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3 <br />(Not /or DP Entry) <br /> Permitted Actual Proposed <br />8. Mineral ownership: <br />Indicate currently permitted acreage for each <br />Federal: 0 acres <br />State: O acres <br />Private: 38A acres 38, O 3$,~p 3$,O <br />Indian: ~ acres <br />9. Surface ownership: <br />Indicate currently permitted acreage for each <br />Federal: ~ acres <br />State: 0 acres <br />Private: ~LO acres 38.0 38,0 3d,~ <br />Indian: O acres <br />10. Affected area lin acres( {q, 7 $ 11. la Np C'N111JfaE <br />11. Disturbed area lin acres) 15.7.6 l I . la ~o CfIAIJF~ <br />12. Acreage of area redaimad in previous permit <br />term <br />A. Backfilled and graded N/A 4,55 NIA <br />B. Retopsoiled N/A q.55 N/A <br />C. Reseeded N/A Q, 55 N/A <br />13. Acreage for which bond has been released <br />A. 60 percent N/A Q, $5 N/A <br />B. 65 percent N/A O N/A <br />C. 100 percent N/A O N/A <br />14. Renewal Term Requested IYsersl N/A N/A <br />Note: if the application contains proposed (newt acreage, then a permit revision application <br />form must a/so be comp/eted for those acreages. <br />15. Type of Mine (Check one(: _ Underground X 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): <br />