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'. <br />-~- <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 />4. Successor Operator: <br />Contact Person: <br />Company Name: <br />Sweet: <br />City: <br />State: <br />Area Code: <br />IRS TaY ID No. or Social Security No.: <br />M-1990-131 <br />Mitchell Pit #2 <br />Ylayne ~. Pitchell <br />NR <br />P. 0. Boa 26~ <br />Bennett <br />Co. 80102 <br />Zip Code: <br />303 Telephone: 644-3620 <br />Ricky W. Mitchell <br />.. ..,. , <br />T~Fr'sr"Gl:llt i.i tJU1iu~Viu yet <br />P.O. Box 10 T <br />CO. Zip Code: 80102 <br />303 Telephone: 644-4102 <br />84-0951508 <br />5. Application Fee: $100.00 for Hard Rock operations; $125.00 for Construction Materials <br />operations <br />Make check payable to the Division of Minerals and Geology <br />