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3 <br />U <br /> <br />/Not for DP Entry) <br /> Permitted Actual Proposed <br />8. Mineral ownership: <br />Indicate currently permitted acrea a for each <br />Federal: acres e[,Z ~6•? ~•7 <br />State: acres <br />Private: acres <br />Indian: acres <br />9. Surface ownership: <br />Indicate current) permitted acrea a for each <br />Federal: acres <br />State: acres <br />Private: acres 126.? ~b.7 ~.2l0.7 <br />Indian: acres <br />10. Affected area lin acres) ,33.~~ 33.~f'~ 33.~f~ <br />11. Disturbed area (in acres) r{. l.Z Y• f2 Y. /R <br />12. Acreage of area reclaimed in previous permit <br />term <br />A. Backfilled and raded N/A N/A <br />B. Retopsoiled N/A N/A <br />C. Reseeded N/A N/A <br />13. Acrea a 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 NIA N/A <br />14. Renewal Term Requested (Years) N/A N/A Y <br />Note: if the application contains proposed Inewl acreage, then a permit revision application <br />form must also be completed for those acreages. <br />15. Type of Mine (Check one): ~C Underground _ Surface <br />_ Combined Surface and Underground <br />_ Loadout _ Other <br />. 16. Current Permit Status (Check one): _ Active _ Temporary Cessation <br />Permanent Cessation (Reclamation Onlyl _ Suspended <br />~~. E5T1M,hT>^D A11n1E V FE O YEAAS /Vlr~ IS ~C[A/MF..D <br />