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3 <br />General Description (Miles and direction from nearest town and approximate elevation): <br />.S/?/llyG'? ?•lo??/.IO ?T.rl,,?i4T,rA/l/ ?? i?S•C <br />Not for DP Entry) <br /> Permitted Actual Proposed! <br />8. Mineral ownership: <br />Indicate current) permitted acreage for each <br />Federal: 1"_0 acres '. ?"3G 7S?G <br />Stater acres C, 44 C 8f0 <br />Private: acres <br />Indian: acres <br />8. Surface ownership: <br />Indicate current) permitted acreage for each <br />Federal: G 0lbacres G,6''O GG7'O <br />State: 7LC4facres 7s C13 9,' al.? <br />Private: XWlracres <br />Gs Zs <br />Gs?? <br />Indian: acres <br />10. Affected area in acres 1003 yd6 <br />11. Disturbed area in acres X09 <br />12. Acreage of area reclaimed in previous permit term <br />A. Backfilled and graded N/A 47 N/A <br />B. Reto soiled N/A N/A <br />C. Reseeded N/A a 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 0 N/A <br />14. Renewal Term Requested Years N/A N/A .3 <br />Note: If the application contains proposed (new) acreage, then a permit revision application <br />form must also be completed for those acreages. <br />15. Type of Mine (Check one): ?Underground _ Surface <br />_ Combined Surface and Underground <br />Loadout Other