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3 <br />General Description (Miles and direction from nearest town and approximate elevation): <br />Approximately 19 miles north of Loma, CO on SH-139. Elevation approximately 5610 feet. <br />Not for DP Entry) <br /> Permitted Actual Proposed <br />8. Mineral ownership: <br />Indicate current) permitted acreage for each <br /> 2,400.5 2,400.5 +1,001.5 <br />Federal: acres <br /> 0 0 0 <br />State: acres <br /> 160 160 0 <br />Private: acres <br />Indian: acres 0 0 0 <br />9. Surface ownership: <br />Indicate current) permitted acreage for each <br /> 2400.5 2400.5 +1,001.5 <br />Federal: acres <br /> 0 0 0 <br />State: acres <br /> 160 160 0 <br />Private: acres <br /> 0 0 0 <br />Indian: acres <br /> 1,903.1 519 -338.7 <br />10. Affected area in acres <br /> 17.65 12.8 +17.85 <br />11. Disturbed area in acres <br />12. Acreage of area reclaimed in previous permit term <br /> 3.3 <br />A. Backfilled and graded N/A N/A <br /> 3.3 <br />B. Reto soiled N/A N/A <br /> 3.3 <br />C. Reseeded N/A N/A <br />13. Acreage for which bond has been released <br />A. 60 percent N/A 0.0 N/A <br />B. 85 percent N/A 0.0 N/A <br />C. 100 ercent N/A 0.0 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 application <br />form must also be completed for those acreages. <br />= 3402 <br />=3402 <br />=1564.4 <br />35.5 <br />15. Type of Mine (Check one): ? Underground _ Surface <br />-Combined Surface and Underground <br />Loadout _ Other