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<br />-2- <br />lI. ADMIIV"I5TRATIVE INFORMATION: <br />1. Permit Number: <br />2. Operation Name: <br />3. Current Pcrnetted Operator. <br />Contact Person: <br />Company Name: <br />street: <br />City: <br />Stau: <br />Area Code: <br />4. Sacccaror Oder:tar: <br />Contact Person: <br />company Namc: <br />street: <br />City: <br />state: <br />Area Codr. <br />IRS Tax ID No. or Social Security No.: <br />M-1987-113 <br />Rocky Flats Pit <br />Paul Tuttle <br />Centennial Aggregates, LLC <br />540 Elkton Dr., Suite202 <br />Colorado Springs <br />Colorado zip Code; 80907-097 <br />(71~ Telephone: 522-0500 <br />JeffGregg <br />Hall Jrwin Corporation <br />301 Centennial Dr. <br />Milliken <br />Colorado zip cock: 80543 <br />(970) Telephone: 587-7279 <br /> <br />5. AooBcation Fee: $100.00 for Hard Rock operations; $125.00 for Consmtclion Materials operations <br />Make check payable ro the Division of Reclamation, Mining and Safety <br />;.~,~- <br />~~ <br />