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3 <br />• <br />• <br />)Not for OP Entry) <br /> Permitted Actual Proposed <br />8. Mineral ownership: <br />Indicate currently permitted acreage for each <br />Federal: 0 acres <br />State: 0 acres <br />Private: acres 2735,2 2735 2 0 <br />Indian: 0 acres <br />9. Surface ownership: <br />Indicate currently permitted acreage for each <br />Federal: acres <br />State: acres 10,0 10,0 0 <br />Private: acres 2725.2 2725 2 0 <br />Indian: 0 acres <br />10. Affected area lin acres) <br />11. Disturbed area lin acres) 119 5 119 5 0 <br />12. Acreage of area reclaimed in previous permit <br />term <br />A. Backfilled and graded N/A 14 5 N/A <br />B. Retopsoiled N/A 16,7 N/A <br />C. Reseeded N/A 17 7 N/A <br />13. Acreage for which bond has been released <br />A. 60 percent N/A 14.5 N/A <br />B. 85 percent N/A p 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 the application contains proposed (new) acreage, then a permit revision application <br />form must also be completed for those acreages. <br />1 5. Type of Mine (Check one): .~L Underground _ Surface <br />Combined Surface and Underground <br />Loadout _ Other <br />• 16. Current Permit Status (Check one): x Active _ Temporary Cessation <br />Permanent Cessation (Reclamation Only) _ Suspended <br />