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3 <br />(Not for DP Entry) <br />Permitted <br />Actual <br />Proposed <br />8. Mineral ownership: <br />Indicate currently permitted acreage for each <br />N/A <br />Federal: 80 acres <br />80 <br />1304.51 <br />N/A <br />State: 640 acres <br />640 <br />640 <br />N/A <br />Private: 0 acres <br />0 <br />160 <br />N/A <br />Indian: 0 acres <br />0 <br />0 <br />N/A <br />9. Surface ownership: <br />Indicate currently permitted acreage for each <br />Federal: 80 acres <br />80 <br />80 <br />N/A <br />State: 640 acres <br />640 <br />640 <br />N/A <br />Private: 0 acres <br />0 <br />160 <br />N/A <br />Indian: 0 acres <br />0 <br />1384.51 <br />N/A <br />10. Affected area in acres <br />794.5 <br />794.5 <br />N/A <br />11. Disturbed area (in acres) <br />22.36 <br />22.36 <br />N/A <br />12. Acreage of area reclaimed in previous permit <br />term <br />A. Backfilled and graded <br />22.36 <br />1.0 <br />N/A <br />B. Reto soiled <br />22.36 <br />1.0 <br />N/A <br />C. Reseeded <br />22.36 <br />1.0 <br />N/A <br />13. Acreage for which bond has been released <br />A. 60 percent <br />N/A <br />0 <br />N/A <br />B. 85 percent <br />N/A <br />0 <br />N/A <br />C. 100 percent <br />N/A <br />0 <br />N/A <br />14. Renewal Term Requested Years <br />5 <br />N/A <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): X Underground _ Surface <br />_ Combined Surface and Underground <br />Loadout Other <br />16. Current Permit Status (Check one)` X Active Temporary Cessation <br />Permanent Cessation (Reclamation Only) _ Suspended <br />