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-2- <br />ADMINISTRATIVE INFORMATION: <br />1. Permit Number: <br />M1985029 <br />2. Operation Name: <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 />Alma Placer Mine <br />Paul Ducommun <br />Ducommun Business Trust <br />PO Box 461 <br />Monument <br />co Zip Code: 80132 <br />719 Telephone: 481-2276 <br />Benjamin Miller <br />Alma Placer Company, LLC <br />2040 W. Hamilton PI <br />Sheridan <br />CO Zip Code: 80435 <br />303 Telephone: 761-4770 <br /> <br />5. Application Fee: $115.00 for Hard Rock operations; $144.00 for Construction Materials operations <br />Make check payable to the Division of Reclamation, Mining and Safety <br />