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3 <br /> (Not for DP Entry) <br /> Permitted Actual Proposed <br /> 8. Mineral Ownership: <br /> Indicate currently permitted acreage for each <br /> Federal 160 160 160 <br /> State 0 0 0 <br /> Private 597 597 597 <br /> Indian 0 0 0 <br /> 9. Surface Ownership: <br /> Indicate currently permitted acreage for each <br /> Federal: 0 0 0 <br /> State: 0 0 0 <br /> Private: 757 757 757 <br /> Indian: 0 0 0 <br /> 10. Affected area (in acres) 111.2 111.2 111.2 <br /> 11. Disturbed area (in acres) 111.2 111.2 111.2 <br /> 12. Acreage of area reclaimed in previous permit <br /> term <br /> A. Backfilled and graded N/A 90.2 N/A <br /> B. Retopsoiled N/A 90.2 N/A <br /> C. Reseeded N/A 90.2 N/A <br /> 13. Acreage for which bond has been released <br /> A. 60 percent N/A 90.2 N/A <br /> B. 85 percent N/A 0 N/A <br /> C. 100 percent N/A 0 N/A <br /> 14. Renewal Term Requested (Years) N/A N/A 5 <br /> Note: If the application contains proposed(new) acreage, then a permit revision <br /> application 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 <br /> 16. Current Permit Status (Check One): _Active _Temporary Cessation <br /> I Permanent Cessation (Reclamation Only) _ Suspended <br /> 17. Current Estimated Life of Mine (in years): 0 5 Bond Liability Period <br />