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Your Phone Number* <br /> Used only to follow up. <br /> 5052803552 <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 Structure Owner within 200' of affected land <br /> Mineral Owner Nearby Resident <br /> Adjacent Land Owner Concerned Citizen <br /> Government Agency Other <br /> DESCRIPTION OF COMMENT OR OBJECTION <br /> as specific as possioi( <br /> Comment/Objection Narrative <br /> the lemon family vigorously objects to the issuance of a permit due to Public safety,wildlife habitat and <br /> migration,and pollution and contamination concerns <br /> This activity is not compatible with the established residential and open space nature of this area...it will cause a <br /> great deal of problems and be greatly damaging to surrounding areas, regional wildlife,and public safety if <br /> allowed to proceed <br /> Permit Number* <br /> Enter valid letter and then numbers,for example M1977999, M1999777UG or C1981201. <br /> M2021064 <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 /> archuleta <br /> Enter one county only <br /> Site Name <br /> oak brush hill <br /> Perm ittee/Operator Name <br /> C and J gravel <br /> ADDITIONAL INFORMATION <br /> Are there supporting photos, maps, or documents you wish to upload? <br /> Yes No <br /> Upload Supporting Documents <br /> Maximum of 5 files can be uploaded and each file size must be 10mb and under. PDF,JPG,and PING formats only. <br />