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3 <br />(Not forDP Entry) <br /> Permitted Actual Proposed <br />8. MineralOwnership: <br />Indicate currently permitted acreage for each <br />Federal 1004 1004 0 <br />State 0 0 0 <br />Private 104.4 104.4 0 <br />Indian 0 0 0 <br />9. Surface Ownership: <br />Indicate currently permitted acreage for each <br />Federal: 28.8 28.8 0 <br />State: 0 0 0 <br />Private: 1079.6 1079.6 0 <br />Indian: 0 0 0 <br />10. Affected area (in acres) 703.9 703.9 0 <br />11. Disturbed area (in acres) 9.8 9.8 0 <br />12. Acreage of area reclaimed in previous permit <br />term <br />A. Backfilled and graded N/A 8.0 N/A <br />B. Retopsoiled N/A 4.4 N/A <br />C. Reseeded N/A 8.0 N/A <br />13. Acreage for which bond has been released 0 <br />A. 60 percent N/A 0 N/A <br />B. 85 percent N/A 0 N/A <br />C. 100 percent N/A 0 N/A <br />14. Renewal Term Requested (Years) N/A N/A 5 <br />Note: If fhe application contains proposed (new) acreage, then a permit revision application <br />form must also be completed for those acreages. <br />15. Type of Mine (Check one): d Underground -Surface <br />_ Combined Surface and Underground <br />Loadout Other <br />16. Current Permit Status (Check One): _ Active _ Temporary Cessation <br />d Permanent Cessation (Reclamation Only) _ Suspended <br />17. Current Estimated Life of Mine (in years): 0 5 <br />