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-3- <br />8, Mineral ownership: <br />(indicate currently <br />permitted acre for each) <br />Federal: 20o ac., <br />State: ac., <br />Private• - ac., <br />Indian: - ac. <br />9. Surface Ownership: <br />(indicate currently <br />permitted acreage for <br />each ) <br />Federal: ac., <br />State: - ac., <br />Private• - ac., <br />Indian: - ac. <br />10. Affected area (in acres) <br />11. Disturbed area (1n acres) <br />12. Acreage of area reclaimed <br />in previous permit term <br />a) backf111ed and graded <br />b) retopsolled <br />c) reseeded <br />13. Acreage for which bond <br />has been released <br />a) 60 percent <br />b) 85 percent <br />c) 700 percent <br />14. Renewal Term Requested <br />(Years ) <br />200 <br />10.14 <br />~~~2+~ <br />0 <br />n/a <br />n/a <br />n/a <br />n/a <br />n/a <br />n/a <br />n/a <br />200 <br />10.14 <br />C3: 22~ <br />0 <br />n/a <br />(Note: If Ure application contains proposed (new) acreage, <br />revision application form must also be completed f <br />n/a <br />n/a <br />n/a <br />n/a . <br />n/a <br />n/a <br />then a permit <br />r those acrea~ <br />15, Type of Mine (check one): ~-Undergroun®, Surface, <br />Combined Surface and underground, _ Load-0~ Other- <br />16. Current Permit Status (check one): !=Y Actilfe, Temporary Cessation, <br />Permanent Cessation (reclamation only), ~spended <br />17. Current Estimated Life of Mine in years: ~~_ <br />