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<br />-z- <br />II. ADMINLSTRATIVE INFORMATION: <br />~ . permit Numbs: rY1- 19 8 9 - o ° 4- <br />z. operstion Name: c~A K ~' ,2~EK ~YAV~L P/ T <br />3. Current Permitted Ooerstor. <br />c~tact person: /-I n ~ i A f>!o o Kt~ <br />Company Name: ~ ~l G~l /~ K A~/GN L L C <br />saner: ~Q IPoYAG ~o,~GN F3LVD. SyiTEZv/ <br />city: ~ An/oN Ci~~ <br />scan: C U lap case: ~ l Z/ Z <br />Area Code: ? I ~ Telephone: !7 ~o - 7.3 Z U <br />4. Snocesaor Ocentor. <br />Contaa person: l~ i9 N l E L /~~ /C' i.~SS EL ~- <br />cyName: %o cKho {-~o/Y/i GLG <br />street ~ ~' 0 4 2. SO • / O ra ~2 cl <br />city: .el L.4 rVi n5A <br />Stale: C ~ Zip Cade: 8 / t' (7 <br />Area cane: ~/ 9 Telephone: S Y~ 7- 3~ 3 o er ~ l a l <br />IRS Tax ID No. or Social Sectvity No.: '1 O O $ / O 7.Z O ~2 <br />5. Agolitation Fee: $100.00 for Hard Rock opersaons; 5125.00 for Conslna:tian Materiels operations <br />Make chxk payable to the Division of MmersLs and Geology <br />