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3 <br />(Not for DP Entry) <br /> Permitted Actual Proposed <br />8. Mineral Ownership: <br />Indicate currently permitted acreage for each <br />Federal 0 0 0 <br />State 0 0 0 <br />Private 0 0 0 <br />Indian 0 0 0 <br />9. Surface Ownership: <br />Indicate currently permitted acreage for each <br />Federal: 1516 1516 0 <br />State: 0 0 0 <br />Private: 1820 1820 0 <br />Indian: 0 0 0 <br />10. Affected area (in acres) 1565 1565 0 <br />11. Disturbed area (in acres) 129 67.7 0 <br />12. Acreage of area reclaimed in previous permit <br />term <br />A. Backfilled and graded N/A 65.1 N/A <br />B. Retopsoiled N/A 65.1 N/A <br />C. Reseeded N/A 65.1 N/A <br />13. Acreage for which bond has been released <br />A. 60 percent N/A 65.1 N/A <br />B. 85 percent NIA 0 N/A <br />C. 100 percent N/A 15.5 N/A <br />14. Renewal Term Requested (Years) N/A N/A 5 <br />Note: If the application contains proposed (new) acreage, then a permit revision <br />application 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 />f Permanent Cessation (Reclamation Only) _ Suspended <br />