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Email Address* <br /> Enter a valid email address in this field to receive a confirmation e-mail. <br /> kevstauffer@gmaii.com <br /> Your Phone Number* <br /> I <br /> Used only to follow up. <br /> 7178249072 <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 Concerned Citizen <br /> Government Agency Other <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 /> Grape Creek and Temple Canyon is a wonderful area my family of young children use to hike,explore, roam <br /> the trails,and play in the creek.We are very concerned with the potential pollution and chemical leak potential <br /> that exists if Dawson Gold mine would begin using 65 million gal of ground water.Also, I am opposed to the <br /> increased traffic for employees and heavy trucks for equipment,etc on Temple Canyon road and 1st st.This will <br /> deplete our surface and sub-surface water supply...We need to save our environment for our kids, not <br /> wastefully destroy it. <br /> Permit Number* <br /> Enter valid letter and then numbers,for example M1977999, M1999777UG or C1981201. <br /> M2021046 <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 /> Fremont <br /> Enter one county only <br /> Site Name <br /> Dawson Gold Mine <br /> Perm ittee/Operator Name <br /> Zephyr Gold USA Ltd <br /> ADDITIONAL INFORMATION <br />