REV91009

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

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-3-
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: p 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 0 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, then a permit
revision application form must also be completed for those acrea
15. Type of Mine (check one): Underground, XX Surface, _
Combined Surface and underground, Load-0~; Other
16. Current Permit Status (check one): Active, Temporary Cessation,
X Permanent Cessation (reclamation only), ~iispended
i7. Current Estimated Life of Mine 1n years: 0
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