/a 3 <br />n/a 3 <br />n/a <br />n/a <br />n/a <br />n/a <br />n/a <br />(Note: If the application contains proposed (new) <br />revision application fona must also be ca <br />0 <br />0 <br />~~. <br />51 O <br />51 <br />57 <br />n/a <br />n/a <br />n/a <br />n/a <br />n/a <br />n/a <br />5 <br />then a permit <br />15. Type of Mine (check one): g Underground, Surface. <br />Combined Surface and underground, _ Load-0~, _ Other- <br />16. Current Permit Status (check one): g Active, Temporary Cessation, <br />Permanent Cessation (reclamation only), ~spended <br />17. Current Estimated Life of Mine in years: 15_ <br />r';~ _` <br />