Laserfiche WebLink
COLORADO <br /> Report Possible Violation/Illegal Activity C40 U Division of Reclamation, <br /> Mining and Safety <br /> Department of Natural Resources <br /> COMPLAINANT INFORMATION <br /> Note: You are requesting an investigation of a compliance issue with DRMS rules.This form is not intended for comments or <br /> bjections on permitting actions under review. <br /> Date of Complaint <br /> 05/08/2023 <br /> *Indicates a Required Field <br /> This form is for requests to investigate compliance issues with <br /> DRMS rules. This form is not intended for comments or <br /> objections on permitting actions. <br /> Do you wish to remain anonymous? <br /> Yes • No <br /> Please note that,if you choose to remain anonymous,the complaint will be investigated but the Division will not contact you to follow <br /> up on the complaint. <br /> Your First Name <br /> Larry <br /> Your Last Name <br /> Ehardt <br /> Your Address <br /> PO Box 265 <br /> Your City <br /> South Fork <br /> Your State <br /> co <br /> Your Zip Code <br /> Maximum of 10 digits. (Example)80202 <br /> 81154 <br /> Email Address <br /> Enter a valid email address in this field to receive a confirmation e-mail and copy of your Complaint form. <br /> darrin@ehardtcreative.com <br /> Your Phone Number* <br /> Used only to follow up. Please enter phone number in this format: (Example) 123-456-7890 <br /> 646-479-4231 <br /> Alternate Phone Number <br /> Used only to follow up. Please enter phone number in this format: (Example) 123-456-7890 <br />