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<br />4 <br />II. <br />ADMINISTRATIVE INFORMATION: <br />1. Permit Number: <br />2. Operation Name: <br />td-- Al 7S_c;509- <br />D t'e'L V"5-6 Iq E-I( F <br />3. Current Permitted Operator: <br />Contact Person: W(k If 1`C? 11 4?? t C 0 x <br />Company Name: WC1^re???(b1d?4??Y ??L`??C?b?t I-- v,h,einVli??fo????FGI?a-f?rjll(?1l;EAyLL? <br />Street: A-0 t_9 nm i(? <br />City: aVIV,i5nVA <br />State: l /QV,(LJt? Zip Code: Z- J <br />-0 t{ . <br />Area Code: Telephone: - O /lI;? <br />4. Successor Operator: <br />r <br />Contact Person: -- <br />Company Name: IA t e, 'mil'! LR V_0E6 1 C <br />Street: Q t/ Z c?l <br />City: Ci LIYI 1? SC) - K <br />State: Q Zi C e <br />Mob, le- <br />area Code: -'t'elephone: b(qk - ? ;It:I.- Tax ID No. or Social. Security No_: .`? ....... <br />5. A,mIketion Fee: 1 E 5.4i3 for Hard Rock operatio CL;?'44.i3G for Construction .!Materials operations <br />Make check payable to the Division of Reclamation, Mining and Safety