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3 <br />(Not for DP Entryl <br /> Permitted Actual Proposed <br />8. Mineral ownership: <br />Indicate currently permitted acrea a for each <br />Federal: acres <br />State: acres 1455 1455 1455 <br />Private: acres 3819 381 3819 <br />Indian: acres p <br />9. Surface ownership: <br />Indicate currently permitted acrea a for each <br />Federal: acres 75 7 7 <br />State:- acres <br />Private: acres <br />Indian• acres <br />10. Affected area lin acres) 1853 18 1853 <br />11. Disturbed area (in acres) 427 4 4 7 4 <br />12. Acreage of area reclaimed in previous permit <br />tens <br />A. Backfilled and raded NIA 5.4 N/A <br />B. Retopsoiled N/A 5.4 N/A <br />C. Reseeded N/A 5.4 N/A <br />13. Acreage for which bond has been released <br />A. 60 percent N/A N/A <br />B. 85 percent N/A N/A <br />C. 100 percent N/A N/A <br />14. Renewal Term Requested (Years) N!A N!A 5 <br />Note: if the application contains proposed lnewl acreage, then a permit revision application <br />form must also be completed for those acreages. <br />15. Type of Mine (Check one): X Underground <br />_ Combined Surface and Underground <br />Loadout Other <br />Surface <br />I • 16. Current Permit Status (Check one): _ Active X Temporary Cessation <br />Permanent Cessation (Reclamation Only) Suspended <br />