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MA17 COLORADO <br /> DRMS Complaint • • Division of Reclamation, <br /> Mining and Safety <br /> By Submitting this form you are requesting an investigation of Department of Natural Resources <br /> compliance with DRMS rules. <br /> DRMS Internal Information <br /> Select Permit Type <br /> Minerals <br /> Permit No List <br /> M2015028 <br /> Date of Complaint <br /> 09/01/2021 <br /> COMPLAINANT INFORMATION <br /> *Indicates a Required Field <br /> Do you wish to remain anonymous? <br /> Yes No <br /> Connection to Incident* <br /> Select all that apply <br /> Land Owner Mineral Owner <br /> Nearby Resident Observed Incident <br /> Other <br /> DESCRIPTION OF COMPLAINT ^ <br /> (Please be as specific as possible) <br /> Note: Please provide as much detail related to location and issue as possible.Without enough detail, DRMS will not be <br /> able to process or investigate the complaint and,therefore, DRMS will have no choice but to discard the complaint. <br /> Location of Concern* <br /> Please provide as much detail as possible.It is important to narrow down the location. If available,please include Township, Range <br /> and Section,physical address,or GPS location.You may also upload a pdf map below. <br /> Dixie Mine <br /> Permit#M-2015-028 <br /> Ute Creek Road(County Road 118) <br /> Idaho Springs,CO <br /> 39'42'56.13"N <br /> 105°36"41.66"W <br /> Incident County <br /> Clear Creek County <br /> Is this an ongoing issue(s)? <br /> Yes No <br />