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G-26 <br /> i. `� ia� t :4: :��r•i •� fi ti �Y• a� `_, I_.. _ � srp�ry S.'::;•cj:,:•=.; <br /> REASONS FOR APPEAL OR OBJECTIONS: (Describe your reasons for appealing the decision or your objections to an <br /> initial proffered permit in clear concise statements. You may attach additional information to this form to clarify where your reasons <br /> or objections are addressed in the administrative record.) <br /> ADDITIONAL INFORMATION:The appeal is limited to a review of the administrative record,the Corps memorandum for the <br /> record of the appeal conference or meeting,and any supplemental information that the review officer has determined is needed to <br /> clarify the administrative record. Neither the appellant nor the Corps may add new information or analyses to the record. However, <br /> you may rovide additional information to cl the location of information that is alread in the administrative record <br /> If you have questions regarding this decision and/or the appeal If you only have questions regarding the appeal process you may <br /> process you may contact: also contact: <br /> US Army Corps of Engineers,Denver Regulatory Office US Army Corps of Engineers,Northwestern Division <br /> Attn: Nicholas Franke,Regulatory Project Manager Attn: Melinda Larsen,Regulatory Appeals Review Officer <br /> 9307 S.Wadsworth Blvd 1201 NE Lloyd Blvd Ste 400 <br /> Littleton,CO 80128 Telephone(303)979-4120 Portland,OR 97232-1257 Telephone(503)808-3888 <br /> Nicholas.A.Franke@usace.army.mil Melinda.M.Larseu@usace.ar'my.mil <br /> RIGHT OF ENTRY: Your signature below grants the right of entry to Corps of Engineers personnel,and any government <br /> consultants,to conduct investigations of the project site during the course of the appeal process. You will be provided a 15 day <br /> notice of any site investigation,and will have the opportunity to participate in all site investigations. <br /> Date: Telephone number: <br /> Signature of appellant or agent. <br /> Keenesburg No. 2 Mine_112 Reclamation Operation—November 22, 2019 <br />