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3 <br />General Description (Miles and direction from nearest town and approximate elevation): <br />Not for DP Enf <br /> Permitted Actual Pro osed <br />8. Mineral ownership: <br />Indicate current) ermitted acrea a for each <br />N A <br />Federal: acres 3 93 .00 <br />State: acres <br />Private: acres 340.00 <br />Indian: acres N/A <br />9. Surface ownership: <br />Indicate current) ermitted acrea a for each <br />Federal: acres 508.99 <br />State: , acres <br />Private: _ acres 6 253.50 <br />Indian: acres <br />10. Affected area in acres <br />11. Disturbed area in acres 4,344.86 g <br />12. Acreage of area reclaimed in previous permit <br />term <br />A. Backfilled and raded N/A 1 342.34 N/A <br />B. Reto soiled N/A 1,342.34 N/A <br />C. Reseeded N/A N/A <br />13. Acrea a for which bond has been released <br />A. 60 ercent N/A 915.33 N/A <br />B. 85 ercent N/A 915.33 N/A <br />C. 100 ercent N/A N/A <br />14. Renewal Term Re nested 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. Type of Mine (Check one): _ Underground x Surface <br />_ Combined Surface and Underground <br />Loadout Other <br />