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STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources RECEIVED COLORAb0 <br />1313 Sherman St., Room 215 0 IV I$ 1 0 H o f <br />Denver. Colorado 80203 RECLAMATION <br />Phone: (303) 866-3567 S`tn r�MINING <br />FAX (303) 832-8106 Cf [tJ <br />SAFETY <br />SAFarroNAPPLICATION FOR NAS <br />FOR TRANSFER OF MINERAL PERMIT A%D <br />SUCCESSION OF OPERATORS <br />ADMINISTRATIVE INFORMATION <br />Permit Information <br />Permit Number: M-1995-009 <br />Operation Name: Fasse Pit <br />Permittee Information <br />Contact Person: Michael B. Dorman <br />Company Name: Dorman Brothers, LLC <br />Street Address: 70 Webster Ave. <br />city: Burlington <br />State: Colorado Zip: 80807 <br />Phone: (719 ) 346-8180 <br />Email (optional): <br />Prospective Successor Information <br />Contact Person: Michael B. Dorman <br />Company Name: Golden Grains, LLC <br />Street Address: 70 Webster Ave. <br />city: Burlington <br />State: Colorado Zip: 80807 <br />Phone:( 19 ) 346-8180 <br />Email (optional): <br />Office of Office of <br />Mined Land Reclamation Denver • Grand Junction • Durango Active and <br />Inactive Mines <br />