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• <br />• <br />-3- <br />Note: If the application contains proposed (new) acreage, then a permit <br />revision application form must also be completed for those acrea <br /> Permitted Actual Proposed <br />8. Mineral ownership: <br />(indicate currently N/A N/A N/A <br />permitted acre for each) <br />Federal: 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., 0 0 0 <br />State: ac., <br />_ 0 0 0 <br />Private: <br />ac., <br />_ 2p 20 20 <br />Indian: <br />ac. p 0 0 <br />10. Affected area (in acres) 13 13 13 <br />11, Disturbed area (in acres) 13 13 13 <br />12. Acreage of area reclaimed <br />in previous permit term <br />a) backfilled and graded n/a 0 n/a <br />b) retopsoiled n/a p n/a <br />c) reseeded n/a p n/a <br />13. Acreage for which bond <br />has been released <br />a) 60 percent n/a p n/a <br />b) 85 percent n/a p n/a <br />c) 100 percent n/a p n/a <br />14. Renewal Term Requested <br />(Years) n/a n/a 5 <br />15. Type of (dine (check one): Underground, Surface, <br />Combined Surface and underground, _ Load-Out, x Other- <br />16. Current Permit Status (check one): x Active, Temporary Cessation, <br />Permanent Cessation (reclamation only}, -suspended <br />17. Current Estimated Life of Mine in years: 0 5 <br />CJ <br />