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Email Address* <br /> Enter a valid email address in this field to receive a confirmation e-mail. <br /> cerrophidion@gmail.com <br /> Your Phone Number* <br /> Used only to follow up. <br /> 970-590-82 <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 Fv Nearby Resident <br /> Adjacent Land Owner Fv Concerned Citizen <br /> Government Agency Other Biologist <br /> DESCRIPTION OF COMMENT OR OBJECTION <br /> You are providing a comment or objection to the public record of a permitting action currently under review by the Division of <br /> Reclamation, Mining and Safety.This form is not intended for reporting of possible violations or illegal activity. Please be as specific <br /> as possible. <br /> Comment/Objection Narrative <br /> Notification of affected areas/landowners were not notified as required by law.Additionally,this operation will <br /> negatively impact native fauna and flora, including Bald Eagles and other protected species. Finally,within 10- <br /> 15 miles of the intended site,there are several other gravel quarries,so the need for another, placed in this <br /> sensitive area, is minimal. <br /> Permit Number* <br /> Enter valid letter and then numbers,for example M1977999, M1999777UG or C1981201. <br /> M1977999 <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 /> Weld <br /> Enter one county only <br /> Site Name <br /> Perm ittee/Operator Name <br /> ADDITIONAL INFORMATION <br />