REV91009

• Permit No: C1981028
• IBM Index Class Name: Revision
• Type & Sequence: TR27
• Media Type: D
• Archive: No

III IIIIIIIIIIIIIIII
•
~J
-3-
0 or D Entry
Permitted Actual Proposed
8, Mineral ownership:
(indicate currently
permitted acre for each)
Federal: 0 ac.,
ac.,
State: 140 140 140
_
Private: ac., 514 514 514
Indian: 0 ac.
9, Surface Ownership:
(indicate currently
permitted acreage for
each ) ,
Federal: 0 ac.,
State: ac., 140 140 140
Private: ` ac., 1358.31 1358.31 1358.31
Indian: 0 ac.
10. Affected area (in acres) 424 424 424
11. Disturbed area (in acres) 424 424 424
12. Acreage of area reclaimed

ii previous permit term ,
a) backfilled and graded n/a gg n/a
b) retopsoiled n/a 133 n/a
c) reseeded n/a 133 n/a
13. Acreage for which bond
has been released
a) 60 percent n/a p n/a
b) 85 percent n/a 0 n/a
c) 100 percent n/a 0 n/a
14. Renewal Term Requested
(Years) n/a n/a 5 yrs
Note: If the application contains proposed (new) acreage, th en a permit
revision application form must also be co mpleted for those acreages.
15, Type of Mine (check one): Underground, XX Surface,
Combined Surface and underground, Load-0~, Other.
16. Current Petmit Status (check one): Active, Temporary Cessation,
X Permanent Cessation (reclamation only), ~ispended
17. Current Estimated Life of Mine 1n years: 0
•