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Ad IIIIIIIIA17 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 /> M2020021 <br /> Date of Complaint <br /> 05/08/2023 <br /> COMPLAINANT INFORMATION n <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 Neighboring Business Owner(tourism) <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 /> The DMRS Permit Number is: M2020021 <br /> Location of gravel operation of concern: 180132 HWY 160,SOUTH FORK,COLORADO 81154 <br /> Parcel Number 5119-244-00-002 <br /> Legal Summary N/2SE/4 SEC.24 T39N R2E <br /> Google Map approximate coordinates:37.609209,-106.713560 <br /> Owners: Dianna Mouse: MOUSE BRET&DIANNA REVOCABLE LIVING TRUST <br /> P.O. BOX 722410 <br /> NORMAN, OK 79070 <br /> Incident County <br /> Mineral County <br /> Is this an ongoing issue(s)? <br /> Yes No <br />