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II. ADMINISTRATIVE INFORMATION: <br />1. Permit Number: <br />2. Operation Name: <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 />-2- <br />M- 1977 -036 <br />Greeley 35th Ave Pit <br />3. Current Permitted Operator: <br />Contact Person: Anne Johnson / Robert Ray <br />Company Name: Lafarge West, Inc. <br />Street: 10170 Church Ranch Way, Suite 200 <br />City: Westminster <br />State: Colorado Zip Code: 80021 <br />Area Code: 303 Telephone: 653 -4101 / 657 -4000 <br />Shelby Olsen <br />Martin Marietta Materials, Inc. <br />8200 I - West, Suite 600 <br />San Antonio <br />Texas <br />210 <br />Make check payable to the Division of Reclamation, Mining and Safety <br />Zip Code: 78230 <br />208 -4270 <br />Telephone: <br />5. Application Fee: $115.00 for Hard Rock operations; $144.00 for Construction Materials operations <br />