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ame of applicant or person Jewell Ridge Mining Corporation ~Q'I <br />• Mailing Address: P.O. Box 26 <br />Street Address: <br />CITY :Jewell Ridge STATE : VA ZIP :24622 <br />Telephone Number. 540-881-8421 0 0 519 <br />FEIN: 54-1289917 Social Security No. NIA <br />Permit Number: 1200887 State/Regulatory Authority: VA DMLR <br />ApplicanUPermittee Name: Jewell Ridge Mining Corporation <br />Operator Name(If different from Permittee) <br />MSHA No.:44-01815 Date MSHA No. Issued: 9117171 <br />OwnershiplControl relationship to applicant N/A <br />Location in Organization Structure: N/A <br />Percent of Ownership N/A Beginning Date of Ownership N/A <br />Permit Number. 1200887 State/Regulatory Authority: VA DMLR <br />ApplicanUPermittee Name: Jewell Ridge Mining Corporation <br />Operator Name(If different from Permittee) <br />MSHA No.:44-01815 Date MSHA No. Issued: 7/25188 <br />Ownership/Control relationship to applicant NIA <br />• Location m Organization Structure: N/A <br />Percent of Ownership N/A Beginning Date of Ownership N/A <br />• <br />~_ <br />