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3 <br />General Description (Miles and direction from nearest town and approximate elevation): <br />Ten miles east of Walden CO on CR 12E elevation 8,300 ft <br />Not for DP Entry) <br /> Permitted Actual Proposed <br />8. Mineral ownership: <br />Indicate current) permitted acreage for each <br />Federal: acres 930 930 <br />State: acres 10 10 <br />Private: acres 705 705 <br />Indian: acres <br />9. Surface ownership: <br />Indicate current) ermifted acreage for each <br />Federal: acres 930 930 <br />State: acres 10 10 <br />Private: acres 705 705 <br />Indian: acres <br />10. Affected area in acres 401 401 <br />11. Disturbed area in acres 401 401 <br />12. Acreage of area reclaimed in previous permit term <br />A. Backfilled and graded N/A 0(total 357 ac) N/A <br />B. Reto soiled N/A 0(total 357 ac) N/A <br />C. Reseeded N/A 0(total 357 ac) N/A <br />13. Acreage for which bond has been released <br />A. 60 percent N/A 401 N/A <br />B. 85 percent N/A 393 N/A <br />C. 100 percent N/A 379.6 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 application <br />form must also be completed for those acreages. <br />15. Tvoe of Mine (Check one): F -Underground F Surface <br />r.ombined Surface and Underground <br />T-_oadout I- Other