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3 <br />• <br />• <br />)Not for DP Entry/ <br /> Permitted Actual Proposed <br />8. Mineral ownership: <br />Indicate current) ermined acrea a for each <br />Federa1:3216.7acres 3216.2 3216.2 3216.2 <br />State: 5.7 acres <br />Private: 821 . 1 acres 8 1 <br />Indian: 0.0 acres 0.0 0.0 0.0 <br />9. Surface ownership: <br />Indicate currently ermitted acrea a for each <br />Federal: 70.2 acres 70.2 70.2 <br />State: 55.7 acres 55.7 55.7 55.7 <br />Private: acres <br />Indian: 0.0 acres 0.0 0.0 0 . D <br />10. Affected area fin acres) 1622.0 892.9 1622 <br />11. Disturbed area lin acres) 1622.0 846.2 1622.0 <br />12. Acreage of area reclaimed in previous permit <br />term *As of <br />O 1 / O 1 / 2000 <br />A. Backfilled and raded N/A 326.1 N/A <br />B. Reto soiled N/A 327.7 N/A <br />C. Reseeded N/A 337.7 N/A <br />t3. Acrea a for which band has been released <br />A. 60 ercent NIA 0 N/A <br />B. 85 ercent N1A 0 N/A <br />C. 100 ercent N1A 0 N1A <br />14. Renewal Term Re nested IYearsl NIA N1A 5 ears <br />Note: if the application contains proposed )new) acreage, then a permit revision application <br />form must a/so be completed for those acreages. <br />15. Type of Mine (Check oneV: _ Underground x 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 />1 7. Current Estimated Life of Mine fin years): 0 ~ <br />REVISED 03/OL <br />