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o_ <br />II. ADMIMSTRATIVE INFORMATION: <br />1. Permit Number: <br />2. Operation Name: <br />Empire Pit <br />3. Current Permitted Operator: <br />Contact Person: <br />Company Name: <br />Street <br />City. <br />State: <br />Area Code: <br />4. Successor Otxrator. <br />Contact Person: <br />Municipality <br />740c4~t4Xe: <br />Stmt: <br />City. <br />State: <br />Area Code: <br />IRS Tar ID No. or Social Security No.: <br />^lr. LeRov Marque <br />Mountain Aggregates, Inc. <br />?096 S, I-25 <br />Castle Rock <br />Colorado 80104 <br />Zip Code: <br />303 Telephone: 688-4890 <br />Mr. Dan Hartman, Dir, of Putalic Works <br />City of Golden, Colorado <br />911 Tenth Street <br />Golden <br />Colorado Zip Code: 80401 <br />303 Telephone: 384-8000 <br /> <br />~. 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 />