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<br />-2- <br />ADMINISTRATIVE INFORMATION: <br />1. Permit Number: <br />2. Operation Name: <br />I 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 Corte: <br />CRS Tax ID No. or Social Security No.: <br />14-2602 -ill <br />i?SON? !zi Gmr-` 4 <br />?a?+, CeMbiw??oH 1 N?, <br />sr& S+r .ers Ayr, <br />6Takst JV0+c4`er? . <br />Co. Zip Code: 8/SO / <br />9I O Telephone: _ ?4a - 93') O <br />r• Gra^'r Cvst"?A <br />Frv;1.., ?C?It I.eprr??g ?" L L C. <br />Cap%^ ^ clc4; 4V rk <br />AN zip code: 14 4 L 4 <br />S S S Telephone: 3 9 3' 30 D <br />-- a?- 032??sZ <br />5. ¢.onlicatian Fee: S 115.00 for Hard Rock operations; $144.00 for Construction Materials operations <br />J <br />Make check payable to the Division of Reclamation, Mining and Safety