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3 <br /> General Description (Miles and direction from nearest town and approximate elevation): <br /> Six miles north of Keenesburg, Colorado; Elevation 4780' . <br /> (Not for DP Entry) <br /> Permitted Actual Proposed <br /> 8. Mineral ownership: <br /> Indicate currently permitted acreage for each <br /> Federal: acres <br /> State: acres 192 192 192 <br /> Private: acres 420 420 420 <br /> Indian: acres <br /> 9. Surface ownership: <br /> Indicate currently permitted acreage for each <br /> Federal: acres <br /> State: acres <br /> Private: acres 612 612 612 <br /> Indian: acres <br /> 10.Affected area(in acres) 439 438 438 <br /> 11. Disturbed area(in acres) '439 438 438 <br /> 12.Acreage of area reclaimed in previous permit term <br /> A. Backfilled and graded N/A 11.9 N/A <br /> B. Retopsoiled N/A 11.9 N/A <br /> C. Reseeded N/A 21.6 N/A <br /> 13. Acreage for which bond has been released <br /> A. 60 percent N/A 229 N/A <br /> B. 85 percent N/A 216 N/A <br /> C. 100 percent N/A 165 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. Type of Mine (Check one): _ Underground x Surface <br /> _Combined Surface and Underground <br /> Loadout Other <br />