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<br />II. ADWMSTRATIVE INFORMATION: <br />1. Permit Number: <br />-2- <br />2. Operation Name: <br />M-99-003 <br />Tallahassee Pit <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 />Street: <br />City: <br />State: <br />Area Code: <br />IRS Tax ID No. or Social Security No.: <br />Jerald Seifert <br />Jerald Seifert & Fred Lowry <br />P.O. Box 305 <br />Westcliffe <br />CO Zip Code: 81 2 5 2 <br />719 Telephone: 783-2757 <br />Jerald Seifert <br />Seifert Construction <br />P.O. Box 305 <br />Westcliffe <br />CO Zip Code: 81252 <br />719 Telephone: 7 8 3- 2 7 5 7 <br />14-1862049 <br />5. Application Fee: $100.00 for Hard Rock operations; $ I25.00 for Construction Materials operations <br />Make check payable to the Division of Reclamation, Mining and Safety