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Your Phone Number * <br />Used only to follow up. <br />3039122327 <br />Extension <br />Alternate Phone Number <br />Used only to follow up. <br />Alternate Phone Extension <br />Connection to Operation * <br />Select all that apply <br />Land Owner of affected land <br />Mineral Owner <br />Adjacent Land Owner <br />Government Agency <br />Structure Owner within 200' of affected land <br />✓ Nearby Resident <br />Concerned Citizen <br />Other <br />DESCRIPTION OF COMMENT OR OBJECTION <br />(Please be as speciflc as possible) <br />Comment/Objection Narrative * <br />Expanding from 9 acres to 85 is a very large expansion. With current Colorado population growth rates and <br />residential home building, I already have concerns for water quality. I have concerns for wildlife. I have <br />concerns for the future generations who will live in this area and the ones currently. <br />Permit Number'k <br />Enter valid letter and then numbers, for example M1977999, M1999777UG or C1981201. <br />M1975007 <br />Permitting Action Type <br />Select revision type or leave blank if comment pertains to a new permit application or NOI <br />Permit Type <br />County * <br />Jefferson <br />Enter one county only <br />Site Name <br />Permittee/Operator Name <br />ADDITIONAL INFORMATION <br />Are there supporting photos, maps, or documents you wish to upload? * <br />1[=��►C.7 <br />By submitting this form electronically you agree to receive any/all follow up correspondence from the Division of <br />Reclamation, Mining, and Safety at the email address you have provided. <br />