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6 <br /> STATE OF COLORADO <br /> DIVISION OF RECLAMATION, MINING AND SAFETY <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 COLO RAD <br /> IDIVIS ION OF <br /> Denver,Colorado 80203 RECLAMATION <br /> Phone.(303)866-3567 MINING <br /> FAX:(303)832-8106 —&— <br /> SAFETY <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS <br /> ADMINISTRATIVE INFORMATION <br /> RECEIVED, <br /> GO7 <br /> Permit Information JUN 10 2016 t <br /> Permit Number: M-1995-017 ILO L <br /> Division of Reclamation, <br /> Operation Name: Rothe Sand & Gravel Pit Mining&Safety <br /> Permittee Information <br /> Contact Person: Lee Roy Rothe , <br /> Company Name: Le,t t.n4- Mai'Lfte. J R8-('ham <br /> Street Address: 19727 Factory <br /> City: Sterling <br /> State: CO Zip: 80751 <br /> Phone: ) 522-4081 / (970) 522-2281 <br /> Email (optional): <br /> Prospective Successor Information r n <br /> Contact Person: City Manager/Don Saling 19 <br /> Cityof Sterling, Colorado 1 I Lill <br /> Name: <br /> Street Address: 421 N. 4th Street ✓ w'& �W 3/�i/ , <br /> City: Sterling"1" i 21t1 <br /> State: CO Zip: 80751 /NN � / iiV <br /> Phone: (970 )5229700 <br /> Email (optional): saling@sterlingcolo.com UMW <br /> ' <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />