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Your Address 2 <br /> 304 8th Street <br /> Your City <br /> Gilcrest <br /> Your State <br /> CO <br /> Your Zip Code <br /> Maximum of 10 digits. (Example)80202 <br /> 80623 <br /> Email Address <br /> Enter a valid email address in this field to receive a confirmation e-mail. <br /> dan@townofgilcrest.org <br /> Your Phone Number* (') <br /> Used only to follow up. <br /> 9707372426 <br /> Extension <br /> 102 <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 /> 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 /> The Town of Gilcrest formally objects to the surface mining and reclamation operation as well as the request to <br /> expand the permit area by 3.09 acres until the Central Colorado Water Conservancy District,a quasi- <br /> governmental entity,enters into an intergovernmental agreement with the Town and submits both a Cost <br /> Reimbursement Agreement and a$15,000 deposit. <br /> Permitting Action Comment/Objection is Regarding <br /> - New Permit Change to Existing Permit <br /> Permit Number* (') <br /> Enter a valid permit number <br /> M2024015 <br />