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<br />_~. <br />II. ADMIMSTRATIVE INFORMATION: <br />I. Permit Number: <br />2. Operation Name: <br /> <br />l~v,~-Iron~ Dis#~L Or~~~ohs <br />3. Current Permitted Oceratar: <br />Contact Person: ~~-f'riC k 1A/al~d, <br />Company Name: CA M A~ ~n~Of(L!{L~ , ~L. <br />Street: ~!„OS 5. ef(er- ~~'". <br />city: ~ k~ ~n~ <br />State: ~ Zip Code: ~~35 <br />Area Code: ~_ Telephone: ~`L3'~ - ~O`-7d <br />4. Successor Ocerator: <br />Contact Person: ~,'2~-r-~ Lk IAI (1rCJC, <br />Company Name: ~f-PT~dLrS+r'IP',-WCR~ ~L, <br />v <br />Street: <br />Citv: ~a-rne' <br />State: Zip Code <br />Area Code: Telephone: <br />IRS Tar ID No. or Social Security No.: R4 - Con - ~' i~~ <br />~. Aaolication Fee: $100.00 for Hard Rock operations; $125.00 for Conswction Materials <br />operations <br />Make check payable to the Division of hlinerals and Geology <br />