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aRl6 <br />r~ <br />L .J <br /> <br />C~ <br />-3- <br />8, Mineral ownership: <br />(indicate currently <br />permitted acre for each) <br />Federal: 0 ac., <br />State: ~ ac., <br />Private: p ac.. <br />Indian: Q ac. p O p <br />9. Surface Qwnership: <br />(indicate currently <br />permitted acreage for <br />each) <br />Federal: O ac., <br />State: ac., <br />~ ,~ y8.0 yff,0 ~ <br />Private: <br />ac., <br />Indian: ~ ac. p O o <br />~ <br />10. Affected area (1n acres) /6.62 lG.dZ l1.62 <br />11. Disturbed area (in acres) ~~,58 11.5g o <br />12. Acreage of area reclaimed <br />1n previous permit term <br />a) backf111ed and graded N,bB O n/a <br />b) retopsoiled ~~.5K O n/a <br />c) reseeded p p n/a <br />13. Acreage for which bond <br />has been released <br />a) 60 percent 11.5'8 O o <br />b) 85 percent n/a O I/. SS <br />c) 100 percent n/a p ~~,Sg <br />14. Renewal Term Requested <br />(Years) n/a n/a 5 <br />Note: If tfie application contains proposed (new) acreage, th en a permit <br />revision application form r oust also be co mpleted for those acreage! <br />15. Type of Mine (check one): ~( Underground, Surface, <br />Combined Surface and underground, Load-0~; Other- <br />16. Current Permit Status (check one): Active. Temporary Cessation, <br />~( Permanent Cessation (reclaoration oonly), ~spended <br />17. Current Estimated Life of Mine 1n years: 0 <br />~~W/9~ 3 <br />