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3 <br /> <br /> <br />)Not for DP Entry) <br /> Permitted Actual Proposed <br />8. Mineral ownership: <br />Indicate currently ermitted acrea a for each <br />Federal: 3 SS acres 3 s 8 3 S 8 <br />State: acres <br />Private:30~O.~cres oho • S 300 • S <br />Indian: acres <br />9. Surface ownership: <br />Indicate current) ermitted acrea a for each <br />Federal: 3 yy acres 3 y N y <br />State: acres <br />Private:3o8ysecres 3 o S'a• S 3 og ti• 5 <br />Indian: acres <br /> <br />70. Affected area lin acres) ~zvz.9 <br />ks-R <br />~ z 9z. 9 <br />11. Disturbed area lin acres) ~ z9z.9 rz9z.9 <br />12. Acreage of area reclaimed in previous permit <br />term <br />A. Backfilled and raded N/A 441.4 NIA <br />B. Reto soiled N/A 3t, . Z NIA <br />C. Reseeded N/A z o z • ~ NIA <br />13. Acres a for which bond has been released <br />A. 60 percent N/A 59 ~• I NIA <br />B. 85 percent N/A NIA <br />C. 100 ercent N/A NIA <br />14. Renewal Term Re nested (Years) N/A N/A <br />Note: /f the application contains proposed )new) acreage, then a permit revision application <br />form must also be completed for those acrea es. <br />15. Type of Mine (Check one): _ Underground <br />_ Combined Surface and Underground <br />Loadout Other <br />/Surface <br />1 6. Current Permit Status (Check one): _/Active _ Temporary Cessation <br />Permanent Cessation (Reclamation Onlyi _ Suspended <br />