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I <br /> Nature of Complaint* <br /> Select all that apply <br /> Illegal Mining Dust <br /> Ground Water/ Water Well Impact Acid or Toxic Materials/Spills <br /> Surface Water Impact/Stormwater Management Property Damage <br /> Mine Plan Compliance Waste Management/ Dumping <br /> Signs and Markers Overburden/ Development Waste <br /> Financial Warranty Backfilling and Grading <br /> Processing Waste/Tailings Processing Facilities <br /> Fish/Wildlife Erosion/ Sedimentation <br /> Off-Site Damage Roads <br /> Explosives/Blasting Topsoil <br /> Revegetation Weeds <br /> Reclamation Plan Compliance Other <br /> Detailed description of the issue(s)* (' <br /> Please provide as much detail as possible.It is important to narrow down the issue(s). <br /> Mining without proper permitting.Selling without proper sales licensing. <br /> Have you contacted the operator or party conducting the operation?If yes, please provide details. <br /> Yes , No <br /> If known, please provide the name of the operator or party conducting the operation. <br /> If known, please provide the Permit or NOI Number (ie M-1970-111 or P-1970-111). <br /> Must be entered in the following format: M1970111 or P1970111(No dashes allowed) <br /> Have you contacted any other agencies or local governments related to this issue or issues? If so, <br /> please provide details. <br /> Yes No <br /> ADDITIONAL INFORMATION <br /> Are there supporting photos, maps,or documents you wish to upload? <br /> Yes • No <br /> What is your preferred method for DRMS to communicate with you throughout the investigation? <br /> Select all that apply <br /> Phone E-mail US Mail <br />