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II. ADMINISTRATIVE INFORMATION: <br />1. Permit Number: <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 />M- 1974 -004 <br />Make check payable to the Division of Reclamation, Mining and Safety <br />Specification Aggregates Quarry <br />Anne Johnson / Robert Ray <br />Lafarge West, Inc. <br />10170 Church Ranch Way, Suite 200 <br />Westminster <br />Colorado Zip Code: 80021 <br />303 Telephone: 653 -4101 / 657 -4579 <br />Shelby Olsen <br />Contact Person: <br />Company Name: Martin Marietta Materials, Inc. <br />Street: 8200 IH -10 West, Suite 600 <br />City: San Antonio <br />State: Texas Zip Code: 78230 <br />210 208 -4270 <br />Area Code: Telephone: <br />IRS Tax ID No. or Social Security No.: <br />5. Application Fee: $115.00 for I -lard Rock operations; $144.00 for Construction Materials operations <br />