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3 <br />General Description (Miles and direction from nearest town and approximate elevation): <br />Approximately 8.3 miles southeast of Hayden, Colorado <br />Elevation approximately 7,500 feet amsl <br />Not for DP Entry) <br /> Permitted Actual Proposed <br />8. Mineral ownership: <br />Indicate current) emitted acreage for each <br />Federal: acres 3056 <br />State: acres <br />Private: acres 434 <br />Indian: acres <br />9. Surface ownership: <br />Indicate current) permitted acreage for each <br />Federal: acres 70.2 70.2 <br />State: acres 55.7 55.7 <br />Private: acres 3967.1 3967.1 <br />Indian: acres <br />10. Affected area in acres 1540.8 1387.0 <br />11. Disturbed area in acres 1534.5 1381.9 <br />12. Acreage of area reclaimed in previous permit term <br />A. Backfilled and graded N/A 483.4 N/A <br />B. Reto soiled N/A 484.8 WA <br />C. Reseeded N/A 482.5 WA <br />13. Acreage for which bond has been released <br />A. 60 percent N/A 721.9 NIA <br />B. 85 percent N/A NIA <br />C. 100 percent NIA NIA <br />14. Renewal Tenn Requested ears N/A NIA 5 <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): F--'Underground C Surface <br />r':ombined Surface and Underground <br />C_oadout F---J Other