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3 <br />(Nat for DP Entry) <br /> Permitted Actual Pro osed <br />8. Mineral ownership: <br />Indicate currently ermined acres a for each <br />Federal: 3 SQ, acres 3 5$ 3 S$ <br />State• acres <br /> <br />Private:30ao.~cres iw~ 31l`L <br />o~o•S <br />3o~o.S <br />Indian: 6 acres <br />9. Surface ownership: <br />Indicate current) ermitted acres a far each <br />Federal: 3 4N acres y y y <br />State: acres <br />Private:9oBy.sacres 30 $~t.5 308.1 • S <br />Indian• acres <br /> <br />10. Affected area lin acres) tz4L.9 <br />a~ <br />r zqz. 9 <br />11. Disturbed area (in acres) iz9z,.9 rz9z.9 <br />12. Acreage of area reclaimed in previous permitbFQ <br />term 3 d8. S <br />A. Backfilled and raded N!A H y 1, y N!A <br />B. Retopsoiled N/A ~~ . 2 N/A <br />C. Reseeded N/A z o z . t N/A <br />13. Acres a far which bond has been released <br />A. 60 percent N/A 59 ~• 1 N/A <br />B. 85 ercent N/A N/A <br />C. 100 ercent NIA N/A <br />14. Renewal Tenn Re nested (Years) N/A N/A <br />Note: !f the applicafion contains proposed Inewl acreage, then a permit revision application <br />form must also be com leted for those scree es. <br />~K7 <br />4 C// <br />_y'1 (9 <br />-2~i~ <br />,rioq 7 <br />3o yy s <br />,- avy <br />3rZ~ <br />`fd,~ <br />3 x~ '' <br />~s <br />15. Type of Mine (Check one): _ Underground /Surface <br />_ Combined Surface and Underground <br />Loadout _ Other ~ ~~` <br />c3ll.~~, <br />16. Current Permit Status (Check one): /Active _ Temporary Cessation ~ <br />Permanent Cessation (Reclamation Only) ,Suspended ~-~~~ ~ v <br />~/ S\ <br />