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9- <br />II. ADMINISTRATIVE INFORMATION: <br />I. Permit Number: <br />2. Operation Name: <br />3. Current Permitted Ocerator: <br />Contact Person: <br />Company Name: <br />Strect: <br />City: <br />State: <br />Area Code: <br />M-1983-164 <br />GALBEGOS PIT <br />JEFFREY W. REHBERG <br />Colorado Dept.of Transportation <br />P.O. Box 705 <br />Alamosa <br />rn Zip Code: 81101 <br />7 19 Telephone: 5 8 9» 4 2 5 1 <br />4. Successor Operator: <br />Contact Person: <br />Company Name: <br />Street: <br />City: <br />State: <br />Area Code: <br />George F. Gallegos <br />P.O. Box 575 <br />Romeo <br />cn Zip Code: 8 114 8 <br />719 Telephone: 8 4 3 - 5113 <br />IRS Tax ID No. or Social Security No.: <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 />