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-2 - <br />II. ADMINISTRATIVE INFORMATION: <br />1. Permit Number: <br />2. Operation Name: <br />3. Current Permitted Operator: <br />Contact Person: <br />Company Name: <br />Street: <br />City: <br />State: <br />Area Code: <br />M-1986-079 <br />M&G Pit <br />Anne Johnson <br />Lafarge West, Inc. <br />10170 Church Ranch Way # 200 <br />Westminster <br />CO <br />303 <br />Zip Code: 80021 <br />Telephone: 653-4101 <br />4. Successor Operator: <br />Clay Carlson <br />Contact Person: <br />Mann Resources LLC <br />Company Name: <br />Street: P.O. Box 247 <br />City: Eastlake <br />State: CO Zip Code: 80614 <br />Area Code: 303 Telephone: 457-2966 <br />IRS Tax ID No. or Social Security No.: <br />45-0665919 <br />5. Application Fee: $115.00 for Hard Rock operations; $144.00 for Construction Materials operations <br />Make check payable to the Division of Reclamation, Mining and Safety <br />